IKS Health · 1 month ago
Product SME – Denial Management & Data Analytics
United States
Full-time
Onsite
Mid, Senior Level
$90K/yr - $125K/yr
7+ years expIKS Health is a company focused on reducing administrative and operational burdens in healthcare, enabling stronger, financially sustainable enterprises. The Product SME – Denial Management & Data Analytics will optimize revenue cycle performance through data-driven insights and automation, partnering with clients to enhance denial management processes and improve financial outcomes.
Health CareMedical
Responsibilities
Engage with revenue cycle and finance stakeholders to understand existing denial management processes, data flows, and key performance drivers
Conduct detailed assessments of current denial root causes, resolution workflows, and reporting capabilities
Map current-state workflows to the target product environment, identifying opportunities for automation and predictive analytics
Design best-practice denial management processes leveraging product capabilities such as denial categorization, rules engines, workflow automation, and AI-driven insights
Define key metrics, dashboards, and reports to track denial trends and root-cause performance
Recommend data governance and reporting frameworks to ensure transparency and actionable intelligence
Translate business, operational, and analytical requirements into clear functional specifications for implementation teams
Validate configuration of rules, workflows, and dashboards to ensure alignment with intended design and KPIs
Serve as the 'voice of the product' and 'voice of the customer' in discussions with analytics, product, and client stakeholders
Maintain expert-level knowledge of product features related to denial management, workflow automation, and data analytics
Advise clients and internal teams on how to leverage predictive models, dashboards, and trend analyses to improve performance
Support enablement and training efforts for internal and client teams on data interpretation and actionability
Help clients visualize a data-driven approach to denial prevention and revenue protection
Partner with operational leaders to define new performance management and accountability processes
Support change management efforts to drive adoption of analytics tools and proactive denial resolution workflows
Collaborate closely with Product Managers and Data Science teams to share client feedback and shape product enhancements
Partner with Implementation and Integration teams to ensure accurate data flow across systems
Support Sales and Pre-Sales teams by articulating the business value and ROI of analytics-driven denial management
Review test results and validation reports to ensure denial rules, dashboards, and analytics deliver the expected insights
Support User Acceptance Testing (UAT) and sign off on analytical accuracy and workflow integrity prior to go-live
Qualification
Required
7+ years in revenue cycle operations, analytics, or healthcare technology, with focus on denial management, claims, or performance analytics
Experience configuring or implementing denial management or analytics tools (e.g., Epic Resolute, nThrive, FinThrive, Waystar, Change Healthcare, MedeAnalytics, or equivalent)
Familiarity with claims data standards (ANSI 837/835), payer denial codes, and root-cause analytics
Proficiency in data visualization and analytics platforms (e.g., Tableau, Power BI, Looker)
Understanding of data pipelines, reporting logic, and quality assurance principles
Bachelor's degree in Healthcare Administration, Informatics, Computer Science, Statistics, or related field (Master's preferred)
Benefits
Healthcare
401 (k)
Paid time off
Company
IKS Health
IKS Health offers clinical, financial, and administrative healthcare solutions.
10001+ employees
H1B Sponsorship
IKS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (7)
2023 (4)
2021 (5)
2020 (3)
Funding
Current Stage
Public CompanyTotal Funding
unknown2024-12-19IPO
2006-11-16Seed
Leadership Team
Sachin Gupta
Founder & CEO
Joe Benardello
Co-founder and Chief Growth Officer
Recent News
2026-01-16
2025-11-23
Company data provided by crunchbase