Trials Coverage Analyst, Research Administration (Galveston)

Education & Experience

• Minimum Qualifications: Bachelor’s degree or equivalent, five years of related experience
• Preferred Qualifications: Medical coding

Job Summary

Provides centralized administrative review of clinical trial agreements, study protocols, informed consent documents, and budgets to ensure compliance with federal and state regulations for clinical research billing.

Scope

NA

Essential Job Functions

• Determine whether proposed clinical trials qualify as defined in all relevant national coverage decisions.
• Acts as a resource and assists Principal Investigators, study coordinators, and budget analysts in determining that all costs for clinical studies are included in the study budget and are appropriate and/or accurate.
• Ensures budget worksheets identify appropriate billing parties.
• Reviews financial agreements with UTMB contracts specialists and, if necessary, collaborates entities.
• Ensures financial consistency between research agreements and study protocols.
• Ensures relevant sections of the informed consent document conform to CMS billing rules.
• Affords assistance in mandatory training courses for faculty and personnel involved in clinical research when necessary.
• Coordinates the development of Standard Operating Procedures (SOPs) for all entities involved with clinical research billing.
• Affords assistance in the development of monitoring plans for billing-related activities.
• Generates billing grids with applicable CPT and/or other codes in the Institution’s Clinical Trial Management System.
• Maintains knowledge and updates on current FDA and Medicare guidelines for clinical trial billing.
• Maintains a complete portfolio of accounts receivable throughout the revenue cycle, including charge review, account work queues, claim edits, and claim submission.
• Reviews charges in Epic and Epic-generated reports to identify standard-of-care, research-related, or indeterminate services.
• Fulfills federal and state regulations to ensure compliance standards are met.
• Reviews research patient accounts to ensure research charges are routed appropriately.
• Communicates with Revenue Cycle teams, payors, and others to resolve account discrepancies or errors.
• Participates in meetings, as needed, to address potential payor concerns.

Marginal or Periodic Functions

• Adheres to internal controls and reporting structure.
• Performs related duties as required.

Knowledge/Skills/Abilities

• Working knowledge of Epic and OnCore systems.
• Communication skills.
• Problem-solving skills.
• Critical Thinking.

Salary Range

Commensurate with experience.

EQUAL EMPLOYMENT OPPORTUNITY

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

Primary Location

United States-Texas-Galveston

Work Locations

0342 - Research Building 6

Job Research

Academic & Clinical

Regular Employee Status

Team Lead / Technical

Job Level

Day Shift

Job Posting

Jun 24, 2026, 2:54:24 PM