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Medicare Coverage Analyst Sr
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Medicare Coverage Analyst Sr
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Job Details
Job Title : Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr)
Requisition Number : RE51979
Working Title : Clinical Trials Coverage Analyst Sr
Department Name : 40133:Clinical Research Support Office
Work Location : Lexington, KY
Grade Level : 46
Salary Range : $25.01-41.25/hour
Type Of Position : Staff
Position Time Status : Full-Time
Required Education : BA
Required Related Experience : 4 years
Required License/Registration/Certification : None.
Physical Requirements : Ability to sit for long periods of time utilizing mouse, keyboard, computer and telephone. Ability to lift, push, or pull objects up to 50 lbs.
Shift : Fully Remote. Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required.
Job Summary Shape the Future of Clinical Research Administration at the University of Kentucky
Wildcat Wisdom, Kentucky Innovation – Supporting Discoveries, Transforming Outcomes!
Why Join Us?
The University of Kentucky’s Clinical Research Support Office (CRSO) is seeking a dedicated and skilled
Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr) . This vital role supports and enables groundbreaking clinical research across the University.
This position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA documents, and other relevant study documents to determine qualifying status according to Medicare Clinical Trial Policy. The analyst conducts a comprehensive coverage analysis for all applicable study protocols across the enterprise. Analysis includes determining which items of service are billable after reviewing Medicare Benefits Policy, relevant National Coverage Decisions (NCDs), Local Coverage Decisions (LCDs), Code of Federal Regulations, state law, professional practice guidelines, and when necessary, consulting with the Medicare Administrative Contractor (MAC) for the region.
The role is responsible for developing and delivering professional coverage analysis and financial calendars where the coverage analysis is not applicable, according to national patient care services billing standards. The analyst provides guidance to study teams on proper coding and billing for procedures in the Epic system within the context of clinical research and based on the state and national standards. The analyst follows UK established policies for patient care services, including documentation in the medical record and documenting coverage analysis justifications.
Under the direct supervision of the Director of Clinical Research Administration and Billing Integrity, the analyst helps develop and refine processes to integrate the coverage analysis workflow with UKHC and UK related processes and teams. The analyst performs work collaboratively with investigators, study teams, clinical research coordinators, and other research staff while serving as a resource on coverage analysis as an integral component to maintaining proper billing integrity and compliant standards. The analyst will also cross‑train on clinical trial budget development and charge review process.
Benefits
Top 10% of Academic Medical Centers Nationwide: Recognized as a leader in research excellence and innovation.
Forbes’ Best Large Employers: Ranked among the Top 100 Employers Nationwide in 2024 and named one of Kentucky’s Best Employers on Forbes’ America’s Best‑In‑State Employers list.
1 of 34 Universities Nationwide: Holds the prestigious trifecta of research designations in cancer, aging, and translational science.
Flexible Remote Work Options: Enjoy the convenience of fully remote or hybrid roles while supporting groundbreaking research.
Professional Development Opportunities: Engage in interdisciplinary collaborations, virtual conferences, and training programs to advance your career.
About the Department The Clinical Research Support Office (CRSO) provides support to investigators and study teams conducting clinical research, including clinical trials. Services include maintaining a clinical trial management system (CTMS), conducting coverage analysis, developing study budgets, negotiating payment terms with sponsors, and providing regulatory services. More information can be found at
https://research.uky.edu/clinical-research-support-office .
Benefits Package The University of Kentucky offers a comprehensive benefits package that includes a 200 percent match on eligible retirement contributions; competitive health, dental, and vision coverage; tuition benefits for classes at UK, and more. Learn more at
https://hr.uky.edu/employment/our-benefits .
Skills / Knowledge / Abilities Clinical Trial Protocol knowledge, medical coding or billing, medical terminology, attention to detail, ability to work independently, collaboration, strong competency in Microsoft Office programs, detailed understanding of the Epic billing system, proficiency in OnCore MCA and Calendar consoles.
Administrative Details Does this position have supervisory responsibilities? No
Preferred Education/Experience
It is preferred that the candidate have work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology, etc. are preferred. CA certification or training in OnCore, Epic or coding is also preferred.
Deadline To Apply: 11/13/2025
University Statement The University of Kentucky follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.
Any candidate offered a position may be required to pass pre‑employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
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Medicare Coverage Analyst Sr
role at
Inside Higher Ed
2 days ago Be among the first 25 applicants
Join to apply for the
Medicare Coverage Analyst Sr
role at
Inside Higher Ed
Get AI-powered advice on this job and more exclusive features.
Job Details
Job Title : Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr)
Requisition Number : RE51979
Working Title : Clinical Trials Coverage Analyst Sr
Department Name : 40133:Clinical Research Support Office
Work Location : Lexington, KY
Grade Level : 46
Salary Range : $25.01-41.25/hour
Type Of Position : Staff
Position Time Status : Full-Time
Required Education : BA
Required Related Experience : 4 years
Required License/Registration/Certification : None.
Physical Requirements : Ability to sit for long periods of time utilizing mouse, keyboard, computer and telephone. Ability to lift, push, or pull objects up to 50 lbs.
Shift : Fully Remote. Monday – Friday, 8:00am to 5:00pm with occasional early or late meetings required.
Job Summary Shape the Future of Clinical Research Administration at the University of Kentucky
Wildcat Wisdom, Kentucky Innovation – Supporting Discoveries, Transforming Outcomes!
Why Join Us?
The University of Kentucky’s Clinical Research Support Office (CRSO) is seeking a dedicated and skilled
Medicare Coverage Analyst Sr (Clinical Trials Coverage Analyst Sr) . This vital role supports and enables groundbreaking clinical research across the University.
This position performs detailed reviews of complex study protocols, budgets, informed consent forms, contracts, FDA documents, and other relevant study documents to determine qualifying status according to Medicare Clinical Trial Policy. The analyst conducts a comprehensive coverage analysis for all applicable study protocols across the enterprise. Analysis includes determining which items of service are billable after reviewing Medicare Benefits Policy, relevant National Coverage Decisions (NCDs), Local Coverage Decisions (LCDs), Code of Federal Regulations, state law, professional practice guidelines, and when necessary, consulting with the Medicare Administrative Contractor (MAC) for the region.
The role is responsible for developing and delivering professional coverage analysis and financial calendars where the coverage analysis is not applicable, according to national patient care services billing standards. The analyst provides guidance to study teams on proper coding and billing for procedures in the Epic system within the context of clinical research and based on the state and national standards. The analyst follows UK established policies for patient care services, including documentation in the medical record and documenting coverage analysis justifications.
Under the direct supervision of the Director of Clinical Research Administration and Billing Integrity, the analyst helps develop and refine processes to integrate the coverage analysis workflow with UKHC and UK related processes and teams. The analyst performs work collaboratively with investigators, study teams, clinical research coordinators, and other research staff while serving as a resource on coverage analysis as an integral component to maintaining proper billing integrity and compliant standards. The analyst will also cross‑train on clinical trial budget development and charge review process.
Benefits
Top 10% of Academic Medical Centers Nationwide: Recognized as a leader in research excellence and innovation.
Forbes’ Best Large Employers: Ranked among the Top 100 Employers Nationwide in 2024 and named one of Kentucky’s Best Employers on Forbes’ America’s Best‑In‑State Employers list.
1 of 34 Universities Nationwide: Holds the prestigious trifecta of research designations in cancer, aging, and translational science.
Flexible Remote Work Options: Enjoy the convenience of fully remote or hybrid roles while supporting groundbreaking research.
Professional Development Opportunities: Engage in interdisciplinary collaborations, virtual conferences, and training programs to advance your career.
About the Department The Clinical Research Support Office (CRSO) provides support to investigators and study teams conducting clinical research, including clinical trials. Services include maintaining a clinical trial management system (CTMS), conducting coverage analysis, developing study budgets, negotiating payment terms with sponsors, and providing regulatory services. More information can be found at
https://research.uky.edu/clinical-research-support-office .
Benefits Package The University of Kentucky offers a comprehensive benefits package that includes a 200 percent match on eligible retirement contributions; competitive health, dental, and vision coverage; tuition benefits for classes at UK, and more. Learn more at
https://hr.uky.edu/employment/our-benefits .
Skills / Knowledge / Abilities Clinical Trial Protocol knowledge, medical coding or billing, medical terminology, attention to detail, ability to work independently, collaboration, strong competency in Microsoft Office programs, detailed understanding of the Epic billing system, proficiency in OnCore MCA and Calendar consoles.
Administrative Details Does this position have supervisory responsibilities? No
Preferred Education/Experience
It is preferred that the candidate have work experience in a clinical setting that includes research coverage analysis, clinical research budgeting, clinical research management, and/or medical coding or billing. Candidates with coding knowledge in specific disease areas including oncology, cardiology, neurology, etc. are preferred. CA certification or training in OnCore, Epic or coding is also preferred.
Deadline To Apply: 11/13/2025
University Statement The University of Kentucky follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status.
Any candidate offered a position may be required to pass pre‑employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.
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