Research Coverage Analyst

Coverage Analyst

Under the direct supervision of the Assistant Director of Pre-Award, the Coverage Analyst is responsible for supporting and reviewing comprehensive Medicare Coverage Analyses (MCAs) for clinical research studies to ensure compliance with federal regulations, payer requirements, and institutional billing standards. As a Coverage Analyst 1, you will collaborate with investigators, study teams, research administration, revenue cycle, and compliance stakeholders to ensure accurate set-up and maintenance of the study operations, research billing and financial compliance components.

Responsible for performing job duties in accordance with mission, vision and values of University of South Florida.

• Support and Review Medicare Coverage Analyses (MCAs) for industry-sponsored, investigator-initiated, and federally funded clinical research studies.

• Apply Medicare National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), CMS regulations, and institutional policies to protocol and site-specific procedures and activities to document coverage determinations and rationale supporting research billing decisions.

• Identify services that qualify for Medicare reimbursement and services that must be sponsor-funded.

• Collaborate with internal and external stakeholders to align MCA findings with study budgets.

• Identify and communicate financial risks to key stakeholders.

• Identify opportunities to improve efficiency, quality, and consistency in coverage analysis processes.

• Support development and maintenance of internal research budgets.

• Performs other duties and projects as assigned by Assistant Director.

Bachelor's degree in related field.

One year of clinical research or research administration experience.

This position is Grant-Funded

This position is not eligible for Visa Sponsorship

Degree Equivalency Clause:
Four years of direct experience for a bachelor's degree.