UMass Chan Medical School · 15 hours ago
Clinical Research Coverage Analyst
Worcester, MA
Full-time
Onsite
Mid Level
3+ years expUMass Chan Medical School is seeking a Clinical Research Coverage Analyst to provide support and guidance for clinical investigators and research staff in conducting Medicare coverage analysis determinations. The role involves acting as a liaison with clinical partners and ensuring compliance with institutional policies regarding clinical research billing.
EducationHigher EducationMedical
Responsibilities
Responsible For ensuring that all coverage analyses are created in accordance with Medicare's clinical Trial Policy (NCD 310.1). Assists investigator and study team member with determination
Responsible For ensuring that all trials requiring QCT status are documented in OnCore according to institutional guidance
Advise research staff/study teams with the interpretation of related guidance, appropriate identification of procedures and their effects on research billing
Provide support to clinical study teams for Epic research billing review
Coordinate with UMMHC and other clinical partners to obtain pricing for all needed services
Monitor Epic Research Manager Dashboard to ensure timely response/review of clinical research charges
Act as a liaison with UMMHC to resolve Epic billing review issues
Ensure consistency of the coverage analysis with the protocol, the informed consent form template, the budget and the contract payment terms
Develop review and revise applicable training materials, job aids, SOPs and policies as assigned
Act as educational resource for study team members for clinical procedure pricing, QCT & Coverage Analysis questions
Provide support for CCTS/OCR and ITCTMS training sessions as needed
Provide support to ensure that relevant CCTS/OCR metrics are captured accurately and in a timely manner
Qualification
Required
Bachelor's Level Degree or equivalent
3 - 5 years
Experience in Clinical Research Operations, medical terminology
Preferred
HCPCS/CPT, FDA regulations, knowledge of Medicare Coverage decisions
Company
UMass Chan Medical School
Massachusetts’ first and only public academic health sciences center is made up of three graduate schools.
5001-10000 employees
H1B Sponsorship
UMass Chan Medical School has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
2022 (1)
2021 (1)
Funding
Current Stage
Late StageTotal Funding
$13.6MKey Investors
Centers for Disease Control and PreventionCommonwealth of Massachusetts
2025-11-18Grant· $2M
2024-04-03Grant· $11.6M
Leadership Team
M
Marc Uknis
Adjunct Associate Professor Of Surgery, Microbiology & Applied Physiology
Michael Collins
Chancellor
Recent News
2026-01-03
Digital Journal
2025-11-25
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