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Lead Business Analyst - Sponsored Research - WFH (Candidates located in EST or C

highmark health·US·United States·senior
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Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This role possesses an advanced and strategic understanding of executing clinical trial agreements and negotiating trial budgets. Proficient use of Clinical Trial Management Systems and Medicare Coverage Analysis to maintain billing compliance and financial integrity. Serves as the functional lead, responsible for mentoring and training the Office of Sponsored (OSR) Research staff. May help manage the team of analysts, including performance reviews and professional development. Initiates and contributes to policy and procedure development. Including developing and offering enhancements to procedures and business forms. Proactively identifies opportunities for strategic process improvement within OSR and leads implementation. Contributes to other duties as assigned or requested. ESSENTIAL RESPONSIBILITIES Efficiently orchestrating the execution of clinical trial agreements, employing a advanced strategic approach to follow institutional guidelines and ensure legal compliance. Proficiently negotiate budgets to ensure comprehensive coverage of all institutional administrative and clinical costs. (30%) Superior utilization of Clinical Trial Management Systems (CTMS) to streamline workflows, enhance data visibility, and ensure seamless trial execution. Adept at building accurate trial protocols within the CTMS to reflect all associated costs and ensure billing compliance and financial integrity. (20%) Creating a Medicare Coverage Analyses (MCAs) for each trial, to determine appropriate billing for clinical trial services, interpreting Medicare guidelines and regulations, and maintaining up-to-date knowledge of evolving Medicare policies. Provides guidance and support to ensure accurate billing practices and maximize internal compliance with Medicare guidelines. (20%) Provides functional leadership, mentoring and training Office of Sponsored Research (OSR) staff to enhance expertise and ensure optimal