Research Coverage Analyst

Job description

The University of Kentucky Clinical Research Support Office (CRSO) provides support to investigators and study teams conducting clinical trials. Services provided by the CRSO include maintaining a clinical trial management system (CTMS), conducting coverage analysis, developing study budgets, negotiating payment terms with sponsors, and regulatory services. The CRSO is seeking qualified candidates for a Research Coverage Analyst position. This position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA documents, and other relevant study documents to determine qualifying status according to Medicare Clinical Trial Policy, and conducts a comprehensive coverage analysis for all applicable study protocols across the enterprise. It determines what items of service are billable after reviewing Medicare Benefits Policy, relevant National Coverage Decisions (NCDs), Local Coverage Decisions (LCDs), Code of Federal Regulations, state law, professional practice guidelines, and, when necessary, consulting with the Medicare Administrative Contractor (MAC) for the region. This role is responsible for developing and delivering professional coverage analysis reports according to UK standards and procedures and for fully documenting coverage analysis justification. Under the direct supervision of the Research Billing Integrity Manager, the Research Coverage Analyst helps develop and refine processes to integrate the coverage analysis workflow with related processes and teams.

The role performs its work collaboratively with investigators, study teams, clinical research coordinators, and other research staff while serving as a resource on coverage analysis as an integral component to maintaining proper billing integrity and compliant standards. This role will also cross-train on clinical trial budget development and charge review process. The ideal candidate works well independently and on teams, is organized, exercises sound judgement, and possesses attention to detail. It is required that candidates have a minimum of two years' work experience in a heath care or clinical setting along with a BA/BS in a health-related discipline or equivalent professional experience.

Job Title
Research Coverage Analyst

Requisition Number

Working Title

Department Name
7H0R1: COM Office of Research

Work Location
Lexington, KY

Grade Level

Salary Range

Type of Position

Position Time Status

Required Education


Click here for more information about equivalencies:

Required Related Experience

2 yrs

Required License/ Registration/Certification


Physical Requirements

Ability to sit for long periods of time utilizing mouse, keyboard, computer and telephone. Ability to lift, push, or pull objects up to 50 lbs.


Monday - Friday, 8:00am to 5:00pm with occasional early or late meetings required.


Regulatory knowledge, medical terminology and clinical knowledge, strong competency in Microsoft Office products (especially Word, Excel, PowerPoint).

Does this position have supervisory responsibilities?

Preferred Education/Experience

It is preferred that the candidate have work experience in a clinical setting that included clinical trial coverage analysis, clinical trial/research budgeting, financial management, and/or coding. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology etc. are encouraged.

Deadline to Apply

University Community of Inclusion

The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Posting Specific Questions

Required fields are indicated with an asterisk (*).

  1. * University of Kentucky HealthCare recognizes a set of values that guide us in our daily interactions. By applying for a position within UK Healthcare, you are indicating your commitment and expressing your agreement to our five values. These values are diversity, innovation, respect, compassion, and teamwork. Please choose one of the UK Healthcare values and give a specific example when you exhibited this quality in your professional experience.

    (Open Ended Question)

  2. * Describe your experience with juggling competing priorities, monitoring progress, and meeting deadlines (provide a specific example).

    (Open Ended Question)

  3. * Where did you first see this position advertised other than on UK's online employment system?
    • (Diverse Issues in Higher Education)
    • (Higher Education Recruitment Consortium)
    • Institute for Diversity in Health Management
    • A Colleague, Friend and/or Family Member
    • None of the Above

Applicant Documents

Required Documents
  1. Resume
  2. Cover Letter
Optional Documents





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    Job No:
    Posted: 11/9/2018
    Application Due: 11/30/2018
    Work Type: