Coverage Analyst (Remote)

Location: Cary, NC (Remote)

About the role

The Coverage Analyst is responsible for completing coverage analysis tasks with the primary goal of supporting the efficient and effective start-up process for our site clients.

Responsibilities

• Contribute to the development of clinical trial coverage analysis.
• Read and analyze clinical trial protocols and develop activity grid to identify required tests, procedures, and assessments.
• Use software and other internal resources to identify potential CPT/HCPCS codes for applicable items in the activity grid.
• Review work completed by others as part of the internal quality review process.
• Other duties as assigned by supervisor, which may occasionally be unrelated to the position described here.
• Attendance and punctuality are essential functions of the position.

Requirements

• Bachelor’s degree in a related field. Significant work experience in the specific field may be considered in lieu of a relevant degree.
• At least 1 year of professional experience.
• Ability to work in a performance-driven environment with a proactive, results-driven, and goal-oriented approach.
• Demonstrated ability to learn and apply technical and scientific product-related information in a consultative manner.
• Excellent attention to detail and highly organized.
• Ability to understand clinical terms and descriptors.
• Strong investigative skills with ability to read complex technical documents, synthesize relevant information, and clearly document findings.
• Excellent communication (oral/written) and interpersonal skills.
• Proficient with Excel.

Preferred Qualifications

• Familiarity with the clinical trial start-up process.
• Experience interpreting clinical trial protocols to assess required activity related to visit schedules and treatment plans.
• Familiarity with research insurance billing and coverage guidelines (e.g., Medicare NCD 310.1).
• Experience as a clinical research coordinator, preferably in oncology or medical device related therapeutic area.

Benefits

• Comprehensive benefits package including health, dental, vision, life, and disability insurance.
• 401k with company match and flexible spending accounts.
• Employee Assistance Programs and additional work/life resources.
• Referral bonuses and tuition reimbursement.
• Paid time off including holidays, vacation, and sick time.
• Volunteer Time Off to benefit the community.
• Opportunities for career development with on-the-job training, certification assistance, and continuing education reimbursement.

Pay

The expected hourly range for this position is between $23.40 to $36.30. This range may vary based on the candidate's qualifications, experience, skills, education, and geographic location.

Schedule

Full Time - Regular

Travel

0% – 5%

Physical and Sensory Requirements

• Work activities involve light to moderate physical effort (e.g., sitting in one place for extended periods, standing, walking, bending, lifting lightweight objects, intermittent to sustained periods of keyboarding).
• Majority of time is spent in a seated position with frequent opportunity to move about at will.
• Activities require a variety of easy muscle movements.
• Work activities involve a frequent need to concentrate on a variety of sensory inputs for moderate to lengthy durations, requiring diligence and attention to interpret effectively.
• Need to attend to single or simultaneous tasks where accuracy of details is important.
• High need for detailed and precise work.