Research Medicare Coverage Analysis Specialist

Cleveland Clinic(1 month ago)

HybridFull TimeMedior$104,753 - $138,997 (estimated)Research Administration

About this role

The Research Medicare Coverage Analysis Specialist at Cleveland Clinic’s Main Campus supports enterprise clinical research by determining Medicare-qualifying clinical trial status and producing Medicare coverage analyses for research studies. The role sits in a newly created centralized Medicare Coverage Analysis (MCA) office, focused on standardizing compliant research billing practices and reducing regulatory and financial risk across the health system. The position reports to the Director of Research Medicare Coverage Analysis and partners with research and billing stakeholders to support research operations.

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Required Skills

Medicare Coverage Analysis
Research Billing
Coverage Determinations
Clinical Trial Review
Protocol Interpretation
Regulatory Compliance
CMS Policy
NCD 310.1
Claims Review
CPT Coding

+6 more

Qualifications

Bachelor’s Degree

About Cleveland Clinic

clevelandclinic.org

Cleveland Clinic is a not‑for‑profit academic medical center founded in 1921 that provides comprehensive clinical and hospital care across a large integrated health system. It is known for world‑class specialty care, multidisciplinary teams, and leadership in medical research, education, and health information. The organization operates hospitals, outpatient centers and digital/telehealth services, and employs roughly 65,000 staff to serve patients regionally and internationally.

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