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Mayo Clinic · 12 hours ago

Senior Business Analyst-Denial Analytics-PRIZM-Remote

United States

Full-time

Remote

Senior Level

$87K/yr - $134K/yr

6+ years exp

Mayo Clinic is a renowned healthcare organization, and they are seeking a Senior Business Analyst specializing in Denial Analytics. This role focuses on leveraging data to uncover denial trends and provide actionable insights to improve revenue recovery and denial prevention.

BiotechnologyHealth CareHospitalMedicalWellness

No H1B

U.S. Citizen Only

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

Business AnalysisData VisualizationRevenue Cycle IntelligenceEPIC SystemsClaims Data StructuresProcess ImprovementStakeholder EngagementAnalytical RigorRoot Cause AnalysisData StorytellingBusiness AcumenCertification in Business AnalysisEffective CommunicationCross-Functional CollaborationProblem SolvingAttention to Detail

Required

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

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, or PMI-PBA Professional in Business Analysis preferred