Research Coverage Analyst

Job description

Job Title:

Research Coverage Analyst

Requisition Number:


Department Name:

7H0CR: Clinical Research Support Office

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 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? :


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.

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.




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Job No:
Posted: 1/9/2021
Application Due: 3/10/2021
Work Type: Full Time