Senior Business Analyst-Denial Analytics-PRIZM-Remote jobs in United States
cer-icon
Apply on Employer Site
company-logo

Mayo Clinic Healthcare London · 13 hours ago

Senior Business Analyst-Denial Analytics-PRIZM-Remote

Mayo Clinic Healthcare London is a leading healthcare organization, and they are seeking a Senior Business Analyst specializing in Denial Analytics. This role focuses on leveraging data to identify denial trends and root causes, providing insights to improve revenue recovery and denial prevention.

Responsibilities

Analyze denial-related data from PRIZM and other systems to identify trends, patterns, and root causes impacting reimbursement
Build dashboards, models, and reports that translate complex data into clear, actionable insights for executive leadership and operational teams
Work collaboratively with denial operations teams, clinical departments, coding, and revenue cycle leadership to inform and align on data-driven initiatives
Monitor key denial performance indicators (e.g., volume trends, appeal success rates, payer-specific denial rates) and escalate significant variances
Serve as a PRIZM engine expert and support governance of data inputs, categorization logic, and model performance
Translate business questions into analytical frameworks and communicate findings to both technical and non-technical audiences
Provide support for strategic initiatives by contributing data analyses and recommendations during workgroup discussions or executive briefings
Partner with IT and analytics teams to improve data quality, automation opportunities, and integration across platforms
Document data definitions, logic, and workflows to support transparency and repeatability in reporting

Qualification

Data AnalysisRevenue Cycle IntelligenceData VisualizationClaims AnalysisEPIC SystemsCBAP CertificationProcess ImprovementStakeholder EngagementCross-Functional CollaborationEffective Communication

Required

Bachelor's and 6 years experience in business analysis, business administration, engineering, information science, health or science-related field
OR
Master's and 2 years experience in business analysis, business administration, engineering, information science, health or science-related field

Preferred

Experience in an academic medical center or integrated delivery system
Familiarity with EPIC systems and claims data structures
Involvement in cross-functional denial prevention or revenue integrity project
CBAP Certified Business Analysis Professional
CCBA Certification of Competency in Business Analysis
PMI-PBA Professional in Business Analysis preferred

Company

Mayo Clinic Healthcare London

twitter
company-logo
Located in the Harley Street District in London, Mayo Clinic Healthcare offers an array of services, including Executive Health Assessments, GP Services, Outpatient Cardiology, Cardio-thoracic, Respiratory, Neurology and Neurosurgery, Colorectal, Gastroenterology, General Internal Medicine, Orthopaedic, Rheumatology and Endocrinology specialist consultations.

Funding

Current Stage
Growth Stage
Company data provided by crunchbase