[Hiring] Coverage Analysis and Financial Quality Specialist @Brown Medicine

Role Description

The Coverage Analysis and Financial Quality Specialist serves as the primary resource for Coverage Analysis quality review, financial quality assurance, participant compensation verification, and clinical research billing compliance activities supporting study activation and post-activation operations across the Center for Clinical Research Management (CCRM).

Working under the direction of the CTO Administrative Manager within CCRM, the Specialist performs independent review and quality assessment of Coverage Analyses, sponsor budgets, participant compensation structures, and related financial activation documents to ensure accuracy, compliance, alignment, and operational readiness.

The Specialist collaborates with personnel across CCRM, including:

• Clinical Trials Office (CTO)
• Clinical Trials Data and Technology
• Intake
• Regulatory
• Research Finance
• Investigators
• Study teams
• External vendors
• Other stakeholders

The Specialist serves as a key resource for:

• Financial quality assurance activities
• Billing compliance reviews
• Quality improvement initiatives
• Training
• Trend analysis
• Process improvement efforts supporting CCRM

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence. Additionally, all employees are expected to demonstrate the core Success Factors which include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

Qualifications

• Advanced knowledge of clinical research operations, Coverage Analysis methodology, clinical research billing compliance, sponsor budget development, research finance principles, and study activation workflows.
• Working knowledge of Medicare coverage guidance, qualifying clinical trial requirements, participant compensation practices, clinical trial agreements, and clinical research financial operations.
• Demonstrated ability to evaluate complex research documents, identify discrepancies, assess risk, and recommend practical solutions.
• Strong analytical, organizational, and problem-solving skills.
• Ability to independently manage multiple priorities while maintaining accuracy and attention to detail.
• Excellent written and verbal communication skills.
• Ability to effectively collaborate with investigators, research personnel, vendors, finance staff, and operational stakeholders.
• Proficiency with clinical research technology platforms including OnCore, Microsoft Office applications, and related reporting and data-management tools.

Requirements

• Bachelor's degree in Clinical Research, Healthcare Administration, Finance, Business Administration, Health Informatics, or a related field required.
• Minimum of five (5) years of progressively responsible experience in clinical research administration, Coverage Analysis, clinical research billing compliance, research finance, budget development, financial review, or related research operations activities.
• Experience reviewing Coverage Analyses, sponsor budgets, research billing determinations, research finance activities, or related compliance functions strongly preferred.
• Clinical research operations experience, including experience as a research coordinator, regulatory specialist, research administrator, or related research role preferred.
• Experience working in an academic medical center, healthcare system, pharmaceutical company, contract research organization, or research environment preferred.
• Equivalent combinations of education and experience may be considered.

Benefits

• Pay Range: $74,672.00-$123,198.40
• EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Company Description

Location: Remote-Massachusetts - N/A Boston, Massachusetts 02108

Work Type: 8:00am-4:30pm

Work Shift: Day

Daily Hours: 8 hours

Driving Required: No