Note: The job is a remote job and is open to candidates in USA. WCG hires a Coverage Analyst to complete coverage analysis tasks that support efficient and effective start-up for its site clients. The role analyzes clinical trial protocols, determines billing applicability using relevant policies and guidelines, identifies potential procedure codes, and reviews work for quality.
Responsibilities
- Contribute to the development of clinical trial coverage analysis. Specific duties may vary depending on team assignment and business needs:
- Read and analyze clinical trial protocols and develop activity grid to identify required tests, procedures, and assessments
- Interpret Medicare polices, clinical practice guidelines, and other related documents to make billing determinations related to clinical trials
- Use software and other internal resources to identify potential CPT/HCPCS codes for applicable items in the activity grid
- Review work completed by others as part of the internal quality review process
- Other duties as assigned by supervisor. These may, on occasion, be unrelated to the position described here
- Attendance and punctuality are essential functions of the position
Skills
- Bachelor's degree in related field. Significant work experience in the specific field may be considered in lieu of a relevant degree
- Ability to work in a performance-driven environment: a proactive, results-driven and goal-oriented approach
- Requirement of at least 1 year of professional experience
- Demonstrated ability to learn and apply technical and scientific product-related information in a consultative manner
- Excellent attention to detail and highly organized
- Ability to understand clinical terms and descriptors
- Strong investigative skills with ability to read complex technical documents, synthesize relevant information, and clearly document findings
- Excellent communication (oral/written) and interpersonal skills
- Proficient with Excel
- Familiarity with the clinical trial start-up process
- Experience interpreting clinical trial protocols to assess required activity related to visit schedules and treatment plans
- Familiarity with research insurance billing and coverage guidelines (e.g. Medicare NCD 310.1)
- Experience as a clinical research coordinator, preferably in oncology or medical device related therapeutic area
Benefits
- Medical, dental, vision, life and disability insurance
- 401(k) with company match
- Flexible spending accounts
- Employee assistance programs
- Work/life balance tools
- Referral bonuses
- Tuition reimbursement
- On-the-job training
- Certification assistance
- Continuing education support
- Paid holidays, vacation, and sick time
- Career development opportunities across One WCG
- Remote work
Company Overview
Company H1B Sponsorship