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Manager of Clinical Research Billing Compliance
2 months ago
Position Overview:
This role is a contractual opportunity with potential for extension or transition into a permanent position.
Special Selection Applicants:
Eligible candidates should reach out to their Disability Counselor for support.
Work Arrangement:
This position offers a hybrid work schedule, combining both onsite and remote work.
About the Office:
The Office of Coverage Analysis Administration (OCAA) at UCSD is committed to ensuring compliance in billing for clinical research. The coverage analysis process integrates the clinical trial protocol, budget, contract, and informed consent to ascertain billable items according to federal and state regulations, including Medicare's National Coverage Decision (NCD) and other third-party billing guidelines.
Key Responsibilities:
Under the guidance of the Director, the incumbent will oversee and manage the daily operations of OCAA concerning Coverage Analyses (CAs) and supervise the OCAA team. Responsibilities include:
- Conducting reviews of research protocols to evaluate the billable nature of services provided within clinical research.
- Training CA Analysts and campus departments on the coverage analysis process.
- Performing operational reviews and implementing improvements.
- Ensuring Quality Assurance (QA) by reviewing the work of CA Analysts.
- Managing website administration and updating Standard Operating Procedures (SOPs).
- Monitoring metrics and tracking productivity and timelines.
Operational Focus:
The incumbent will work towards enhancing clinical research operations for OCAA, which may involve developing coverage analysis grids and billing justifications in collaboration with Principal Investigators (PIs), Study Teams, and other departments, adhering to UCSD policies.
Qualifications:
Applicants should possess a minimum of nine (9) years of relevant experience or a Bachelor's degree in a related field with five (5) years of applicable experience. Key qualifications include:
- Proven managerial experience with a successful track record in leading a diverse team of analysts.
- Strong understanding of clinical research protocols, budget exhibits, and informed consent forms.
- Excellent interpersonal skills, including diplomacy and professionalism.
- Strong organizational, communication, and customer service skills.
- Ability to maintain professionalism in high-pressure situations.
- Demonstrated leadership and supervisory skills.
- Experience in project management and the ability to manage clinical research analyses across multiple sites.
Regulatory Knowledge:
Familiarity with Medicare coverage analyses, SB 37, NCD 310.1, and other relevant regulations is essential. Candidates should have the ability to interpret and apply regulations to the billing of routine costs associated with clinical research.
Additional Information:
Employment is contingent upon a criminal background check. Candidates must be willing to work occasional evenings and weekends as needed.
Compensation:
The annual salary range for this position is competitive and commensurate with experience and qualifications.
