at NorthShore University Health System in Evanston, Illinois, United States
Job Description
Clinical Trials Coverage Analyst
Position Highlights:
Location: Evanston, IL
Full Time/Part Time: Full Time
Hours: Monday-Friday, 9AM - 5PM (hybrid available)
Sign On Bonus: Potential sign-on bonus up to $5,000
What you will do:
Reviews clinical trial proposals/protocols to determine if each new study is a qualified clinical trial pursuant to CMS policy; creates coverage analysis & billing plan for each clinical trial in accordance with Medicare rules and performs document review for alignment for each study.
Reviews, prepares, and generates detailed Coverage Analysis using clinical trial documents (i.e., protocol, research intake form, contract, informed consent) to determine if items/services provided for the study are deemed qualified as a clinical trial pursuant to the Medicare Clinical Trial Policy 310.1, National and Local Coverage Determination or otherwise approved by CMS.
Assesses compliance with other regulatory requirements
Participates in study specific team meetings to build relationships with research teams and administrators to support and facilitate clinical research study activation, budget development, informed consent review and guidance, and CTMS navigation
Maintains required competencies and current knowledge in relevant research billing rules and guidance, database management, Outlook, and Excel
Assists with Office of Clinical Research special projects as needed.
What you will need:
Education: Bachelor's Degree
Certification:
Experience: Minimum of 3 years experience performing coverage analysis for clinical trials
Unique or Preferred Skills:
Benefits:
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options, including Domestic Partner Coverage
Tuition Reimbursement
Free Parking
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Visa Sponsorship Available (Nursing and Lab roles)
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
