Department Name: 7H0CR: Clinical Research Support Office
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.
Regulatory knowledge, medical terminology and clinical knowledge, strong competency in Microsoft Office products (especially Word, Excel, PowerPoint).
Position Time Status: Full-Time
Required Related Experience:
Required License/Registration/Certification :
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.
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.
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.