Senior Sponsored Programs Analyst
The Senior Sponsored Programs Analyst within the Clinical Research Division at Texas Children's Cancer and Hematology Centers (TXCH), is responsible for the coverage analyses for industry and non-industry Qualifying Clinical Trials (QCTs). This role will serve as the dedicated point of contact for all QCT related items and primarily facilitates improved billing compliance. The Senior Sponsored Programs Analyst collaborates with the Division leader and other key stakeholders to ensure accuracy and timely completion of coverage analyses to help meet federal, private payor and institutional compliance objectives.
This position is approved for either full-time on-site or REMOTE work. Applicants from outside the greater Houston area are encouraged to apply.
- Complete coverage analysis and cost assessments for therapeutic clinical trials.
- Analyze initial and amended therapeutic protocols, distinguish clinical processes, ancillary procedures such as radiology and laboratory tests, and other effort as they appear throughout the protocol.
- Understand protocol objectives and treatment plans and extract pertinent data for coverage analysis development.
- Consult with PI, regulatory team, research staff, clinical and/or laboratory teams as needed to communicate potential coverage issues and respond to coverage inquiries.
- Review and assign modifiers and reference justification from coverage determinations and/or standard treatment guidelines as needed.
- Consult with other sponsored programs analysts for inclusion of coverage analysis and cost data into sponsor budget templates.
- Serve as a liaison between various clinical research departments/Teams at Baylor and Texas Children’s hospital for all matters QCT related, including coverage analysis negotiation, reviews/corrections, process changes, etc.
- Provide education and review of coverage analyses and special budget considerations during operational meetings with PI and study team members.
- Attend clinical research study operational planning meetings. Attend clinical research in-service or continuing education sessions as needed.
- Consult with post-award and interpret coverage analysis data with actual charges from patient encounters.
- Liaise with hospital research department and keep division up to date on payor developments and changes to hospital, college, national and state policy.
- Route institutional required agreements and negotiate financial
budgets with sponsors.
- Bachelor's degree in a related field.
- Three years of relevant experience.
- Bachelors degree in biology, nursing or medical laboratory science or a related field with three years of directly related experience, or one year of directly related experience and an advanced degree
- Knowledge of clinical trial management systems, medical procedures/terminology and CPT coding
- Prior coverage determination experience is very important
- Prior work in therapeutic clinical research might be helpful, however familiarity with NCD guidelines, billing grids and charge reviews are critical
- Good proficiency in Microsoft Word, Excel, Outlook and Internet Explorer
- Effective verbal and writing skills
- Ability to work as part of a team and independently.
- Certification by the National Council of University Research Administrators (NCURA)
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.