Coverage Analyst (Remote) at WCG in Remote

Summary: WCG provides clinical solutions and services that support organizations conducting clinical trials and developing new products and therapies. The Coverage Analyst supports efficient clinical trial site start-up by analyzing protocols, identifying required activities and applicable billing codes, and reviewing work for quality.

Responsibilities:
- Contribute to the development of clinical trial coverage analysis. Specific duties may vary depending on team assignment and business needs:
- Read and analyze clinical trial protocols and develop activity grid to identify required tests, procedures, and assessments
- Use software and other internal resources to identify potential CPT/HCPCS codes for applicable items in the activity grid
- Review work completed by others as part of the internal quality review process
- Other duties as assigned by supervisor. These may, on occasion, be unrelated to the position described here
- Attendance and punctuality are essential functions of the position

Required Qualifications:
- Bachelor's degree in related field
- Significant work experience in the specific field may be considered in lieu of a relevant degree
- Ability to work in a performance-driven environment: a proactive, results-driven and goal-oriented approach
- Requirement of at least 1 year of professional experience
- Demonstrated ability to learn and apply technical and scientific product-related information in a consultative manner
- Excellent attention to detail and highly organized
- Ability to understand clinical terms and descriptors
- Strong investigative skills with ability to read complex technical documents, synthesize relevant information, and clearly document findings
- Excellent communication (oral/written) and interpersonal skills
- Proficient with Excel
- ☒ 0% – 5%
- Work activities involve light to moderate physical effort (for example, sitting in one place for extended periods of time, standing, walking, bending, lifting lightweight objects, intermittent to sustained periods of keyboarding)
- Majority of time is spent in a seated position with frequent opportunity to move about at will
- Activities require a variety of easy muscle movements
- Work activities involve a frequent need to concentrate on a variety of sensory inputs for moderate to lengthy durations at a time requiring diligence and attention to interpret effectively
- There will be a need to attend to single or simultaneous tasks where accuracy of details is important
- The need for detailed and precise work is high

Preferred Qualifications:
- Familiarity with the clinical trial start-up process
- Experience interpreting clinical trial protocols to assess required activity related to visit schedules and treatment plans
- Familiarity with research insurance billing and coverage guidelines (e.g. Medicare NCD 310.1)
- Experience as a clinical research coordinator, preferably in oncology or medical device related therapeutic area

Required Skills: Clinical Trial Protocol Interpretation, Clinical Trial Coverage Analysis, CPT/HCPCS Coding, Clinical Research Billing and Coverage Guidelines, Microsoft Excel, Clinical Trial Start-Up Process, Written and Verbal Communication

Benefits: Comprehensive Benefits package - Health, Dental, Vision, Life Disability, 401k with match, and flexible spending accounts, Employee Assistance Programs and additional work/life resources, Referral Bonuses and Tuition Reimbursement, Paid time off including holidays, vacation, and sick time, Volunteer Time Off to benefit the community, Opportunities for career development with on-the-job training, certification assistance, and continuing education reimbursement