Coverage Analysis, Financial Quality Specialist

Brown Medicine

. Serves as the primary quality reviewer for Coverage Analyses supporting clinical trial activation .

Posted 9/21/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $74,672 - $123,198 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced knowledge of clinical research operations, Coverage Analysis methodology, and clinical research billing compliance, with a strong ability to evaluate complex research documents and recommend practical solutions. Proficient in managing multiple priorities while ensuring accuracy and compliance in financial reviews and study activations.

Highest-signal resume keywords

Clinical Research OperationsCoverage Analysis MethodologyClinical Research Billing ComplianceSponsor Budget DevelopmentResearch Finance Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coverage Analysis ReviewBudget DevelopmentFinancial ReviewRegulatory ComplianceRisk Assessment

Soft Skills

Analytical SkillsOrganizational SkillsProblem-Solving SkillsCommunication SkillsCollaboration Skills

Tools & Technologies

OnCoreMicrosoft Office ApplicationsData-Management Tools

Industry Keywords

Clinical Trial ActivationMedicare Coverage GuidanceParticipant Compensation PracticesClinical Trial AgreementsResearch Billing Compliance

About the role

Key responsibilities & impact

Serves as the primary quality reviewer for Coverage Analyses supporting clinical trial activation
Reviews Coverage Analyses for accuracy, consistency, billing designation integrity, regulatory compliance, and alignment with study requirements
Evaluates Coverage Analyses against study protocols, schedules of events, intake documentation, Medicare coverage guidance, institutional requirements, and related study documents
Identifies and resolves discrepancies between Coverage Analyses, internal budgets, sponsor budgets, and study documentation
Coordinates corrections with vendors, study teams, and applicable stakeholders
Conducts quality review of negotiated sponsor budgets before investigator or departmental approval
Verifies negotiated budget terms, calculations, institutional fees, pass-through costs, and sponsor payment responsibilities
Confirms alignment between final negotiated sponsor budgets, internal budgets, and approved Coverage Analyses
Reviews participant compensation and reimbursement structures and budget-related protocol amendments
Participates in CCRM intake meetings to identify financial, billing, operational, participant compensation, and payer responsibility considerations
Supports study activation by ensuring required Coverage Analysis, budget quality, participant compensation, and financial quality reviews are completed
Provides billing compliance consultation and cross-coverage support for research billing review functions
Assists with investigation and resolution of research billing discrepancies and compliance concerns
Tracks quality review findings, billing review trends, and recurring issue patterns
Develops recommendations for process improvement, training, and risk reduction
Maintains standard operating procedures, guidance documents, training materials, and review tools
Provides education and training on Coverage Analysis, research billing compliance, participant compensation, and financial quality review
Participates in workgroups, quality improvement initiatives, workflow redesign, operational improvement efforts, internal audits, and quality assurance activities
Maintains documentation and serves as liaison with external vendors regarding quality issues

Requirements

What you’ll need

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
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