
Strategic Business Analyst
2 days ago
This role involves overseeing the analytics lifecycle, identifying relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This encompasses managing analytic data platforms, reporting/business intelligence solutions, and applying advanced quantitative modeling.
Data analysis applies business process knowledge and develops timely, accurate, relevant and actionable insights to support business decisions and objectives.
The ideal candidate will possess a strong understanding of payer reimbursement models, billing codes (HCPCS, ICD-10), and regulatory requirements.
Essential Duties:
- Analyze and optimize the full RCM lifecycle, including eligibility, authorization, billing, collections, denials, and payment posting.
- Perform variance analysis to identify trends, root causes, and opportunities for operational and financial improvement.
- Design and build data visualization tools and dashboards (e.g., Power BI, Tableau) to track KPIs and support decision-making.
- Enable efficient and effective root cause analysis on denials, underpayments and delays in cash flow and the development of corrective strategies.
- Drive cash collection optimization through payer behavior analysis, AR aging reviews, and workflow enhancements.
Qualifications and Requirements:
- Bachelor's degree in Business, Finance, Healthcare Administration, or related field (Master's preferred).
- 5+ years of experience in business analysis, with at least 3 years in RCM within a healthcare or DMEPOS environment.
- Proven ability to develop solutions to a wide range of difficult problems in a manner consistent with company goals.
- Strong communication, critical thinking, and stakeholder engagement skills.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day.
Additional InformationWe are an Equal Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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