Clinical Trials Coverage Analyst III

HonorHealth•Phoenix, AZ

14h

About The Position

Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job SummaryUnder minimal supervision, the Senior Clinical Trial Coverage Analyst provides expert-level analysis and oversight for the institution’s most complex clinical research studies. The Senior Analyst reviews and validates the work of junior staff, serves as a subject matter expert for investigators and leadership, and develops guidance to ensure institutional compliance with billing regulations. This role is responsible for mentoring analysts, leading process improvement initiatives, and partnering with finance and compliance offices to resolve escalated issues. The Senior Analyst plays a key role in shaping institutional policies and driving standardization of coverage analysis practices across the research enterprise.

Requirements

Bachelor’s degree in healthcare administration, nursing, business, life sciences, or related field – Required
Equivalent combination of education and related experience may be considered in lieu of degree - Required
5 years Progressively responsible experience in clinical research, billing compliance, or healthcare operations. – Required
2 years Progressively responsible experience in coverage analysis or equivalent role – Required

Nice To Haves

Master’s degree Healthcare administration, public health, business or related field - Preferred
Prior experience leading or supervising staff, developing institutional policy, or representing coverage analysis in cross-functional leadership settings. - Preferred
Professional certification in Clinical Research (ACRP, SOCRA, or equivalent) – Preferred
Professional certification in healthcare compliance (CHC, RHIA) – Preferred
Professional certification in medical billing/coding (CPC, COC) - Preferred

Responsibilities

Provide expert-level oversight of coverage analyses: Lead and perform analyses for the most complex and high-risk studies.
Review and validate determinations completed by junior and mid-level analysts.
Ensure institutional consistency, accuracy, and compliance across the research portfolio.
Act as subject matter expert and advisor: Serve as a trusted resource for investigators, leadership, compliance, and finance.
Interpret complex billing regulations and advise on institutional risk mitigation.
Represent the coverage analysis team in high-level discussions or escalations
Mentor and develop staff: Train and coach analysts at all levels to build expertise and consistency.
Provide feedback and support career growth within the coverage analysis team.
Lead institutional process improvement: Partner with leadership to design, refine, and implement policies and tools.
Drive initiatives that improve accuracy, efficiency, and compliance in billing practicesIdentify systemic risks and propose enterprise-level solutions
Performs other duties as assigned.