Senior Financial Analyst - Clinical Research

Summary:

The Senior Financial Analyst will serve as a subject matter expert in coverage analysis as well as budget analysis and negotiation with industry sponsors. Creates and maintains internal and external research billing policies, determining applicable review requirements, and facilitates timely budget approval.

Responsibilities:

• Performs comprehensive and independent analysis of clinical trial protocols and other study documents, including the research study budget, contract, informed consent, pharmacy and lab manuals, and other supporting documentation.
• Perform detailed coverage analysis of research procedures in alignment with CMS rules and develop audit-ready study billing grids. Assist Research Specialists in determining study status under Medicare coverage rules and in identifying services as non-covered research-only, routine care, investigational items, and services along with their associated costs.
• Lead the development, implementation, analysis and validation of clinical trial financial systems design and operational workflows to optimize performance and productivity.
• Ensure electronic and paper study files are created, updated, stored, and maintained according to established office practices, and MHS record retention policies, from initial contact to study closeout and beyond.
• Review and scrub patient bills to ensure claims are being processed accordingly and routed to the correct payor.
• Analyze industry sponsor budget proposal, clinical trial protocol and manuals to develop and negotiate comprehensive study budgets and payment terms.

Education and Certification Requirements: Bachelors degree in finance, science, business, healthcare administration or related field experience.

Required Work Experience: Three (3) years experience with coverage analysis, clinical trial budget development and negotiation, clinical research study coordination or management, health system operations, or other related research or healthcare experience.