Clinical Research Coverage Analyst

Location
Maryland, United States
Salary
Salary Not Specified
Posted
Oct 19, 2020
Employment Type
Full Time

General Summary/Purpose

The Clinical Research Coverage Analyst isresponsible 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

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 University’s external auditor, or third party insurers as related to research patient care billing.

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 requirement.

5 years of experience in a clinical research environment

Special Knowledge, Skills, and Abilities

Thorough understanding of research patient care vs. routine of care treatment. Must be able to educate and advise clinical research personnel on the planning and coordination of clinical research protocols.

Knowledge of clinical research protocol management is required

Knowledge of clinical research budgeting is required

Exercises independent judgment in the resolution of issuesregarding clinical research billing compliance

Must have excellent written and oral communication skills

Ability to work in a team and demonstrated interpersonal skills.

Classified Title:Clinical Research Coverage Analyst
Working Title: Clinical Research Coverage Analyst ​​​​​
Role/Level/Range: ATP/04/PD
Starting Salary Range:$59,280 - $81,435; commensurate with experience
Employee group: Full Time
Schedule: Monday - Friday, 8:30am - 5:00pm; 37.5 hours/ week
Exempt Status: Exempt
Location: 32-MD:JH at 8 Market Place
Department name: 10003802-SOM Admin Res Clinical Research Contract
Personnel area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

School of Medicine - East Baltimore Campus


The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm

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