Manager, Coverage Analysis – Budget

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

📋 Description

• Oversee and execute clinical research pre-award activities related to Medicare coverage analysis and the development of protocol-driven budgets.

• Negotiate agreements with sponsors and clinical research organizations.

• Perform financial feasibility assessments and align study financial terms with institutional standards.

• Guarantee the quality, timeliness, and consistency of coverage analyses and budgets throughout the enterprise research portfolio.

• Manage staff and daily operations as a hands-on leader.

• Maintain a designated study portfolio and act as the escalation point for complex oncology, cardiovascular, device, multi-arm, and other high-risk studies.

• Collaborate with research operations, contracting, legal, compliance, finance, revenue cycle, Epic teams, investigators, and external sponsors.

• Transition studies from protocol intake to executable budget terms and readiness for activation.

• Develop standardized workflows, workload controls, quality reviews, training programs, performance expectations, and key performance indicators.

• Offer expertise on Medicare Clinical Trial Policy, National and Local Coverage Determinations, device coverage categories, coding and billing considerations, payer allocation, research cost identification, and clinical trial financial practices.

⛳️ Requirements

• Equivalent experience may be accepted in place of the required degree or diploma.

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field, unless substituted by equivalent experience.

• 5 years of recent relevant experience.

• Advanced understanding of clinical research pre-award operations, protocol interpretation, Medicare coverage analysis, clinical trial budgeting, sponsor negotiation, and research billing compliance.

• Proficient knowledge of Medicare Clinical Trial Policy, Medicare coverage guidance, National and Local Coverage Determinations, investigational device concepts, medical coding, payer requirements, and Good Clinical Practice.

• Ability to convert complex protocols into auditable coverage and financial decisions.

• Strong skills in people leadership, workload management, judgment, negotiation, conflict resolution, written communication, and stakeholder management.

• Advanced analytical skills with financial models, pricing assumptions, variance analysis, performance metrics, and data-driven process enhancement.

• Capability to manage multiple priorities and independently make complex and sensitive decisions within delegated authority.

• Ability to appropriately escalate material compliance, financial, or operational risks.

🏝️ Benefits

• Comprehensive benefits package.

• Total rewards program.

• Regular employee status.

• Exempt position.

• Monday–Friday schedule.

• No weekend requirements.