Cleveland Clinic

Cleveland Clinic

Research Medicare Coverage Analysis Specialist

Cleveland Clinic Main Campus, USA

Sponsorship not specifiedDetected 16 hours ago
AccountingAuditingICD-10Clinical TrialsClinical ResearchPatient CareFDA RegulatoryResearchOrganizational Skills

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odds of building a lasting career here

88Lottery-free
Cap-exempt (no lottery)100
Sponsors year-round90
Entry-level history60
PERM / green-card track50
Fits your clock70

Files H-1B any time — no cap, no lottery. The 2026 weighted-selection rule doesn't touch it, which makes this the strongest structural path for entry-level talent. Pay is often lower, but your odds of staying are dramatically higher.

Lottery odds assume a STEM candidate.

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Employer immigration record

from this employer's Department of Labor filings

States it is exempt from the H-1B cap

In 1 Department of Labor filing, this employer states it is a nonprofit affiliated with an institution of higher education, or a nonprofit or governmental research organization — one of the statutory grounds for exemption from the H-1B cap. Cap-exempt employers can file year-round without entering the lottery.Employer's own attestation on a Department of Labor wage determination, not a USCIS determination — exemption is decided per petition.

Files H-1B transfers

6 transfer filings in the last year, covering 6 workers. Median labor-condition decision: 8 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the role

  • Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family.
  • A caregiver in this position works days from 8:00 a.m. -- 5:00 p.m.
  • After the first 90 days, this role transitions to a hybrid schedule with two to three days per week onsite at Main Campus and the remaining days remote.

Responsibilities

  • Ensure compliant research billing practices are followed by reviewing clinical trial protocols, related regulatory documents, clinical trial agreements, informed consent documents, documents from the FDA and CMS, and the study budget to assess all patient care items and services per the study protocol.
  • We all have the power to help, heal and change lives - beginning with our own.

Requirements

  • In lieu of degree, six years of relevant experience in research billing, compliance, and/or direct involvement with sponsored clinical trials
  • Four years of relevant experience in research billing, compliance, and/or direct involvement with sponsored clinical trials
  • Strong organizational skills with ability to multi-task
  • Ability to operate a computer and other office equipment.
  • Ability to communicate effectively and exchange accurate information.
  • Follows standard precautions using personal protective equipment as required for procedures.

Nice to have

  • Ability to navigate CMS website
  • Coding experience
  • for the ideal future caregiver include:

Skills

  • Assist the MCA Director on the development of tools and billing grids for the Medicare Coverage Analysis process.

Compensation

  • You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Benefits

  • At Cleveland Clinic Health System, we believe in a better future for healthcare.
  • That's the power of the Cleveland Clinic Health System team, and The Power of Every One.
  • Research Medicare Coverage Analysis Specialist
  • Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
  • Make determinations of qualifying clinical trial status and perform detailed coverage analysis as required by NCD 310.1 and the Federal Clinical Trials Policy.
  • Research and apply policies from various sources such as federal, state, CMS website and professional practice guidelines in making coverage determinations.
  • Document justification for coverage analysis by citing specific resources for coverage determinations.
  • Bachelor's degree in Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing or a related field
  • Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Equal opportunity

  • The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment.

Visa & Work Authorization

  • Assist in the management of claims review by applying the appropriate CDM and/or CPT codes for potentially billable items and services as well as identifying items and services that are billable to the research sponsor.

This listing is sourced directly from Cleveland Clinic's careers page and normalized into a canonical job model.