Johns Hopkins University
Clinical Research Coverage Specialist
Johns Hopkins University, Baltimore, Maryland, United States, 21276
We are seeking a Clinical Research Coverage Specialist who will be responsible for performing a comprehensive Prospective Reimbursement Analysis (PRA) on clinical research protocols to ensure accurate determinations of research patient care billing. This position reports to the Sr. Director Research Administration.
Specific Duties & Responsibilities
Review and approve JHM proposed clinical study budgets for research patient care vs. routine care determinations via a PRA.
Document activities in the Clinical Research Management System - Oncore.
Work with the School of Medicine Institutional Review Board to ensure research patient care costs are identified and informed consents are consistent with clinical research protocols and commercial contracts if applicable.
Participate in the Research Patient Care Billing Training Program for clinical research personnel to include PI, data-managers, research nurses, and research pharmacy.
Effectively communicate results to departmental contact to ensure consensus regarding research patient care costs vs routine of care.
Advise clinical research personnel on the planning and coordination of clinical research protocols relative to billing related issues.
Participates in maintaining a comprehensive database of all PRA grids, protocol and informed consent reviews and commercial contract budgets.
Additional Knowledge, Skills & Abilities
Ability to exercise judgement in the resolution of issues regarding clinical research billing compliance.
Excellent written and oral communication skills.
Ability to work in a team and demonstrate good interpersonal skills.
Minimum Qualifications
Bachelor's Degree in Biological, Physical, or Health Sciences or related field.
Minimum of three year's experience in a clinical or clinical research environment.
Additional experience may substitute for education requirement, and additional education may substitute for experience to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
Basic understanding of research patient care vs routine care treatment.
Familiarity with medical billing, reimbursement, and Medicare NCDs and LCDs.
Knowledge of clinical research protocol management.
Classified Title: Clinical Research Coverage Analyst
Job Posting Title (Working Title): Clinical Research Coverage Specialist
Role/Level/Range: ATP/04/PD
Starting Salary Range: $46,200 - $80,800 Annually ($68,000 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: m-f/8:30-5:00
Exempt Status: Exempt
Location: Remote
Department name: SOM Admin Res Clinical Research Contract
Personnel area: School of Medicine
Equal Opportunity Employer:
Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.
Specific Duties & Responsibilities
Review and approve JHM proposed clinical study budgets for research patient care vs. routine care determinations via a PRA.
Document activities in the Clinical Research Management System - Oncore.
Work with the School of Medicine Institutional Review Board to ensure research patient care costs are identified and informed consents are consistent with clinical research protocols and commercial contracts if applicable.
Participate in the Research Patient Care Billing Training Program for clinical research personnel to include PI, data-managers, research nurses, and research pharmacy.
Effectively communicate results to departmental contact to ensure consensus regarding research patient care costs vs routine of care.
Advise clinical research personnel on the planning and coordination of clinical research protocols relative to billing related issues.
Participates in maintaining a comprehensive database of all PRA grids, protocol and informed consent reviews and commercial contract budgets.
Additional Knowledge, Skills & Abilities
Ability to exercise judgement in the resolution of issues regarding clinical research billing compliance.
Excellent written and oral communication skills.
Ability to work in a team and demonstrate good interpersonal skills.
Minimum Qualifications
Bachelor's Degree in Biological, Physical, or Health Sciences or related field.
Minimum of three year's experience in a clinical or clinical research environment.
Additional experience may substitute for education requirement, and additional education may substitute for experience to the extent permitted by the JHU equivalency formula.
Preferred Qualifications
Basic understanding of research patient care vs routine care treatment.
Familiarity with medical billing, reimbursement, and Medicare NCDs and LCDs.
Knowledge of clinical research protocol management.
Classified Title: Clinical Research Coverage Analyst
Job Posting Title (Working Title): Clinical Research Coverage Specialist
Role/Level/Range: ATP/04/PD
Starting Salary Range: $46,200 - $80,800 Annually ($68,000 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: m-f/8:30-5:00
Exempt Status: Exempt
Location: Remote
Department name: SOM Admin Res Clinical Research Contract
Personnel area: School of Medicine
Equal Opportunity Employer:
Johns Hopkins University is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. The university promotes affirmative action for minorities, women, disabled persons, and veterans.