Clinical Trial Coverage Analysis Manager - Hybrid - 124081
| University of California - San Diego Medical Centers|
United States, California, San Diego
|November 17, 2023|
This is a contract position with the possibility of extension or career conversion.
Special Selection Applicants: Apply by 08/10/2023. Eligible Special Selection clients should contact their Disability Counselor for assistance.
This position will work a hybrid schedule which includes a combination of working both onsite in La Jolla and remote.
UCSD's Office of Coverage Analysis Administration (OCAA) is dedicated to ensuring billing compliance for clinical research. A coverage analysis ties together the clinical trials protocol, budget, contract and informed consent to determine what is billable to insurance based on federal/state billing regulations including Medicare's National Coverage Decision (NCD) 310.1 as well as other third-party billing rules. It ensures consistent application of Medicare rules across studies, and consistent application of study documents.
Under the general direction of the Director, this position is responsible for managing and executing the day-to-day operations of OCAA related to Coverage Analyses (CAs) and supervising the OCAA staff. Incumbent will provide analyses and make independent contributions for planning and development of OCAA. This includes review of research protocols and assessment to determine the billable nature of items and services provided in the context of clinical research. Incumbent will provide training to the CA Analysts and Campus departments on the coverage analysis process, perform operational process review and implementation, review the work of the CA Analysts to ensure Quality Assurance (QA), perform website administration, update and modify Standard Operating Procedures (SOPs), continually review metrics and track productivity and timelines. Incumbent will focus efforts on operationalizing clinical research efforts for OCAA.
Incumbent may perform coverage analyses that include the development of the coverage analysis (CA) grid and billing justifications of varying complexity with information provided by the Principal Investigators (PIs), Study Teams, and other departments (i.e. HRPP, OCTA, and OCGA) in compliance with UCSD policies. Incumbent must be extremely comfortable working with numerous databases and electronic information, able to quickly read and comprehend large amounts of scientific, medical, and legal text.MINIMUM QUALIFICATIONS
Pay Transparency Act
Annual Full Pay Range: $63,400 - $142,800 (will be prorated if the appointment percentage is less than 100%)
Hourly Equivalent: $30.36 - $68.39
Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).