Coverage Analysis and Financial Quality Secialist
Core
Review Coverage Analyses, sponsor budgets, and participant compensation structures for accuracy and compliance to support clinical research study activation and operations.
Role type
Senior clinical research financial compliance specialist
Builds
Financially compliant study activation and ongoing billing operations for clinical trials
Domain
Clinical research operations and research finance
Deliverable
Dashboards & analysis
Required skills
Coverage Analysis methodology, clinical research billing compliance, sponsor budget development, research finance principles, study activation workflows, Medicare coverage guidance, complex document analysis, risk assessment
Preferred skills
Clinical research operations experience, regulatory specialist background, academic medical center or CRO experience
Technologies
OnCore, Microsoft Office
Responsibilities
Serve as primary quality reviewer for Coverage Analyses, compare analyses against protocols and study materials, identify and resolve discrepancies in budgets and documentation, evaluate protocol amendments for financial impacts, participate in study intake and activation, provide consultation on billing requirements, support billing compliance investigations, track quality findings and develop process improvement recommendations, maintain documentation and liaise with external vendors
Seniority
Senior, hands-on IC
