Chicago, IL, USA
56 days ago
Clinical Research Coverage Analyst

Department
 

BSD OCR - Clinical Research Operational Excellence


About the Department
 

The Office of Clinical Research (OCR) is dedicated to supporting the infrastructure for the management and administration of clinical research at The University of Chicago as well as individual research programs with the goal of improving communication, consistency, and collaboration across the Biological Sciences Division and UChicago Medicine.

To mission of the OCR is to catalyze clinical research by providing expertise, resources, infrastructure, and systems that facilitate clinical research operations and enable collaboration across the enterprise while promoting compliance and human subject protection on behalf of our diverse community of patients and volunteers.


Job Summary
 

The Coverage Analyst is dedicated to ensuring billing compliance for clinical research and supports utilization of the Clinical Trial Management System (CTMS). The Coverage Analyst plays a crucial role in evaluating clinical research protocols, informed consent forms, clinical trial agreements, and other pertinent study documents to generate a protocol calendar in the CTMS system and develop coverage analysis/billing guide. The Coverage Analyst specifies which medical procedures and services may qualify as 'Routine Cost' and be billable to patient insurance, and which should be charged to the study. The Coverage Analyst is responsible for determining whether proposed clinical research studies meet the criteria for a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1). As a member of the CTMS Support Unit within the Office of Clinical Research, the Coverage Analysts works as part of a team to support and optimize clinical trial initiation and financial workflows, partnering closely with research teams and key stakeholders in the process.

Responsibilities

Reviews clinical trial protocols, budgets, contracts, and informed consent documents to determine billing compliance. Creates detailed coverage analyses that outline the billing of clinical items and services required by research studies.Develops study calendars within the Clinical Trial Management System.Ensures consistency in the application of Medicare and other applicable rules across studies and alignment of study documents with billing regulations.Works collaboratively with key offices, including the Human Research Protection Program and research units, to harmonize regulatory and budgetary processes in clinical trials.Communicates the results of coverage analyses to principal investigators and/or study teams, providing detailed explanations and addressing any questions or concerns.Ensures that coverage analyses outputs are reviewable and auditable for quality and compliance.Recruits, onboards, and trains new clinical research staff to ensure adherence to billing compliance procedures.Coordinates department or clinic compliance with a moderate level of guidance.Prepares, completes and submits all compliance documentation on a routine basis. Coordinates compliance committee meetings.Performs other related work as needed.


Minimum Qualifications
 

Education:

Minimum requirements include a college or university degree in related field.

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Work Experience:

Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.

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Certifications:

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Preferred Qualifications

Experience:

Clinical research experience such as clinical research conduct, regulatory compliance, or related research activities.Coverage analysis experience.

Technical Skills or Knowledge:

Proficiency with computer software systems such as Clinical Trial Management System.Comfort with medical technology.Knowledge of relevant federal and state regulations.

​Preferred Competencies

Interpret research protocols, budgets, and consent forms to extrapolate billing/coverage information.Problem-solve, leveraging information and expertise available.Strong organizational skills.Manage projects at various stages of completion.Manage high volume of workload and meet deadlines.Demonstrated attention to detail.

Working Conditions

Office environments.

Application Documents

Resume/CV (required)Cover Letter (preferred)


When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.


Job Family
 

Legal & Regulatory Affairs


Role Impact
 

Individual Contributor


FLSA Status
 

Exempt


Pay Frequency
 

Monthly


Scheduled Weekly Hours
 

40


Benefits Eligible
 

Yes


Drug Test Required
 

No


Health Screen Required
 

No


Motor Vehicle Record Inquiry Required
 

No


Posting Statement
 

The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, national or ethnic origin, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.

 

Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.

 

We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.

 

All offers of employment are contingent upon a background check that includes a review of conviction history.  A conviction does not automatically preclude University employment.  Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.

 

The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at: http://securityreport.uchicago.edu. Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.

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