Clinical Research Coverage Analyst

Job Req ID : 115211

115211

Clinical Research Coverage Analyst

We are seeking a who will be responsible for performing a comprehensive Prospective Reimbursement Analysis on clinical research protocols to ensure accurate determinations of research patient care billing.

The Clinical Research Coverage Analyst is responsible for providing assistance to departments in the development of budgets for clinical trials based on coverage determinations and educates departments regarding proper research patient care billing process.

This position reports to the Associate Director - ORA Clinical Research.

Specific Duties & Responsibilities

• Review and approve JHM proposed clinical study budgets for research patient care vs. routine care determinations via a Prospective Reimbursement Analysis.
• Work closely with the School of Medicine Institutional Review Board to ensure research patient care costs are identified and informed consents are consistent with clinical research protocols and commercial contracts if applicable.
• Participate in the Research Patient Care Billing Training Program for clinical research personnel to include PI, data-managers, research nurses, and research pharmacy.
• Serve as a primary resource to provide JHM clinical research personnel recommendations and direction regarding protocol and budget development.
• Educate and advise clinical research personnel on the planning and coordination of clinical research protocols.
• Participate in creating Standard Operating Procedures for Research Patient Care to include Prospective Reimbursement Analysis, research patient care costs budgeting, patient registration, and research patient care billing.
• Effectively communicate results to departmental contact to ensure consensus regarding research patient care costs vs. routine of care.
• Maintain a comprehensive database of all Prospective Reimbursement Analysis grids, protocol and informed consent reviews and commercial contract budgets.
• Serve as liaison to external auditing activities by the federal government, the Universitys external auditor, or third-party insurers as related to research patient care billing.

Special Knowledge, Skills & Abilities

• Exercises independent judgement in the resolution of issues regarding clinical research billing compliance.
• Must have excellent written and oral communication skills.
• Ability to work in a team and demonstrated interpersonal skills.

Scope of Responsibility

• Knows the formal and informal departmental goals, standards, policies and procedures which may include some familiarity of other departments within the school / division.
• Is sensitive to the interrelationship of both people and functions within the department.

Decision Making

On a regular and continuous basis, exercises administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people, costs, and / or quality of service within the functional area.

Communication

Exchanges non-routine information using tact and persuasion as appropriate requiring good oral and written communication skills.

Minimum Qualifications

• Bachelor's Degree in Biology, Chemistry or related field required.
• Medicare coverage determination or significant related experience may substitute for education.
• Five years' experience in a clinical research environment.
• Thorough understand of research patient care vs. routine of care treatment.
• Knowledge of clinical research protocol management is required.
• Knowledge of clinical research budgeting is required.

Total Rewards

The referenced base salary range represents the low and high end of Johns Hopkins Universitys salary range for this position.

Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education / training and other qualifications.

Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here : .

Education and Experience Equivalency

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines : JHU Equivalency Formula : 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience.

Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education / experience required for the respective job.

Applicants Completing Studies

Applicants who do not meet the posted requirements but are completing their final academic semester / quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

Background Checks

The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice.

A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

Diversity and Inclusion

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the .

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

EEO is the Law