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
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
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
Tampa General Hospital is a medical center.
Funding
Current Stage
Late StageTotal Funding
unknown2024-09-26Grant
Leadership Team
Recent News
St Pete Catalyst
2026-01-23
HospitalManagement.net
2026-01-16
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