Research Coverage Analyst
- Employer
- University of Kentucky
- Location
- Lexington, KY
View more
- Administrative Jobs
- Academic Affairs, Research Staff & Technicians
- Employment Type
- Full Time
- Institution Type
- Four-Year Institution
Job Details
Research Coverage Analyst
Requisition Number:RE26022
Department Name:7H0CR: Clinical Research Support Office
Work Location:Lexington, KY
Grade Level:45
Salary Range:$44,762-73,861/year
Type of Position:Staff
Position Time Status :Full-Time
Required Education:BA
Click here for more information about equivalencies::http://www.uky.edu/hr/employment/working-uk/equivalencies
Required Related Experience:2 yrs
Required License/Registration/Certification:None
Physical Requirements:Ability to sit for extended periods of time utilizing mouse, keyboard, computer, and telephone.
Ability to lift, push, or pull objects up to 50 lbs.
Repetitive motion.
Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required.
Job Summary: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.
Skills / Knowledge / Abilities:Regulatory knowledge, medical terminology and clinical knowledge, strong competency in Microsoft Office products (especially Word, Excel, PowerPoint).
Does this position have supervisory responsibilities? :No
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 preferred.
01/24/2021
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.
Organization
Fast Facts
Location: Lexington, Ky.
Founded: 1865
Endowment: $1.1 billion
Budget: $3.5 billion
Research Grants and Contracts Awarded: $316.5 million
Library Holdings: 4.3 million volumes
Enrollment: 30,76
President: Dr. Eli Capilouto
Provost: Dr. David W. Blackwell
Executive Vice President for Finance and Administration: Dr. Eric Monday
Executive Vice President for Research: Dr. Lisa A. Cassis
Executive Vice President for Health Affairs: Dr. Mark F. Newman
About the University
Adjacent to downtown Lexington, UK is nestled in the scenic heart of the beautiful Bluegrass Region of Kentucky. UK's campus covers more than 814 acres, with more than 30,700 students and 13,500 full-time employees, including nearly 2,400 full-time faculty and librarians.
Mission
The University of Kentucky is a public, land grant university dedicated to improving people's lives through excellence in education, research and creative work, service, and health care. As Kentucky's flagship institution, the University plays a critical leadership role by promoting diversity, inclusion, economic development, and human well-being.
Our Guiding Principles
The University is driven by the promise it has made to Kentucky, one that honors its land-grant mission and a heritage honed through 150 years of service to the Commonwealth of Kentucky. Six principles guide our efforts. They are: creating a vibrant undergraduate learning community, advancing a high-quality graduate and professional education portfolio, cultivating a robust research environment, developing a strong and sustainable UK infrastructure, fostering a positive work environment for faculty and staff, and ensuring a meaningful impact on the Commonwealth and the community.
Employment/Benefits
As Central Kentucky's largest employer, the University of Kentucky supports the recruitment and retention of unparalleled talent - individuals who inspire learning, teaching, service and healing through innovation in work solutions, initiatives, policies and programs. Impressive benefits at the University include an excellent retirement package, with an employer match that doubles the employee's contribution, a dynamic work-life program to assist employees in balancing their work with their personal lives, a wellness program to protect, maintain and promote the health of employees, and a strategic plan that nurtures diversity of thought, culture, gender and ethnicity. For more information regarding benefits, visit http://www.uky.edu/hr/benefits.
Research
In fiscal year 2016, the University of Kentucky was awarded $316.5 million in external grants and contracts. UK is one of only eight universities across the country with the full range of undergraduate, graduate, professional and medical programs on one contiguous campus, leading to groundbreaking discoveries and unique cross-disciplinary research and scholarship. Moreover, UK is currently one of only 22 public institutions with a trifecta of federal designations of excellence in research: for aging, in cancer and in translational science. A new $265 million research facility, due to open in 2018, will bring together clinicians, scientists and scholars from across UK’s campus to reduce health gaps in Kentucky. These health gaps include cancer, cardiovascular disease & stroke, diabetes & obesity, substance abuse, and neuroscience & aging.
Research at UK is a dynamic enterprise encompassing both traditional scholarship and emerging technologies. UK is one of eight universities in the U.S. that has well-established programs in agriculture, engineering, medicine and pharmacy on a single campus, leading to groundbreaking discoveries and unique interdisciplinary collaboration.
In 2013, the UK Markey Cancer Center announced its designation as a National Cancer Center by the National Cancer Institute. This designation places UK among an elite group of 22 research universities that can boast the "Triple Crown" of federal research awards: NCI designation, the Clinical Translational Sciences Award, and a federally supported Alzheimer's Disease Center.
UK HealthCare
UK HealthCare has strategically developed an incredible capacity to serve the Commonwealth through its state-of-the-art patient care pavilion and emergency rooms, advanced biomedical and biological research, and a network of affiliate health care agencies throughout Kentucky. Passion for people and a vision for the "medical campus of the future" have inspired leading physicians and researchers from across the United States to join UK. Their research agenda is balanced with outreach to affiliated and partner hospitals, so Kentucky families can receive high-quality health care at home and travel to Lexington for only the most advanced, complex medical care and procedures.
Living in the Bluegrass
Ranked as one of the nation's best places to live and work, Lexington offers many diverse educational, cultural and commercial opportunities. With a population of more than 314,000 people, Lexington supports cultural attractions such as opera, ballet, theater and musical events. Surrounded by rolling hills and horse farms, the Bluegrass Region is known for its natural beauty. For more information: http://www.uky.edu/hr/employment/working-uk/life-in-lexington.
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