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Senior Clinical Trial Coverage Analyst Jobs (NOW HIRING)

ICON

Senior Clinical Trial Manager

Blue Bell, PA · On-site

Senior Clinical Trial Manager (Oncology) - Remote, US ICON is a global healthcare intelligence and ... Life assurance and disability coverage * Employee assistance programmes and wellbeing resources

ICON

Senior Clinical Trial Manager

Blue Bell, PA · On-site

Senior Clinical Trial Manager, Biotech - Remote, US ICON is a global healthcare intelligence and ... Life assurance and disability coverage * Employee assistance programmes and wellbeing resources

Vitalief

Clinical Trials Coverage Analyst

Chicago, IL · Remote

$70K - $85K/yr

... Analyst in a fully remote capacity, supporting a leading academic clinical research center in ... Collaborate with experienced clinical trial teams and expand your expertise in Medicare coverage ...

Icon plc

Senior Clinical Trial Manager

Blue Bell, PA · Remote

Senior Clinical Trial Manager (Oncology) - Remote, US ICON is a global healthcare intelligence and ... Life assurance and disability coverage * Employee assistance programmes and wellbeing resources

Icon plc

Senior Clinical Trial Manager

Blue Bell, PA · On-site +1

Senior Clinical Trial Manager, Biotech - Remote, US ICON is a global healthcare intelligence and ... Life assurance and disability coverage * Employee assistance programmes and wellbeing resources

Dana-Farber Cancer Institute

$77K - $90K/yr

The Senior Medicare Coverage Analyst applies subject matter expertise to complex protocols and ... Knowledge of clinical research budgeting and the clinical trial life cycle: study start-up through ...

Vor Bio

Senior/Clinical Trial Manager (CTM)

Boston, MA · On-site

$175K - $195K/yr

Conduct project risk analysis and develops risk mitigation strategies for a variety of complex ... The salary range for the Senior Clinical Trial Manager is expected to be between $175,000 and $195 ...

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How much do senior clinical trial coverage analyst jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for senior clinical trial coverage analyst in the United States is $42.60, according to ZipRecruiter salary data. Most workers in this role earn between $34.62 and $48.08 per hour, depending on experience, location, and employer.

What is a senior clinical trial coverage analyst?

A Senior Clinical Trial Coverage Analyst is a specialized professional responsible for reviewing, analyzing, and ensuring compliance with clinical trial billing regulations. They determine what costs are billable to insurance versus those covered by the trial sponsor, and create coverage analysis documents to guide study billing processes. This role typically requires in-depth knowledge of Medicare guidelines, clinical research protocols, and relevant federal and state regulations. Senior analysts often mentor junior staff and collaborate with clinical research teams to maintain billing integrity and prevent research billing errors.

What are some common challenges faced by senior clinical trial coverage analysts when coordinating between clinical and billing teams?

Senior Clinical Trial Coverage Analysts often encounter challenges in ensuring that all clinical trial procedures are appropriately mapped to billing codes and that coverage analyses comply with both institutional policies and payer requirements. Coordinating between clinical and billing teams requires excellent communication skills, as misunderstandings can lead to billing errors or compliance issues. Analysts must stay updated on regulatory changes and work collaboratively to resolve ambiguities around coverage, often acting as a bridge to clarify documentation and process flows.

What are the key skills and qualifications needed to thrive as a senior clinical trial coverage analyst?

To thrive as a Senior Clinical Trial Coverage Analyst, you need expertise in clinical research billing, coverage analysis, and a solid understanding of healthcare regulations, typically supported by a degree in health sciences or a related field. Familiarity with tools like CTMS (Clinical Trial Management Systems), EHRs, and knowledge of regulations such as Medicare Coverage Analysis is essential, and certifications like ACRP or SOCRA are advantageous. Attention to detail, analytical thinking, and strong communication skills are crucial for interpreting protocols and collaborating with research and compliance teams. These skills ensure accurate billing, regulatory adherence, and efficient trial operations, which are vital for organizational compliance and financial integrity.
What cities are hiring for Senior Clinical Trial Coverage Analyst jobs? Cities with the most Senior Clinical Trial Coverage Analyst job openings:
What are the most commonly searched types of Clinical Trial Coverage Analyst jobs? The most popular types of Clinical Trial Coverage Analyst jobs are:
What states have the most Senior Clinical Trial Coverage Analyst jobs? States with the most job openings for Senior Clinical Trial Coverage Analyst jobs include:
Senior Clinical Trial Coverage Analyst jobs near you

Clinical Research Coverage Analyst

Saint Louis University

Saint Louis, MO • On-site

Full-time

Re-posted 19 days ago

Saint Louis University rating

8.9

Company rating: 8.9 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

34th of 617 rated colleges and universities

Job description

Who is Saint Louis University? Founded in 1818, Saint Louis University is one of the nation's oldest and most prestigious Catholic universities. SLU, which also has a campus in Madrid, Spain, is recognized for world-class academics, life-changing research, compassionate health care, and a strong commitment to faith and service.
The Clinical Research Coverage Analyst plays a critical role in supporting clinical research operations, study activation, and compliant research billing practices within the School of Medicine. This position serves as the institutional subject matter expert for Medicare Coverage Analysis (MCA), qualifying clinical trial (QCT/QTC) determinations, clinical trial billing compliance, and research-related reimbursement requirements.
Working collaboratively with investigators, study teams, research administrators, sponsors, and healthcare system partners, the Clinical Research Coverage Analyst performs comprehensive coverage analyses to determine appropriate billing pathways for research-related services and procedures. The analyst helps ensure compliance with federal regulations, CMS guidance, institutional policies, and payer requirements while supporting efficient study start-up and activation processes.
This role is ideal for individuals with experience in clinical research, healthcare reimbursement, research administration, clinical operations, revenue cycle management, regulatory compliance, or clinical trial management.
Primary Responsibilities
Clinical Trial Coverage Analysis & Billing Compliance
  • Review clinical trial protocols, informed consent documents, budgets, contracts, and related study documents to determine Qualifying Clinical Trial (QCT/QTC) status in accordance with CMS and applicable regulatory guidance.
  • Conduct detailed Medicare Coverage Analyses (MCAs) to identify routine care costs, research-related costs, and sponsor-funded items and services.
  • Determine appropriate billing designations and payment responsibilities for study-related procedures, services, tests, and visits.
  • Serve as a subject matter expert on National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), Medicare Clinical Trial Policy, and research billing compliance requirements.
  • Collaborate with investigators, clinical research coordinators, study teams, sponsors, and institutional stakeholders to resolve coverage analysis and billing-related questions.
  • Review study documentation for consistency and alignment across protocols, consent forms, budgets, contracts, and billing plans.
  • Maintain accurate and compliant study records and documentation supporting coverage determinations.

Study Activation & Operational Support
  • Partner with affiliated healthcare system teams to support research study activation and implementation within electronic medical record (EMR) systems.
  • Coordinate submission of study build requests and related documentation.
  • Monitor study build status, maintain tracking systems, and facilitate corrections or updates as needed.
  • Contribute to process improvement initiatives that enhance study activation efficiency and research operations.

Education & Training
  • Develop and deliver education, training, and guidance related to clinical trial billing compliance, Medicare Coverage Analysis, and research operations.
  • Create standardized tools, resources, and best-practice guidelines to support the research community.
  • Support onboarding and continuing education efforts for clinical research professionals, including research coordinators and study teams.
  • Serve as a trusted resource to faculty, investigators, and staff regarding clinical research billing and compliance requirements.

Collaboration & Program Support
  • Participate in clinical research governance, compliance, and operational meetings.
  • Assist with initiatives that strengthen research infrastructure, regulatory compliance, and operational effectiveness.
  • Support organizational goals related to research quality, compliance, and continuous improvement.
  • Perform other duties as assigned.

Knowledge, Skills, and Abilities
  • Knowledge of clinical research regulations, guidelines, and good clinical practice (GCP) principles.
  • Understanding of Medicare Coverage Analysis, clinical trial billing compliance, healthcare reimbursement, or revenue cycle processes.
  • Knowledge of clinical trial operations, study start-up, and research administration practices.
  • Strong analytical and critical-thinking skills with the ability to interpret complex clinical, regulatory, and billing information.
  • Excellent organizational skills with strong attention to detail and accuracy.
  • Ability to assess and resolve complex issues using sound judgment and independent decision-making.
  • Strong verbal and written communication skills with the ability to explain technical concepts to diverse audiences.
  • Experience developing and delivering training, presentations, or educational materials.
  • Ability to manage multiple priorities and meet deadlines in a dynamic environment.
  • Proficiency with Microsoft Office applications and other business software systems.
  • Ability to maintain confidentiality and handle sensitive information appropriately.

Minimum Qualifications
  • Associate degree in healthcare administration, clinical research, business, life sciences, nursing, public health, finance, revenue cycle, or a related field.
  • Five (5) years of professional experience in clinical research, healthcare reimbursement, revenue cycle management, research administration, clinical trial operations, research billing compliance, healthcare compliance, or a related analytical healthcare field.
  • Experience reviewing and interpreting complex clinical, regulatory, financial, billing, or operational documents and making compliance-based or financial determinations.
  • Experience working with multiple stakeholders to resolve operational, compliance, billing, or research-related issues.
  • Experience interpreting and applying regulatory, payer, clinical research, or billing requirements to operational workflows is required.
  • Equivalent combinations of education and directly related experience may be considered.

Equivalent combinations of education and applicable experience may be considered.
Preferred Qualifications
  • Bachelor's degree in healthcare administration, public health, life sciences, business administration, nursing, or related field.
  • Experience conducting Medicare Coverage Analyses (MCA) or Clinical Trial Coverage Analyses.
  • Ability to interpret complex clinical trial protocols, schedules of assessments, and clinical study documentation.
  • Experience with clinical trial billing compliance and CMS regulations.
  • Experience in an academic medical center, healthcare system, research institution, or clinical research organization (CRO).
  • Knowledge of clinical trial budgeting, contracts, and study start-up processes.
  • Experience working with electronic medical record (EMR) systems.
  • CPT, ICD, HCPCS, coding, billing, or revenue cycle experience.
  • Clinical Research Professional (CCRP), Certified Clinical Research Coordinator (CCRC), or similar certification.
  • Experience training, mentoring, or educating clinical research staff.

Function
Clinical Research
Scheduled Weekly Hours:
40
Saint Louis University is an equal opportunity/affirmative action employer. All qualified candidates will receive consideration for the position applied for without regard to race, color, religion, sex, age, national origin, disability, marital status, sexual orientation, military/veteran status, gender identity, or other non-merit factors. If accommodations are needed for completing the application and/or with the interviewing process, please contact Human Resources at 314-977-5847.

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