Clinical Research Coverage and Budget Analyst

Inova Office of Research is seeking a dedicated Clinical Research Coverage and Budget Analyst to join the team. This role will be full-time Monday – Friday, Hybrid Day shift. 

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits: 

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. 
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. 
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. 
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Clinical Research Coverage and Budget Analyst Job Responsibilities:

• Analyze clinical trial documents to determine if research studies meet the requirements to be considered qualifying clinical trials according to federal guidelines
• Perform Coverage Analysis to determine which billable procedures are Routine Care, and thus, billable to Medicare and other third-party payers based on CMS and other federal guidelines, National/Local Coverage Determinations, and professional practice guidelines
• Collaborate with internal stakeholders to determine accurate Current Procedural Terminology (CPT) coding and other billable items/rules applicable to protocol requirements
• Review study documents to prepare a billing grid for all medical procedures and services required in a clinical research study by ensuring all billable services required by the research study are included in the study’s billing grid 
• Perform quality control reviews of approved billing grids, finalized budgets, informed consent forms, and clinical trial agreements to ensure harmonization across documents 
• Review informed consent forms to ensure alignment with the final billing grid, budget (if applicable), and provide guidance on appropriate cost and compensation language
• Ensure consistency of the billing designations in the coverage analysis/billing grid with the informed consent form, the budget and the contract payment terms
• Analyze sponsors budget proposals to determine if the proposed funding is adequate to cover costs associated with trials.  Ensure budget proposals meet Inova guidelines
• Negotiate study budgets with industry sponsors, Clinical Research Organizations (CROs) and other external entities.   

Clinical Research Coverage and Budget Analyst Additional Requirements:

• Work schedule: 8-hour shift (Monday – Friday; Hybrid Day shift).
• Education: Bachelor degree in relevant field.
• Experience: Four (4) years’ experience in coverage analysis and budget negotiations and /or clinical research. 

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We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare. 

Inova Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.