Budget & Coverage Analyst - Clinical Research jobs in United States
cer-icon
Apply on Employer Site
company-logo

Tampa General Hospital · 1 month ago

Budget & Coverage Analyst - Clinical Research

Tampa General Hospital is a leading healthcare provider, and they are seeking a Budget & Coverage Analyst for their Clinical Research department. The role involves analyzing clinical research budgets and payer coverage, coordinating with study teams, and conducting budget negotiations with industry sponsors and other funding sources.

Health CareHospitalMedicalNon Profit
check
Growth Opportunities

Responsibilities

Creates coverage analysis and full internal budget for every study
Identifies and communicates funding gaps to management
Coordinates with study teams and with appropriate ancillary/support units on pricing to create budgets
Maintains knowledge of all the relevant billing rules and guidance
Conducts budget negotiations with industry sponsors, grantors, and other funding sources
Maintains regular and predictable attendance
Completes other related duties as assigned in order to meet the goals of the department and institution

Qualification

Clinical research experienceBudgeting skillsBilling regulationsMedical terminologyAnalytical problem-solvingCommunication

Required

Bachelor's degree or higher is required, in area of clinical health sciences or related field, such as Doctor of Pharmacy (PharmD) or Bachelor of Science in Nursing (BSN)
Requires a minimum two (2) years' experience (or equivalent education) in clinical research or related field and prefer experience in billing, coding, coverage determinations, budgeting, and knowledge of research billing regulations
Strong medical terminology skills
Experience utilizing clinical literature to support determination of study protocol activities
Knowledge of medical claims coding practices and clinical processes including Medicare, Medicaid, and insurance billing with UB04 and HCFA 1500
Knowledge of clinical research, research revenue cycle, clinical trial budgeting and billing rules, related contract negotiations, and related state and federal laws and regulations such as Medicare coverage rules and application of NCDs and LCDs, Medicare device (IDE) study coverage approval process, NCD 310.1
Must also have an understanding of Medicaid rules and regulations
Experience with reviewing and understanding FDA and Medicare regulations related to clinical trials including trials using Investigational New Drugs (IND) and Investigation Device Exemptions (IDE); and experience interpreting research contracts, study budgets, clinical protocols, and consent forms to extrapolate billing/coverage data is required
Strong analytical problem-solving skills
Excellent communication skills to include oral and written comprehension and expression

Preferred

Associate's degree with at least 4 years of experience will be considered

Company

Tampa General Hospital

company-logo
Tampa General Hospital is a medical center.

Funding

Current Stage
Late Stage
Total Funding
unknown
2024-09-26Grant

Leadership Team

leader-logo
Jennifer Crabtree
President, Tampa Medical & Research District | Senior Vice President, Tampa General Hospital
linkedin
leader-logo
Kate Ulrich
SVP Perioperative Services
linkedin
Company data provided by crunchbase