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Coverage Analyst Manager

Company:
Temple University Health System
Location:
Philadelphia, PA, 19107
Posted:
May 21, 2024
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Description:

The Manager of Medicare Coverage Analysis ('MCA') handles the FDA mandated process of completing a coverage analysis of all clinical trials types through the use of local/national determinations and NCCN guidelines.

The manager will be responsible for the supervision of all Coverage Analysts at FCCC for creating an MCA, meeting with the Principal Investigator about the MCA in order to approve the designations for his/her clinical trial, train the Coverage Analyst and ensure that current guidelines are being followed, including retrieving supporting documents and back-up information as requested.

The manager is also responsible for conducting Medicare Coverage Analysis, reviewing and assisting the clinical finance function of reconciling invoices/billing that are generated for clinical trials.

This position will be in the Office of Research and Development Alliances under the Clinical Research Contracting department but will collaborate with the Office of Clinical Research, Investigators and external Sponsors to assure timely completion.

Education Bachelors Degree : Accounting or Finance (Required) Masters Degree : MBA or MHA (Preferred) Combination of relevant education and experience may be considered in lieu of degree.

Experience 2 Years experience in a clinical setting, research, medical auditing, case management healthcare insurance and/or accounting (Required) 3 Years experience in a management role (Required) 5 Years experience in a health care environment (Preferred) General Experience and knowledge completing Medicare Coverage Analysis in CTMS for clinical trials, oncology (Preferred) General Experience and knowledge in coding with CPT (Preferred) _ '177911

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