Stedi · 1 month ago
Revenue Cycle Analytics - Payer Operations
United States
Full-time
Remote
Mid, Senior LevelStedi is a leading programmable healthcare clearinghouse focused on revolutionizing the healthcare transaction process. They are seeking a member for their Revenue Cycle Analytics team to leverage data for tracking key metrics, improving customer outcomes, and analyzing payer performance.
B2BHealth CareInformation Technology
Responsibilities
Define and track RCM health metrics: Develop and maintain metrics such as claim acceptance rates, denial reasons, first-pass resolution rates, payer adjudication times etc. while identifying new measures as payer behavior and customer needs evolve
Analyze payer performance: Track payer-level performance (claim rejections, delay patterns, ERA discrepancies, eligibility response behavior) to surface trends and identify systemic issues impacting customers
Create actionable reporting: Build clear, high-signal dashboards and reports that enable Customer Operations, Payer Operations, and Product teams to proactively detect and resolve issues before customers are affected
Drive claims & RCM insights: Partner with Customer Operations, Sales, and Product to analyze claim flows, denial patterns, payer rules, and reimbursement behaviors that improve troubleshooting and inform product enhancements
Document patterns and requirements: Create and maintain a knowledge base of payer rules, recurring claim errors, eligibility and status bugs, and remittance behaviors to support faster and more accurate triage
Maintain a clear analytics backlog: Own and maintain a structured backlog of analytics needs in Linear, prioritizing requests, scoping work, and communicating progress to cross-functional stakeholders
Qualification
Required
You have deep RCM expertise. You're experienced in analyzing healthcare claims, claim status, and payer reimbursement data. You know the important metrics and why they matter
You have exceptional analytics and documentation skills: You treat claims analytics like an engineering discipline: defining clear metrics, validating data quality, building reproducible workflows and organizing complex logic into maintainable structures. You know what it takes to stand up a high-performing claims analytics function
You know the tech stack. You are an expert in SQL and fluent in modern visualization tools
You are excited about using new AI technologies. You actively use emerging AI tools to improve analysis speed, automate workflows, enhance pattern detection, and expand the scope of what you can investigate
You create and execute your own work. You are relentlessly curious, and want to become an expert in the product and the overall operation so you can create and prove your own hypotheses. You are not satisfied in a role where someone hands you requirements
You do what it takes to get the job done. You are resourceful, self-motivating, self-disciplined, and don't wait to be told what to do. You put in the hours
You move quickly. We move fast as an organization. You match our pace with urgency, crisp communication, and a willingness to escalate or ask for feedback when needed. You support both internal teams and payer-facing workflows with rapid, thoughtful analysis
You are a 'bottom feeder'. You thrive on the details. No task is too small in order to find success, generate revenue, and improve our costs
Company
Stedi
Stedi is the only API-first healthcare clearinghouse.
Founded in 2017
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$95.08MKey Investors
StripeVTF Capital
2024-11-26Series B· $20M
2020-08-18Series B· $50.1M
2019-11-08Series Unknown· $21.28M
Leadership Team
Zack Kanter
Founder & CEO
Recent News
2025-11-24
2025-10-16
Company data provided by crunchbase