Research Coverage Analyst - Remote

Posted Yesterday
Be an Early Applicant
8 Locations
In-Office or Remote
26K-61K Hourly
Junior
Healthtech
The Role
Develop Medicare Coverage Analyses for clinical trial protocols with billable services, using Medicare policies, medical guidelines, publications, and coverage determinations. Collaborate with clinical research, CTMS, budget, and billing adjudication teams to ensure compliance with federal regulations and internal policies. The role requires interpreting Medicare research requirements and maintaining confidentiality, attendance, and punctuality.
Summary Generated by Built In

Providence is calling for Research Coverage Analyst - Remote

The Research Coverage Analyst will support the clinical research programs across the Providence Health System by developing a Medicare Coverage Analysis for all clinical trial protocols that include billable services. This position reports to the Coverage Analysis Manager and includes collaboration with several research entities within Providence. Main responsibilities include completing a comprehensive Medicare Coverage Analysis in alignment with Medicare's Clinical Trial Policy, national medical guidelines, local practice guidelines, peer-reviewed publications and local and national coverage determinations that encompasses all billable services within the clinical trial protocol.  Partner with CTMS, Budget, and Billing Adjudication teams to ensure compliance with federal regulations and internal policies.  Must uphold the standards of confidentiality, attendance and punctuality. 

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

  • Bachelor's Degree in Healthcare Administration or related field or 4 years additional related experience
  • 2 years direct experience in Coverage Analysis development and interpretation of Medicare requirements for research

Preferred Qualifications:

  • 4 years experience in research, billing, or healthcare administration

Salary Range by Location:

  • AK: Anchorage: Min: $33.63, Max: $52.22
  • AK: Kodiak, Seward, Valdez: Min: $35.06, Max: $54.43
  • California: Humboldt: Min: $35.06, Max: $54.43
  • California: All Northern California - Except Humboldt: Min: $39.33, Max: $61.07
  • California: All Southern California - Except Bakersfield: Min: $35.06, Max: $54.43
  • California: Bakersfield: Min: $33.63, Max: $52.22
  • Montana: Except Great Falls: Min: $27.08, Max: $42.04
  • Montana: Great Falls: Min: $25.65, Max: $39.83
  • New Mexico: Min: $27.08, Max: $42.04
  • Oregon: Non-Portland Service Area: Min: $31.35, Max: $48.68
  • Oregon: Portland Service Area: Min: $33.63, Max: $52.22
  • Texas: Min: $25.65, Max: $39.83
  • Washington: Western: Min: $35.06, Max: $54.43
  • Washington: Southwest - Olympia, Centralia & Below: Min: $33.63, Max: $52.22
  • Washington: Eastern: Min: $29.93, Max: $46.46
  • Washington: South Eastern: Min: $31.35, Max: $48.68 

Why Join Providence? 

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

About Us
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position.  The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the TeamProvidence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Skills Required

  • Bachelor's degree in Healthcare Administration or a related field, or four additional years of related experience
  • Two years of direct experience developing Coverage Analyses and interpreting Medicare requirements for research
  • Four years of experience in research, billing, or healthcare administration

Providence Health & Services Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Providence Health & Services and has not been reviewed or approved by Providence Health & Services.

  • Healthcare Strength Coverage spans medical, dental, and vision, with robust mental health support including up to 25 free therapy sessions and a well‑being platform. Additional resources like caregiver assistance and plan assistance can bolster access and overall health support depending on location and eligibility.
  • Retirement Support A 401(k) with employer match and an additional discretionary contribution, plus a student‑debt retirement savings match, provide meaningful long‑term savings support. Planning tools and Public Service Loan Forgiveness eligibility further strengthen the financial security package.
  • Parental & Family Support Back‑up child and elder care through Bright Horizons and paid parental leave offer practical support for caregiving needs. Relocation assistance and other family‑oriented resources complement the core benefits where available.

Providence Health & Services Insights

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The Company
HQ: Portland, OR
20,990 Employees

What We Do

At Providence, our strength begins with understanding. We take time to see, hear and value everyone who walks through our doors—patient or caregiver, family support person or volunteer. Working with us means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others.

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