Medicare Coverage Analyst - Must Reside In Ny

The Medicare Coverage Analyst is responsible for reviewing clinical trial protocols and budgets to determine what costs Medicare will cover and what will be billed to the research sponsor. This role requires analyzing billing details to ensure compliance with federal rules, preventing billing errors, and supporting accurate budgeting for research studies. The analyst also collaborates with research and finance teams to maintain up-to-date documentation and provides guidance on coverage policies.

Responsibilities

• Review clinical trial protocols and budgets to determine Medicare coverage.
• Analyze billing details to ensure compliance with federal rules.
• Prevent billing errors and support accurate budgeting for research studies.
• Collaborate with research and finance teams to maintain documentation.
• Guide staff on Medicare coverage policies.

Essential Skills

• Proficiency in Medicare policies and billing.
• Experience with clinical trial protocols and budgeting.
• Strong analytical skills to evaluate billing details.
• Ability to ensure compliance with federal regulations.

Additional Skills & Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• At least 3 years of experience in medical billing and research clinical trials.

Work Environment

This position involves working closely with research and finance teams in a collaborative environment. The role requires attention to detail and a strong understanding of Medicare policies and research clinical trials. The work setting encourages accurate documentation and compliance with federal guidelines.

Pay and Benefits

The pay range for this position is $62.00 - $64.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a hybrid position in Buffalo,NY.

Application Deadline

This position is anticipated to close on Aug 13, 2025.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.