Clinical Trial Budget Analyst

Sutter Health

. Determine whether a study is a qualifying clinical trial .

Posted 10/16/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $97,032 - $145,558 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical trial billing compliance, including knowledge of Medicare and Medicaid coverage decisions, medical coding, and regulatory compliance. Proven ability to collaborate across teams and manage complex projects while ensuring adherence to clinical research protocols and financial documentation.

Highest-signal resume keywords

Clinical Research ConceptsMedicare/Medicaid Coverage KnowledgeMedical Coding ProficiencyRegulatory Compliance ExpertiseLeadership and Team Building

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Trial Billing ComplianceCoverage AnalysisProtocol ReviewCPT/HCPCS Billing DeterminationAnalytical SkillsAttention to DetailMicrosoft Word ProficiencyMicrosoft Outlook ProficiencyMicrosoft Excel ProficiencyResearch Protocol Knowledge

Soft Skills

Written Communication SkillsOral Communication SkillsInterpersonal SkillsOrganizational SkillsTime Management Skills

Industry Keywords

Good Clinical PracticesFederal ComplianceInvestigational Drug ResearchSponsor ContractsClinical Research Financial Activities

About the role

Key responsibilities & impact

Determine whether a study is a qualifying clinical trial
Perform initial coverage analysis by reviewing protocol clinical services for federally compliant billing and reimbursement
Ensure complete submission of documents required to conduct coverage analysis and activate studies
Submit notification of participation letters to Noridian when needed
Determine and document billing support for clinical items by reviewing protocols, investigator brochures, sponsor budgets, sponsor contracts, consent templates, medical necessity justifications, and applicable payers
Apply federally required research-related claims modifications for insurance payment
Conduct final review and analysis of study documents to ensure harmonization
Interpret Medicare/Medicaid coverage decisions, national guidelines, and applicable clinical trial medical item and service rules
Support CPT/HCPCS billing determinations for clinical trial items and services
Apply local and national coverage determinations and third-party payer rules
Interface with Sutter Health research affiliates, administrative staff, principal investigators, essential partners, and clinical trial sponsors regarding reimbursement
Implement an integrated support function standardizing administrative and financial support for clinical trial billing compliance
Improve service to the Sutter Health research community and increase research compliance

Requirements

What you’ll need

Bachelors or equivalent education/experience
5 years recent relevant experience
Knowledge of clinical research concepts, good clinical practices and regulatory compliance
Knowledge of Medicare benefit categories, statutory exclusions, national and local coverage determinations, and national medical practice guidelines
Knowledge of Food and Drug Administration investigational drug and device research
Knowledge of medical coding, protocol visit span allowances, protocol-specified clinical services, and clinical research financial activities and documentation
Knowledge of research protocols, internal budgets, sponsor contracts and budgets, and consent templates
Demonstrated written, oral, electronic communication, presentation, and interpersonal skills
Ability to use multiple technical systems
Ability to collaborate across revenue cycle, compliance, and research operations teams
Attention to detail
Analytical and computer skills, including proficiency in Microsoft Word, Outlook, and Excel
Ability to work independently and make complex and sensitive decisions
Outstanding organization skills to manage competing timetables and responsibilities
Demonstrated leadership skills, including team building and coaching/mentoring
Ability to build effective working partnerships with employees, peers, and leaders
Organizational and time management skills
Ability to prioritize multiple projects while delivering quality service and achieving business results
Tactical and analytical thinking and planning skills
Ability to develop plans, identify obstacles, and resolve operational issues
Skill in communicating and collaborating with Sutter Health essential partners and research institute personnel

Benefits

Comp & perks

Comprehensive benefits package
Eligible positions include a comprehensive benefits package