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Mayo Clinic · 4 hours ago

Senior Manager, Enterprise Denial Prevention & Analytics (PRIZM)

Rochester, MN

Full-time

Onsite

Senior Level, Lead/Staff

$138K/yr - $201K/yr

10+ years exp

Mayo Clinic is a top-ranked healthcare provider dedicated to patient care and employee development. They are seeking a Senior Manager for Enterprise Denial Prevention & Analytics to oversee denial management activities, lead a team, and implement strategies to improve reimbursement accuracy across a multi-site health system.

BiotechnologyHealth CareHospitalMedicalWellness

No H1B

Responsibilities

Provide strategic and operational oversight for enterprise denial management activities and prevention initiatives

Lead, mentor, and develop a team of Senior Business Analysts and Denial Prevention Associates

Manage and optimize use of the PRIZM engine and associated analytics dashboards, ensuring effective modeling, governance, and insight generation

Collaborate across clinical and non-clinical departments to lead denial prevention workgroups focused on process redesign and revenue integrity

Establish, monitor, and report on key performance indicators (KPIs) to assess and improve denial management outcomes

Engage with physician and administrative leadership to identify system-level gaps and drive improvement initiatives

Participate in strategic planning efforts, serving as a thought leader and advisor to Revenue Cycle leadership

Represent the health system in external industry forums (e.g., HFMA, EPIC academic working groups) to stay ahead of evolving denial trends and share best practices

Facilitate complex problem-solving efforts involving payor trends, documentation workflows, clinical collaboration, and contract interpretation

Translate enterprise strategy into measurable, effective actions within the Denial Management program

Qualification

Denial managementAnalytics platform managementTeam leadershipEPIC experienceHealthcare revenue cycleComplex problem solvingData analyticsChange leadershipStrategic thinkingCross-functional collaborationProject managementEmotional intelligence

Required

Bachelor's degree in Business, Healthcare, Finance, or a related field and 10 years of relevant experience, including at least 5 years in a leadership role OR 14 years of relevant experience (in lieu of degree), including 5 years leading people, projects, or programs

Demonstrated experience managing teams, projects, and complex systems in healthcare or consulting environments

Proven analytical expertise with ability to identify trends, synthesize data, and present insights to senior leadership

Strong executive presence and communication skills with ability to engage diverse stakeholder groups

EPIC experience in a revenue cycle context

Prior experience with denial management and denial analytics platforms

Preferred

Master's degree in Business Administration, Health Administration, or related field

Experience within an academic medical center or large integrated health system

Active participation in professional organizations such as HFMA or NAHAM

Background in consulting with success at managing large scale healthcare revenue cycle improvement initiatives, healthcare analytics and denials management