Role overview

Qualifications

Bachelor's degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field.
Minimum 3 years of Medicare Coverage Analysis experience in clinical research or healthcare billing.
Experience working on oncology clinical trial protocols.
Hands-on experience developing, maintaining, and validating OnCore calendar builds for clinical trial visits, procedures, and study milestones (preferred but not required; training will be provided).

Responsibilities

Conduct Medicare Coverage Analyses (MCA) for oncology and non-oncology protocol mix, identifying which procedures and services are billable to Medicare versus research-related.
Review clinical trial protocols, schedules of events, and informed consent forms to ensure billing compliance with CMS regulations.
Develop, maintain, and validate OnCore calendar builds for clinical trial visits, procedures, and study milestones.
Prepare and maintain coverage analysis documentation, summary tables, and billing justification reports for internal and external stakeholders.

Key facts

Remote from: Anywhere
Full time
Mid-level (2-5 years)
English

Hard skills

Clinical Trial Planning Medicare Auditing Digital File Management U.S. Regulatory Compliance Cross-Functional Collaboration Online Communication

Other skills

Non-Verbal Communication
Distributed Team Management
Analytical Skills
Time Management
Detail Oriented
Problem Solving

About the company

Vitalief Inc.

We recruit top talent from across the clinical research industry to support our clients in planning and execution of successful clinical trials with the goal of having a positive impact on people’s lives. Our proactive partnering model delivers strategic and recurring value to clinical trial organizations who are facing unprecedented workforce challenges. We invest in our team members to ensure sustainable quality of services that meet the unique needs of each clinical trial. Our high-quality services position our clients to embrace the rapidly evolving needs of the clinical trial industry.

Company details

Company typeScaleup

Company size51 - 200

Links

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Job description

ABOUT VITALIEF
Vitalief is a consulting and professional services firm that partners with clinical research sites, sponsors, and CROs to improve trial activation, operational performance, and workforce readiness. By combining clinical research expertise with operational and business excellence, we help organizations streamline processes, reduce costs, accelerate timelines, and enhance patient outcomes.

THE ROLE
We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Coverage Analyst in a fully remote capacity, supporting a leading academic clinical research center in Chicago. The ideal candidate brings strong expertise in Medicare billing guidelines, clinical trial operations, experience working on Oncology protocols, and OnCore calendar builds, and will ensure compliance while supporting clinical trial billing operations and advising key stakeholders.

WHY VITALIEF?

Work remotely while supporting high-impact clinical trials.
Be a key contributor to billing compliance and operational excellence.
Collaborate with experienced clinical trial teams and expand your expertise in Medicare coverage and OnCore systems.
Transition seamlessly from a Vitalief employee after 6 months to a permanent employee of our client organization.
Market-competitive salary: $70,000 to $85,000 depending on experience level.

KEY RESPONSIBILITIES

Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.
Review clinical trial protocols, schedules of events, and informed consent forms to ensure billing compliance with CMS regulations.
Develop, maintain, and validate OnCore calendar builds for clinical trial visits, procedures, and study milestones.
Collaborate with cross-functional teams including Clinical Operations, Finance, Regulatory, and Study Teams to provide guidance and clarification on coverage decisions.
Prepare and maintain coverage analysis documentation, summary tables, and billing justification reports for both internal and external stakeholders.
Serve as a subject matter expert for Medicare coverage rules, assisting study teams in identifying potential billing risks and providing actionable recommendations.
Support internal and external audits, ensuring all coverage decisions are well-documented and compliant with federal and sponsor requirements.
Keep current with CMS updates and industry best practices, applying knowledge to optimize coverage analyses and study operations.

QUALIFICATIONS

Bachelor’s degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field.
Minimum 3 years of Medicare Coverage Analysis experience in clinical research or healthcare billing.
Must have experience working on oncology clinical trial protocols.
Hands-on experience developing, maintaining, and validating OnCore calendar builds for clinical trial visits, procedures, and study milestones is preferred – but not required as training will be provided.
Strong understanding of CMS guidelines, Medicare billing compliance, and clinical trial operations.
Demonstrated ability to work independently and manage multiple protocols and deadlines simultaneously.
Exceptional attention to detail, analytical skills, and problem-solving abilities.
Strong written and verbal communication skills, with the ability to explain complex billing concepts to non-technical stakeholders.
Comfortable working in a fully remote environment, collaborating effectively with distributed teams across multiple locations.
Proficiency in document and data management tools, including Microsoft Word, Excel, PowerPoint, Adobe, Teams, and SharePoint.

PHYSICAL DEMANDS: Standing, sitting, walking, visual perception, talking and hearing. Lifting up to 20lbs.

IMPORTANT NOTE: Vitalief partners with clients such as major medical centers and academic institutions that often requires all on-site resources such as prospective Vitalief consultants to be inoculated annually for Influenza and successfully pass a Mantoux Tuberculin Skin Test (TST) for Mycobacterium Tuberculosis.

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