Manager, Coverage Analysis – Budget

Sutter Health

. Lead and perform clinical research pre-award activities associated with Medicare coverage analysis and protocol-driven budget development .

Posted 10/13/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $129,189 - $193,773 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates advanced knowledge in clinical research pre-award operations, Medicare coverage analysis, and clinical trial budgeting, while effectively leading teams and managing complex oncology and cardiovascular studies. Proficient in stakeholder management, negotiation, and ensuring compliance with Medicare Clinical Trial Policy and Good Clinical Practice.

Highest-signal resume keywords

Clinical Research Pre-Award OperationsMedicare Coverage AnalysisClinical Trial BudgetingSponsor NegotiationFinancial Compliance

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Financial Feasibility AnalysisProtocol InterpretationResearch Billing ComplianceData-Informed Process ImprovementPerformance MetricsVariance ReviewMedical CodingPayer RequirementsGood Clinical PracticeClinical Trial Financial Practices

Soft Skills

People LeadershipWorkload ManagementJudgmentConflict ResolutionWritten Communication

Tools & Technologies

Epic

Industry Keywords

Medicare Clinical Trial PolicyNational Coverage DeterminationsLocal Coverage DeterminationsInvestigational Device Concepts

About the role

Key responsibilities & impact

Lead and perform clinical research pre-award activities associated with Medicare coverage analysis and protocol-driven budget development
Negotiate with sponsors and clinical research organizations
Conduct financial feasibility analysis and align study financial terms with institutional requirements
Ensure the quality, timeliness, and consistency of coverage analyses and budgets across the enterprise research portfolio
Lead staff and daily operations as a working manager
Maintain an assigned study portfolio and serve as escalation point for complex oncology, cardiovascular, device, multi-arm, and other high-risk studies
Partner with research operations, contracting, legal, compliance, finance, revenue cycle, Epic teams, investigators, and external sponsors
Move studies from protocol intake through executable budget terms and activation readiness
Establish standardized workflows, workload controls, quality review, training, performance expectations, and key performance indicators
Provide subject-matter expertise on Medicare Clinical Trial Policy, National and Local Coverage Determinations, device coverage categories, coding and billing considerations, payer allocation, research cost identification, and clinical trial financial practices

Requirements

What you’ll need

Equivalent experience will be accepted in lieu of the required degree or diploma
Bachelor's degree in Accounting, Finance, Business Administration, or related field, unless substituted by equivalent experience
5 years of recent relevant experience
Advanced knowledge of clinical research pre-award operations, protocol interpretation, Medicare coverage analysis, clinical trial budgeting, sponsor negotiation, and research billing compliance
Working knowledge of Medicare Clinical Trial Policy, Medicare coverage guidance, National and Local Coverage Determinations, investigational device concepts, medical coding, payer requirements, and Good Clinical Practice
Ability to translate complex protocols into auditable coverage and financial decisions
Strong people leadership, workload management, judgment, negotiation, conflict resolution, written communication, and stakeholder management skills
Advanced analytical capability with financial models, pricing assumptions, variance review, performance metrics, and data-informed process improvement
Ability to manage multiple priorities and make complex and sensitive decisions independently within delegated authority
Ability to escalate material compliance, financial, or operational risk appropriately

Benefits

Comp & perks

Comprehensive benefits package
Total rewards program
Regular employee status
Exempt position
Monday–Friday schedule
No weekend requirements