[Remote] Coverage Analyst

Note: The job is a remote job and is open to candidates in USA. WCG hires a Coverage Analyst to complete coverage analysis tasks that support efficient and effective start-up for its site clients. The role analyzes clinical trial protocols, determines billing applicability using relevant policies and guidelines, identifies potential procedure codes, and reviews work for quality.

Responsibilities

• Contribute to the development of clinical trial coverage analysis. Specific duties may vary depending on team assignment and business needs:
• Read and analyze clinical trial protocols and develop activity grid to identify required tests, procedures, and assessments
• Interpret Medicare polices, clinical practice guidelines, and other related documents to make billing determinations related to clinical trials
• Use software and other internal resources to identify potential CPT/HCPCS codes for applicable items in the activity grid
• Review work completed by others as part of the internal quality review process
• Other duties as assigned by supervisor. These may, on occasion, be unrelated to the position described here
• Attendance and punctuality are essential functions of the position

Skills

• Bachelor's degree in related field. Significant work experience in the specific field may be considered in lieu of a relevant degree
• Ability to work in a performance-driven environment: a proactive, results-driven and goal-oriented approach
• Requirement of at least 1 year of professional experience
• Demonstrated ability to learn and apply technical and scientific product-related information in a consultative manner
• Excellent attention to detail and highly organized
• Ability to understand clinical terms and descriptors
• Strong investigative skills with ability to read complex technical documents, synthesize relevant information, and clearly document findings
• Excellent communication (oral/written) and interpersonal skills
• Proficient with Excel
• Familiarity with the clinical trial start-up process
• Experience interpreting clinical trial protocols to assess required activity related to visit schedules and treatment plans
• Familiarity with research insurance billing and coverage guidelines (e.g. Medicare NCD 310.1)
• Experience as a clinical research coordinator, preferably in oncology or medical device related therapeutic area

Benefits

• Medical, dental, vision, life and disability insurance
• 401(k) with company match
• Flexible spending accounts
• Employee assistance programs
• Work/life balance tools
• Referral bonuses
• Tuition reimbursement
• On-the-job training
• Certification assistance
• Continuing education support
• Paid holidays, vacation, and sick time
• Career development opportunities across One WCG
• Remote work

Company Overview

Company H1B Sponsorship