Financial Analyst

Financial Analyst

Working Title - Financial Analyst

Position Grade - 14

Position Summary - The University of New Mexico Comprehensive Cancer Center (UNMCCC) Clinical Trials Financial Analyst (Medicare Coverage Analyst) is responsible for reviewing clinical research protocols, informed consent forms, clinical trial agreements, and other relevant study-related documents to create a Medicare Coverage Analysis. The position determines whether the proposed clinical research study is a qualifying clinical trial as defined by the Medicare Clinical Trial Policy (NCD 310.1), while also being cognizant of Medicare/Medicaid Benefit Policies, third-party Medical Benefit Policies, relevant National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs), Code of Federal Regulations (CFRs), state laws, professional practice guidelines. The position will be responsible for creating a billing justification plan or 'coverage analyses' to reflect which medical procedures and services are 'Routine Cost' and billable to patient insurance and which ones are research and paid by the study sponsor for investigator-initiated, industry-sponsored, and non-industry sponsored clinical trials across multiple clinical working groups. The position will disseminate the coverage analysis, the related guidance and their effect on research billing processes to all appropriate parties, to include, Principal Investigator, research team, affiliate sites, and other research and administrative staff. Assist with the development of institutional policies and procedures pertaining to clinical research budgeting and billing, including the MCA process. Other duties may be assigned as required.

Minimum Qualifications - Bachelor's degree; at least 3 years of experience directly related to the duties and responsibilities specified. Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

Preferred Qualifications - a. Experience in healthcare finance, clinical trial budgeting, and operations analysis b. Experience and knowledge of clinical trial protocols c. Demonstrated experience in Clinical Research Billing and Billing Compliance d. A demonstrated understanding of Research Billing Compliance including National and Local Coverage Determination for coverage of routine costs and the CMS Clinical Research Policy as well as professional practice guidelines. e. A demonstrated knowledge of regulatory, financial and administrative requirements of Medicare and third-party billing of clinical trials. Extensive review of patient informed consent forms to ensure that the document accurately reflects which procedures will be billed to insurance vs. those that will be covered by the study budget in accordance with the MCA. f. Ensure consistency of the payment terms in the coverage analysis with the protocol, the informed consent template, the budget and the contract payment terms. g. Keep current with the FDA and Medicare regulations and state laws applicable to research billing. h. Provide staffing and supply/service consumption patterns, the methods used to calculate and other details such as lists of items that make up the total cost of a category. i. Certification in coding, Procedural Terminology, and Healthcare Common Procedure Coding system is preferred. j. Advanced knowledge of Microsoft Excel

Additional Requirements - Finalists should be prepared to provide official educational transcripts if selected for hire. Applicants must provide names of 3 professional references that the hiring official can contact.

Campus - Health Sciences Center (HSC) - Albuquerque, NM

Department - CRTC Clinic Rsrch Data Management (099L)

Employment Type - Staff

Staff Type - Regular - Full-Time

Term End Date

Status - Exempt

Pay - $4,875.87 - $6,976.67

Benefits Eligible - This is a benefits eligible position. The University of New Mexico provides a comprehensive package of benefits including medical, dental, vision, and life insurance. In addition, UNM offers educational benefits through the tuition remission and dependent education programs. See the Benefits home page for more information.

ERB Statement - As a condition of employment, eligible employees working greater than.25 FTE as determined by the New Mexico Education Retirement Act must make mandatory retirement contributions. For more information, review the Benefits Eligibility at a Glance grid.

Background Check Required - Yes

For Best Consideration Date - 8/18/2025

Eligible for Remote Work - Yes

Eligible for Remote Work Statement - This position is eligible for a remote work agreement (RWA), to include Hybrid, In-State, and Out-of-State. For more information about Remote Work Agreements, please refer to UAP 3245, Remote Work, Section 5, Establishing a Remote Work Agreement and Section 6, Out-of-State Employee Responsibilities. All Regular employees hired for an Out-of-State RWA must agree to an employee status of Term Appointment and subject to regular renewals no longer than yearly, in accordance with UAP 3200, Employee Classification. Renewal of Term Appointments is not guaranteed; the remote work arrangement, operational, and business needs will be considered in determining whether to renew the Term Appointment.

Application Instructions - Only applications submitted through the official UNMJobs site will be accepted. If you are viewing this job advertisement on a 3rd party site, please visit UNMJobs to submit an application. APPLICANT: Please complete the official application; making sure to include all prior work experience and average hours worked per week. Attach your Current Resume; listing three Professional References. Attach your Cover Letter that details how your experience matches the position as described above; including any Preferred Qualifications.

Positions posted with a Staff Type of Regular or Term are eligible for the Veteran Preference Program. See the Veteran Preference Program webpage for additional details. The University of New Mexico is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability, or any other protected class.