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Coverage Analyst Jobs (NOW HIRING)

Review & analyze complex research protocols to draft a Medicare Coverage Analysis (MCA) and an internal research budget * Lead research operations meetings with the Research Director, Principal ...

Review & analyze complex research protocols to draft a Medicare Coverage Analysis (MCA) and an internal research budget * Lead research operations meetings with the Research Director, Principal ...

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Greenville, NC · On-site

$46K - $61K/yr

Position Summary The Billing Coverage Analyst will play a pivotal role in the daily operations of managing billing compliance for clinical research studies at ECU and ECU Health. Working in close ...

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Coverage Analyst information

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$31K

$73.3K

$130K

How much do coverage analyst jobs pay per year?

As of Jul 21, 2026, the average yearly pay for coverage analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What are Coverage Analysts?

Coverage Analysts are professionals who assess, review, and manage insurance policies and programs to ensure that clients have appropriate coverage for their needs. They analyze insurance documents, evaluate risks, and make recommendations for changes or improvements to coverage. Coverage Analysts often work in insurance companies, brokerages, or large organizations, and collaborate with underwriters, clients, and claims specialists to optimize coverage solutions.

What does an insurance analyst do?

An insurance analyst evaluates insurance policies, assesses risk, and determines coverage options for clients or companies. They analyze data, review policy terms, and may use specialized software to ensure accurate risk assessment and compliance. Strong analytical skills and knowledge of insurance regulations are essential for this role.

What is a coverage analyst job description?

A coverage analyst is responsible for reviewing and analyzing insurance policies, claims, or healthcare coverage to ensure accuracy and compliance. They often use specialized software, interpret policy language, and collaborate with clients or providers to resolve coverage issues. Strong attention to detail and knowledge of industry regulations are essential for this role.

What are the key skills and qualifications needed to thrive as a Coverage Analyst, and why are they important?

To thrive as a Coverage Analyst, you need strong analytical skills, attention to detail, and a background in finance, insurance, or a related field—often backed by a relevant degree. Familiarity with insurance policy management systems, data analysis tools like Excel, and sometimes industry certifications such as CPCU are commonly required. Excellent communication, problem-solving abilities, and organizational skills help you effectively interpret policies and interact with clients or underwriters. These skills are crucial for accurately assessing coverage, managing risk, and ensuring compliance within complex insurance environments.

How does a Coverage Analyst typically collaborate with underwriters and other departments to assess risk?

A Coverage Analyst regularly works alongside underwriters to review insurance applications, analyze policy terms, and assess potential exposures. This collaboration often involves discussing risk factors, clarifying policy language, and ensuring that coverage recommendations align with both client needs and company guidelines. Additionally, Coverage Analysts may coordinate with claims, actuarial teams, and legal departments to gather data and resolve complex or unusual cases. Effective communication and teamwork are essential, as these interactions help ensure accurate risk assessments and high-quality service.

Is CRC entry level?

Coverage Analyst roles are often entry-level positions, but requirements can vary by employer. Typically, they require strong attention to detail, good communication skills, and familiarity with insurance or claims processing systems. Some employers may prefer candidates with relevant certifications or experience in the insurance industry.

What is the difference between Coverage Analyst vs Claims Analyst?

AspectCoverage AnalystClaims Analyst
Required CredentialsTypically requires insurance or healthcare certifications, such as CPCU or CPCOften requires insurance or healthcare certifications, such as CPCU or CPC
Work EnvironmentWorks mainly in insurance companies, healthcare providers, or risk management departmentsWorks in insurance companies, healthcare organizations, or claims processing centers
Employer & Industry UsageCommonly employed in insurance and healthcare sectors to assess coverage policiesCommonly employed in insurance and healthcare sectors to process and evaluate claims

While both roles involve insurance and healthcare sectors, a Coverage Analyst primarily evaluates policy coverage and risk, whereas a Claims Analyst focuses on processing and investigating insurance claims. Understanding these differences helps in choosing the right career path or job search focus.

What analyst job pays the most?

Senior-level analyst roles such as Financial Analysts, Data Analysts, and Business Analysts tend to offer the highest salaries, especially with specialized skills, certifications, and experience. In some industries like finance, consulting, or technology, these roles can reach six-figure incomes, particularly with advanced expertise and leadership responsibilities.
More about Coverage Analyst jobs
What states have the most Coverage Analyst jobs? States with the most job openings for Coverage Analyst jobs include:
Infographic showing various Coverage Analyst job openings in the United States as of July 2026, with employment types broken down into 6% Locum Tenens, 83% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Trials Coverage Analyst, Research Administration (Galveston)

Trials Coverage Analyst, Research Administration (Galveston)

UTMB Health

Galveston, TX • On-site

Full-time

Posted 26 days ago


UTMB Health rating

7.3

Company rating: 7.3 out of 10

Based on 168 frontline employees who took The Breakroom Quiz

263rd of 886 rated healthcare providers


Job description

EDUCATION & EXPERIENCE
Minimum Qualifications:
  • Bachelor's degree or equivalent, five years of related experience

Preferred Qualifications:
  • Medical coding

JOB SUMMARY
Provides centralized administrative review of clinical trial agreements, study protocols, informed consent documents, and budgets to ensure Principal Investigators and other billing entities comply with federal and state regulations for clinical research billing.
Scope: NA
ESSENTIAL JOB FUNCTIONS
  • Determine whether proposed clinical trials qualify as defined in all relevant national coverage decisions.
  • Acts as a resource and assists Principal Investigators, study coordinators, and budget analysts in determining that all costs for clinical studies are included in the study budget and are appropriate and/or accurate.
  • With input from the principal investigators and study coordinators, the proper allocation of items and services between routine and research costs is determined, and methods are set up to bill accordingly. This responsibility includes the following tasks: ensuring budget worksheets identify appropriate billing parties, reviewing financial agreements with UTMB contracts specialists and, if necessary, collaborating entities, and ensuring financial consistency between research agreements and study protocols.
  • Ensures that relevant sections of the informed consent document conform to CMS billing rules.
  • Assists in mandatory training courses for faculty and personnel involved in clinical research when necessary.
  • Coordinates the development of Standard Operating Procedures (SOPs) for all entities involved with clinical research billing.
  • Assists in the development of monitoring plans for billing-related activities.
  • Generates billing grids with applicable CPT and/or other codes in the Institution's Clinical Trial Management System.
  • Remains knowledgeable and up to date with current FDA and Medicare guidelines for clinical trial billing
  • Maintains a complete portfolio of accounts receivable throughout the revenue cycle, including charge review, account work queues, claim edits, and claim submission.
  • Reviews charges in Epic and Epic-generated reports to identify standard-of-care, research-related, or indeterminate services.
  • Follows federal and state regulations to ensure compliance standards are met.
  • Review research patient accounts to ensure research charges are routed appropriately.
  • Communicate with Revenue Cycle teams, payors, and others to resolve account discrepancies or errors;
  • Participates in meetings, as needed, to address potential payor concerns
  • Other duties as assigned

Marginal or Periodic Functions:
  • Adheres to internal controls and reporting structure.
  • Performs related duties as required.

KNOWLEDGE/SKILLS/ABILITIES
  • Working knowledge of Epic and OnCore systems
  • Communication skills
  • Problem-solving skills
  • Critical Thinking

Salary Range:
Commensurate with experience.
EQUAL EMPLOYMENT OPPORTUNITY:
UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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