Clinical Research Coverage Analyst

Position Summary

The Clinical Research Coverage Analyst provides day-to-day support and guidance for clinical investigators and research staff when conducting Medicare coverage analysis determinations. The position also acts as a liaison with all UMMS clinical partners, providing support to study team members to ensure electronic medical record clinical research charge review is conducted in accordance with applicable UMMS policies and procedures.

Essential Functions

• Coverage Analyses Support
• Responsible for ensuring that all coverage analyses are created in accordance with Medicare's clinical Trial Policy (NCD 310.1).
• Assists investigator and study team member with determination.
• Ensures that all trials requiring QCT status are documented in OnCore according to institutional guidance.
• Advise research staff/study teams with the interpretation of related guidance, appropriate identification of procedures and their effects on research billing.
• UMMHC/Clinical Liaison
• Supports clinical study teams for Epic research billing review.
• Coordinates with UMMHC and other clinical partners to obtain pricing for all needed services.
• Maintains Epic Research Manager Dashboard to ensure timely response/review of clinical research charges.
• Acts as a liaison with UMMHC to resolve Epic billing review issues.
• Quality Assurance
• Ensures consistency of the coverage analysis with the protocol, the informed consent form template, the budget and the contract payment terms.
• Education & Training
• Develops and revises applicable training materials, job aids, SOPs and policies as assigned.
• Provides support for CCTS/OCR and ITCTMS training sessions as needed.
• Reporting
• Supports the capture of relevant CCTS/OCR metrics accurately and in a timely manner.

Required Qualifications

• Bachelor's Level Degree or equivalent
• 3 - 5 years of experience in Clinical Research Operations, medical terminology

Prior to Qualifications

• HCPCS/CPT, FDA regulations, knowledge of Medicare Coverage decisions

Work Location

Hybrid

Salary Range

USD $60,000.00/Yr. - USD $72,000.00/Yr.

Posting Disclaimer

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). Final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.