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Senior Analyst, Revenue Cycle Management – Analytics

Remote · Peru Full-time

Job Description:

  • Produce accurate, timely RCM reports and dashboards
  • Validate data, reconcile source-system differences, and communicate limitations or delays
  • Maintain metric definitions, calculations, data sources, ownership, refresh timing, and version history
  • Analyze RCM performance across workflows, payers, tests, teams, aging, and denial types
  • Identify trends, root causes, bottlenecks, and improvement opportunities
  • Present findings, evidence, business impact, and recommended actions to RCM and Finance leaders
  • Support workload, productivity, backlog, turnaround time, staffing capacity, cash, reimbursement, ASP, denials, appeals, collections, and forecasting analyses
  • Establish baselines and targets for transformation initiatives and monitor post-launch results
  • Standardize and automate recurring reporting while protecting confidential information
  • Document source-system issues, validate corrections, and follow through with responsible teams
  • Report to the Director, RCM Strategy & Analytics, or designee

Requirements:

  • Bachelor’s degree in analytics, business, finance, economics, healthcare administration, information systems, statistics, or a related field
  • 2+ years of experience in healthcare analytics, revenue cycle analytics, financial analysis, business intelligence, or a related field
  • Strong understanding of healthcare RCM workflows and measures
  • Advanced Excel skills and experience with a business intelligence or data visualization tool
  • Experience combining, validating, reconciling, and interpreting data from multiple sources
  • Ability to explain complex analysis in concise, nontechnical business language
  • Strong attention to accuracy, documentation, deadlines, and confidential information
  • Protect patient, client, employee, financial, and business information and comply with company policies, HIPAA, and applicable payer, laboratory, quality, and regulatory requirements
  • Preferred: Experience in diagnostic, molecular, genetic, pathology, or specialty laboratory reimbursement
  • Preferred: SQL and Power BI, Tableau, or comparable analytics experience
  • Preferred: Experience with Quadax, Salesforce, laboratory billing systems, clearinghouses, payer portals, CRM, or LIS data
  • Preferred: Experience with reimbursement, ASP, prior authorization, denials, appeals, forecasting, capacity analysis, vendor reporting, automation, or AI-enabled analytics

Benefits:

  • Reasonable accommodations provided in accordance with applicable law
  • Equal opportunity and inclusive workplace commitment
  • Remote work arrangement

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