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Blue Cloud Pediatric Surgery Centers · 1 month ago

Data Analytics Manager - Remote

United States

Full-time

Remote

Mid, Senior Level

$12K/yr - $80K/yr

4+ years exp

Blue Cloud Pediatric Surgery Centers is focused on leading safety and quality for pediatric dental patients treated in a surgery center environment. The Data Analytics Manager will be responsible for developing and executing data analytics strategies and overseeing performance reporting to maximize revenue and payment capture.

Health CareHospital

Responsibilities

Develop and implement RCM strategies, policies, and procedures to achieve best-in-class RCM performance (e.g., cash to net revenue, DNFB, A/R days, clean claim rate, denial rate, etc.)

Lead major data analytics products and projects from initiation to completion, such as new RCM dashboards, data visualizations, tools and enablers

Conduct deep-dive analysis on key performance indicators (KPIs), identifying variances, root causes for underperformance (e.g., payer mix shifts, coding changes, process breakdowns) and quantifying the financial impact of issues

Develop scalable revenue management models to forecast cash flow, anticipate payer denial trends, and assess the financial impact of proposed fee schedule or contract changes

Collaborate with IT, Development Ops, Ops, and RCM leadership to identify opportunities to automate data collection, report distribution, and routine analysis tasks

Fulfill data requests from senior leadership, providing clear, concise summaries and recommendations based on complex data sets

Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity

Qualification

Data analyticsRevenue cycle managementPredictive modelingMicrosoft ExcelPower BIASC codingHealthcare RCM experienceEMRPAS solutionsLeadership skillsCommunication skillsProblem-solving skills

Required

Minimum of 4 years in a data analyst or business intelligence role, with at least 2 years focused specifically on healthcare RCM data

Expertise in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize revenue and payment capture

Strong functional knowledge of ASC coding, billing and reimbursement methodologies

Excellent problem-solving, leadership, and communication skills

Ability to manage multiple priorities in a fast-paced environment

Must maintain strict confidentiality in accordance with HIPAA and company policies

Ensure all revenue cycle activities align with federal and state compliance regulations

Preferred

ASC and Dental/Oral Surgery experience is a significant plus

HFMA's Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred

Demonstrated expertise in dental and multi-specialty is preferred

Demonstrated success in leading organizational change, process re-engineering, and managing cross-functional stakeholder groups (clinical, IT, operations, finance)

Demonstrated utilization and optimization of workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). Experience leveraging Open Dental is a plus