Coverage Analyst Supervisor

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:,ActualValueFromSolar:null},{QuestionName:Job Summary,AnswerValue:JOB OVERVIEWu003cbr/u003eThe Coverage Analyst Supervisor manages a team that performs Medicare Coverage Analysis (MCA) on clinical research protocols. The Coverage Analysis unit reviews a high volume of clinical research protocols, Informed Consent Forms (ICFs), Clinical Trial Agreements (CTAs), funding documents, and other relevant study-related documents to determine whether proposed clinical research studies are qualifying clinical trials as defined by Medicare Clinical Trial Policy. The team also determines what is billable after reviewing Medicare regulations, relevant National Coverage Decisions (NCDs) and Local Coverage Decisions (LCDs), Code of Federal Regulations (CFRs), state laws, professional practice guidelines, and, when necessary, consulting with the Medicare Administrative Contractor (MAC) for this region. The team creates billing justification plans to reflect which medical procedures may be billed to patient insurance and which should be billed to the study sponsor. The office performs coverage analysis on investigator-initiated and industry-sponsored clinical research trials. u003cbr/u003eu003cbr/u003eThe Coverage Analyst Supervisor provides oversight of team processes and workflow, develops and maintains a thorough training program, and oversees a rigorous quality control program. The individual serves as a technical expert and adviser to the Manager. The Coverage Analyst Supervisor ensures coverage analyses are compliant with all relevant regulations and serves as the internal first-line contact for compliance issues. The individual is responsible for writing SOPs and ensuring analysts are adhering to policies and procedures. The Coverage Analyst Supervisor works collaboratively with Principal Investigators, project managers, study coordinators, budget analysts, and other research staff. The individual tracks key metrics, monitors timelines, and develops efficient workflows. The Coverage Analyst Supervisor evaluates business processes for operational and financial effectiveness. The individual is responsible for hiring and retaining staff, managing work assignments, and performance management.u003cbr/u003eu003cbr/u003eOFFICE OF CLINICAL TRIAL ACTIVATION u003cbr/u003eThe Office of Clinical Trial Activation (OCTA) provides business support to investigators and study teams initiating and conducting clinical trials. This includes maintaining a clinical trial management system (CTMS), conducting Medicare coverage analysis, developing budgets for clinical research studies, negotiating payment terms with industry and nonprofit sponsors and providing clinical research infrastructure/services.u003cbr/u003eu003cbr/u003eABOUT UCSF u003cbr/u003eThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences.,VerityZone:jobdescription,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Organization,AnswerValue:Campus,VerityZone:location,QuestionType:select,ActualValueFromSolar:null},{QuestionName:Req Number,AnswerValue:55883BR,VerityZone:autoreq,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Location,AnswerValue:Laurel Heights and Mount Zion,VerityZone:formtext8,QuestionType:single-select,ActualValueFromSolar:null},{QuestionName:Job Title,AnswerValue:Coverage Analyst Supervisor,VerityZone:formtext10,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Appointment Type,AnswerValue:Career,VerityZone:formtext12,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Percentage,AnswerValue:100%,VerityZone:formtext13,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Shift Length,AnswerValue:8 Hours ,VerityZone:formtext14,QuestionType:Radio,ActualValueFromSolar:null},{QuestionName:Shift,AnswerValue:Days,VerityZone:formtext15,QuestionType:Checkbox,ActualValueFromSolar:null},{QuestionName:Work Days,AnswerValue:Monday - Friday, 8:00 am - 5:00 pm,VerityZone:formtext16,QuestionType:Text,ActualValueFromSolar:null},{QuestionName:Required Qualifications,AnswerValue:• Bacheloru0027s degree in related area and/or equivalent experience/trainingu003cbru003e• 5 or more years of experience in clinical research, clinical research administration, or medical billingu003cbru003e• Managerial experience and proven success in managing a teamu003cbru003e• Skill in managing established relationships with regulatory agencies for relevant compliance areau003cbru003e• Demonstrated knowledge of the regulatory policies governing the conduct of clinical research, including familiarity with clinical trial documents such as protocols and informed consentsu003cbru003e• Demonstrated knowledge of regulatory, financial and administrative requirements of third-party billing for clinical trialsu003cbru003e• Advanced skills in using software applications such as Microsoft Excel, Microsoft Word, Microsoft PowerPoint, database applications, and internet search enginesu003cbru003e• Ability to apply a complex array of issues, mental flexibility, and creativity to relevant compliance areau003cbru003e• Excellent verbal and written communication skillsu003cbru003e• Ability to effectively collaborate with multiple departments and demonstrated ability to work in a team environment, particularly using electronic resources and communicationu003cbru003e• Ability to provide quality customer service. Ability to interface with various levels of faculty, staff, departments, and external collaborators and business entitiesu003cbru003e• Strong time management skills and ability to work in a deadline-driven environment. Ability to prioritize and organize work; exceptional multitasking skills,VerityZone:formtext3,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Preferred Qualifications,AnswerValue:• Professional certification for relevant compliance areau003cbru003e• Three or more years of managerial/supervisory experienceu003cbru003e• Knowledge of UCSF fund management policies and procedures related to clinical research coverage analysis and budgetingu003cbru003e• Proficiency with OnCore or similar Clinical Trials Management Systemu003cbru003e• Experience in an Academic Medical Center environmentu003cbru003e• Education/training in medical billing and CPT coding,VerityZone:formtext4,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:License/Certification,AnswerValue:n/a,VerityZone:formtext5,QuestionType:textarea,ActualValueFromSolar:null},{QuestionName:Position Type,AnswerValue:Full Time,VerityZone:formtext6,QuestionType:radio,ActualValueFromSolar:null},{QuestionName:Department Name,AnswerValue:Clinical Trials Business Support,VerityZone:formtext17,QuestionType:text,ActualValueFromSolar:null},{QuestionName:Equal Employment Opportunity,AnswerValue:The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. 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