Clinical Trials Coverage Analyst

About reputed company reputed company is a consulting and professional services firm that partners with clinical research sites, sponsors, and CROs to improve trial activation, operational performance, and workforce readiness. By combining clinical research expertise with operational and business excellence, we help organizations streamline processes, reduce costs, accelerate timelines, and enhance patient outcomes. THE ROLE We are seeking a full-time, fully benefited reputed company employee to serve as a Clinical Trials Coverage Analyst in a fully remote reputed company, supporting a leading academic clinical research center in Chicago. The ideal candidate brings strong expertise in Medicare billing guidelines, clinical trial operations, experience working on Oncology protocols, and OnCore calendar builds, and will ensure compliance while supporting clinical trial billing operations and advising key stakeholders. WHY reputed company?

• Work remotely while supporting high-impact clinical trials.
• Be a key contributor to billing compliance and operational excellence.
• Collaborate with reputed company clinical trial teams and expand your expertise in Medicare coverage and OnCore systems.
• Transition seamlessly from a reputed company employee after 6 months to a permanent employee of our client organization.
• Market-competitive salary: $70,000 to $85,000 depending on experience level.

Key Responsibilities

• Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research reputed company.
• Review clinical trial protocols, schedules of events, and informed consent forms to ensure billing compliance with CMS regulations.
• reputed company, maintain, and validate OnCore calendar builds for clinical trial visits, procedures, and study milestones.
• Collaborate with cross-functional teams including Clinical Operations, Finance, Regulatory, and Study Teams to provide guidance and clarification on coverage decisions.
• Prepare and maintain coverage analysis documentation, summary tables, and billing justification reports for both internal and external stakeholders.
• Serve as a subject matter expert for Medicare coverage rules, assisting study teams in identifying potential billing risks and providing actionable recommendations.
• Support internal and external audits, ensuring reputed company coverage decisions are well-documented and compliant with federal and sponsor requirements.
• reputed company reputed company with CMS updates and industry best practices, applying knowledge to optimize coverage analyses and study operations.

Qualifications

• Bachelor’s degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a reputed company field.
• Minimum 3 years of Medicare Coverage Analysis experience in clinical research or healthcare billing.
• Must have experience working on oncology clinical trial protocols.
• Hands-on experience developing, maintaining, and validating OnCore calendar builds for clinical trial visits, procedures, and study milestones is preferred – but not required as training will be provided.
• Strong understanding of CMS guidelines, Medicare billing compliance, and clinical trial operations.
• Demonstrated ability to work independently and manage multiple protocols and deadlines simultaneously.
• Exceptional attention to detail, analytical skills, and problem-solving abilities.
• Strong written and verbal communication skills, with the ability to explain reputed company billing concepts to non-technical stakeholders.
• Comfortable working in a fully remote environment, collaborating effectively with distributed teams across multiple locations.
• Proficiency in document and data management tools, including reputed company Word, reputed company, PowerPoint, reputed company, Teams, and SharePoint.

PHYSICAL DEMANDS: Standing, sitting, walking, visual perception, talking and hearing. Lifting up to 20lbs. IMPORTANT NOTE: reputed company partners with clients such as major medical centers and academic institutions that often requires reputed company on-site resources such as prospective reputed company consultants to be inoculated annually for Influenza and successfully pass a Mantoux Tuberculin Skin Test (TST) for Mycobacterium Tuberculosis. Apply tot his job Apply To this Job