<p>Clinical Research Billing Compliance Analyst</p> <p>Location: Remote (Candidates must NOT reside in: AK, CA, CT, MS, MO, MT, NV, NM, ND, SD, WY)</p> <p>Position Overview</p> <p>The Clinical Research Billing Compliance Analyst serves as a key liaison between clinical research teams and centralized billing offices. This role is responsible for ensuring accurate billing and compliance with Medicare (CMS) regulations, institutional policies, and clinical trial requirements. The analyst will review billing charges, assess compliance risks, and collaborate with cross-functional stakeholders to drive process improvements and maintain regulatory adherence.</p> <p>Key Responsibilities</p> <ul> <li>Conduct risk assessments for clinical trials with billable services using OnCore and protocol documentation </li><li>Review and validate medical documentation, coding, and billing for accuracy (ICD-10, CPT-4, HCPCS, modifiers) in compliance with regulatory standards </li><li>Evaluate billing charges from hospital and professional billing offices, ensuring proper designation and compliance alignment </li><li>Identify discrepancies and collaborate with stakeholders (e.g., Office of Sponsored Projects) to resolve documentation and billing issues </li><li>Review clinical trial encounters using systems such as OnCore and Epic </li><li>Maintain detailed logs, dashboards, and audit reports; analyze trends and identify potential risk areas </li><li>Develop and support corrective action plans with Principal Investigators and study teams </li><li>Contribute to ongoing monitoring and enhancement of the Research Billing Compliance Program </li><li>Generate reports and perform data analysis using clinical trial management tools </li><li>Support training initiatives for research teams on billing compliance, coding accuracy, and regulatory guidelines </li><li>Stay current with evolving CMS regulations and industry best practices; maintain CPC certification through CEUs </li></ul> <p>Required Skills & Qualifications</p> <ul> <li>Bachelor's degree in a related field </li><li>3+ years of clinical research billing, charge review, or compliance experience </li><li>Experience with clinical trial systems, protocol tracking, and reporting (OnCore required) </li><li>Strong knowledge of protocols, ICFs, MCA, CTAs, and research billing compliance </li><li>Proficiency in medical documentation review and coding (ICD-10, CPT, HCPCS) </li><li>Strong analytical, problem-solving, and critical thinking skills </li><li>Ability to manage multiple priorities independently in a fast-paced environment </li><li>Excellent communication, stakeholder engagement, and collaboration skills </li><li>Proficiency in Microsoft Office (Excel, Word, PowerPoint) </li><li>Experience with coverage analysis; oncology experience a plus </li><li>Experience with bridging clinical research and finance </li><li>Strong presentation and conflict resolution skills </li></ul> <p>Job Type & Location</p> <p>This is a Permanent position based out of New Haven, CT.</p> <p>Pay and Benefits</p> <p>The pay range for this position is $70000.00 - $105000.00/yr.</p> <p>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:</p> <ul> <li>Medical, dental & vision </li><li>Critical Illness, Accident, and Hospital </li><li>401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available </li><li>Life Insurance (Voluntary Life & AD&D for the employee and dependents) </li><li>Short and long-term disability </li><li>Health Spending Account (HSA) </li><li>Transportation benefits </li><li>Employee Assistance Program </li><li>Time Off/Leave (PTO, Vacation or Sick Leave) </li></ul> <p>Workplace Type</p> <p>This is a fully remote position.</p> <p>Application Deadline</p> <p>This position is anticipated to close on Jun 12, 2026.</p> <p>About Actalent</p> <p>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.</p> <p>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.</p> <p>If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.</p> <p>San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.</p> <p>Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</p> <p>Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.</p>