Coverage Analyst

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Assist in the creation of clinical trial coverage analysis.

• Review and interpret clinical trial protocols to create activity grids that pinpoint necessary tests, procedures, and assessments.

• Utilize software and internal resources to identify potential CPT/HCPCS codes for relevant items in the activity grid.

• Evaluate the work completed by colleagues as part of the internal quality review process.

• Execute other tasks as directed by the supervisor.

• Adhere to attendance and punctuality requirements.

⛳️ Requirements

• Bachelor’s degree in a relevant field; substantial professional experience in the specific area may be accepted in place of a degree.

• Minimum of 1 year of professional experience.

• Capability to thrive in a performance-oriented environment with a proactive, results-focused, and goal-driven mindset.

• Proven ability to learn and apply technical and scientific product-related information in a consultative manner.

• Exceptional attention to detail and highly organized.

• Proficient understanding of clinical terminology and descriptors.

• Strong investigative skills; ability to comprehend complex technical documents, extract pertinent information, and accurately document findings.

• Outstanding oral, written, and interpersonal communication skills.

• Proficient in Excel.

• Familiarity with the clinical trial start-up process is preferred but not mandatory.

• Experience in interpreting clinical trial protocols to evaluate activities associated with visit schedules and treatment plans is preferred but not mandatory.

• Understanding of research insurance billing and coverage guidelines, such as Medicare NCD 310.1, is preferred but not mandatory.

• Experience as a clinical research coordinator, ideally in oncology or medical device therapeutic areas, is preferred but not mandatory.

• Ability to fulfill light to moderate physical and sensory requirements, including prolonged sitting and frequent keyboard use.

• Travel requirement: 0%–5%.

🏝️ Benefits

• Comprehensive benefits package including Health, Dental, Vision, Life Disability, 401k with matching contributions, and flexible spending accounts.

• Employee Assistance Programs and additional work/life resources.

• Referral bonuses and tuition reimbursement.

• Paid time off encompassing holidays, vacation, and sick leave.

• Volunteer Time Off to support the community.

• Opportunities for career advancement through on-the-job training, certification assistance, and continuing education reimbursement.