Job Details

Medicare Coverage Analyst

We are seeking a knowledgeable Medicare Coverage Analyst with expertise in a broad range of trials, including Pediatric, Non-Oncology, and Oncology indications. The ideal candidate will be responsible for completing Coverage Analysis or managing assignments to third-party vendors, ensuring that all relevant Medicare policies are adhered to and that thorough evaluations are conducted to determine clinical trials' qualification under Medicare guidelines and institutional policies.

Responsibilities:

• Conduct thorough Medicare Coverage Analysis for a variety of clinical trials, including Pediatric, Non-Oncology, and Oncology indications.
• Ensure adherence to all relevant Medicare policies and guidelines.
• Complete or assign Coverage Analysis to third-party vendors as needed.
• Evaluate clinical trials to determine qualification under Medicare guidelines and institutional policies.
• Collaborate with multiple teams to ensure accurate and timely reporting.

Essential Skills:

• 5+ years of experience working exclusively within Medicare coverage analysis.
• Experience with budgets and clinical trial management.
• Strong customer service skills.
• Familiarity with Oncore and Salesforce platforms.
• Ability to generate detailed reporting.

Additional Skills & Qualifications:

• Experience in customer service, specifically in healthcare or clinical settings.
• Demonstrated ability in budget reporting.

Work Environment:

This position is 100% remote, allowing you to work from the comfort of your home. You will interface with multiple teams, including an immediate team comprised of a manager and two budget analysts. The work environment is collaborative and supportive, fostering professional growth and the efficient translation of scientific discoveries into improved patient care.

Job Type & Location:

This is a Contract to Hire position based out of New Haven, CT.

Pay and Benefits:

The pay range for this position is $41.00 - $44.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type:

This is a fully remote position.

Application Deadline:

This position is anticipated to close on Feb 2, 2026.

About Actalent:

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email ...@actalentservices.com for other accommodation options.