Manager - Clinical Research Billing and Finance

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Scheduled Weekly Hours:

Work Shift:

Clinical Research Billing and Finance Manager

***This is a remote/work from home position. Hire must be able to work eastern time zone hours.

Job summary

The Manager Clinical Research Billing provides supervision, operational oversight, and resource management for BSMH’s centralized clinical research finance infrastructure. This role focuses on system-wide workflow standardization, regulatory risk mitigation, and financial performance for all clinical research across BSMH. The Manager drives team throughput by tracking pipeline metrics, removing barriers, optimizing workflows for study activation, revenue cycle, and financial accounting and reporting. The Manager leverages practical experience in clinical research coordination, trial management, and site operations to lead a system, centralized team. The role provides strategic oversight and operational efficiencies for a team with specialized capabilities who are responsible for the technical execution of clinical trial billing, development of Medicare Coverage Analyses, budget development and negotiation, and financial accounting, invoicing, reconciliation, and reporting. Responsible for communicating financial predictions for research enrollment to research teams. Manager is responsible for ensuring that BSMH’s Clinical Trial Management System (CTMS) is used consistently, efficiently, and comprehensively across all BSMH research sites. Partners with BSMH Compliance and Internal Audit on clinical trial billing matters. This position requires active knowledge or pursuit and acquisition of foundational technical competencies through internal training, enabling the Manager to also provide direct, hands-on back-up and load-sharing support during peak-volume periods.

Essential functions

• Responsible for oversight of research billing across all research teams. Uses practical research experience to bridge the gap between clinical study execution at the site level and backend financial operations and compliance.

• Responsible for study coverage analysis development and accuracy, budget creation and negotiation, and sponsor invoicing for study activity. Coordinates with study teams and appropriate ancillary/support units on pricing when creating budgets.

• Identifies reporting capabilities of current operations as well as develops metrics for ongoing operational performance improvement opportunities; generates and distributes these reports, and provides analysis and explanation of the contents of these reports.

• Provides investigators, study teams, revenue cycle, and institutional management with complete, accurate, and up-to-date billing compliance guidelines and requirements, new regulations, or regulatory changes regarding clinical trial billing.

• Oversees direct reports’ involvement with financial management of clinical trials in a Clinical Trial Management System (CTMS), providing best practices and recommendations for maximizing CTMS capabilities. Serves as the system subject matter expert of CTMS, ensuring BSMH maximizes this vital tool for the conduct of research. Monitors the functional intersection of the CTMS and Epic to ensure seamless workflows.

• Reviews contract and/or protocol amendments and evaluates impact on budget, Medicare Coverage Analysis, and billing plan; works with research and billing staff to ensure adequacy of sponsor funding. Assists with contract amendments.

• Oversees the management and distribution of funds deposited into the BSMH system-wide bank account exclusively dedicated to clinical research. Responsible for the accounting of research revenue so that it is accurately recorded per system processes and financial architect. 

• Annually, updates BSMH’s Research Fee Schedule and Overhead documents. Distributes updated documents to all stakeholders for consistency and best practices use.

• Provides guidance to site research billing teams to identify, analyze and resolve issues related to research patient accounts for proper payment from sponsors, patients, and/or third parties in order to maintain research billing compliance.

• Assists and guides site billing research team to resolve claim issues.

• Oversees financial interactions with site research teams with external affiliate provider groups.  Interfaces with affiliate provider group billing entities to address any issues and facilitate billing compliance all parties.

• Interacts directly with research teams and local market leaders to ensure a comprehensive understanding of existing processes that maximize financial returns in the conduct of research.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education

• Bachelors Degree (required)

• Masters Degree (preferred)

Required licensing and certifications

• AHIMA, Certified Clinical Research Professional (CCRP) or similar (preferred)

Experience

• 7+ years of progressive experience in clinical research operations, trial coordination, site management, or research compliance administration (required)

• 3+ years supervisory experience (required)

• 1 year experience in basic accounting functions; experience (or equivalent education) in clinical research or related fields, preferably in billing, coverage determinations and budgeting and/or understanding of research billing regulations; hospital and professional coding experience, and reimbursement (preferred)

Skills and abilities

• Strong practical ability to read clinical trial protocols

• Direct operational familiarity with Epic and a formalized CTMS

• Working knowledge and experience with coverage analyses, research budgets, billing practices, research finances

• Strong written and verbal communication skills

• Critical thinking

• Attention to detail

• Leadership through influence

• Professionalism

Bon Secours Mercy Health is an equal opportunity employer.

As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)

• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts

• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders

• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.