200+ applicants

Company

Ensemble Health Partners · 2 days ago

Lead Analyst, Product Innovation

United States

Full-time

Remote

Senior Level

5+ years exp

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Responsibilities

Conduct thorough analysis of healthcare revenue cycle processes, including patient registration, prior authorization, billing, coding, claims processing, payment posting, and AR follow up.

Identify areas of inefficiency within the revenue cycle and develop data-driven recommendations for process improvement.

Collaborate with stakeholders to brainstorm opportunities, gather and document business requirements.

Perform in-depth data analysis to identify trends, patterns, and opportunities for revenue optimization and cost reduction.

Prepare and present executive summaries to stakeholders, conveying complex data in a clear and actionable manner.

Develop performance metrics and KPIs to track revenue cycle performance and measure the effectiveness of proposed solutions.

Collaborate with other technology teams to design, implement, and test technology solutions that enhance revenue cycle operations.

Understand regulatory compliance and reimbursement policies, ensuring adherence to industry standards and best practices.

Stay up-to-date with industry trends, emerging technologies, and regulatory changes affecting healthcare revenue cycle management, and proactively share knowledge with the team.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

MS SQLHealthcare Revenue CycleWaterfall MethodologyData AnalysisEHR SystemsBilling SoftwareHealthcare Regulations

Required

Expert level in MS SQL

Experience in Healthcare Revenue Cycle

Long term project mindset- using Waterfall Methodology

Bachelor's degree in Business Administration, Finance, Comp Science, Mathematics, Engineering, Healthcare Management or a related field.

Proven experience (5 years+) as a Business Analyst or similar role in the healthcare revenue cycle management domain.

Strong understanding of healthcare revenue cycle processes, including billing, coding, claims processing, and reimbursement methodologies.

Proficiency in data analysis tools and techniques, such as SQL, Excel, or statistical software.

Familiarity with healthcare IT systems, such as EHRs, practice management systems, and billing software.

Excellent analytical skills with the ability to interpret complex data sets and derive meaningful insights.

Strong problem-solving abilities, with a focus on identifying root causes and proposing effective solutions.

Exceptional communication skills, both written and verbal, with the ability to effectively present complex information to stakeholders at various levels of the organization.

Detail-oriented and highly organized, capable of managing multiple projects and priorities simultaneously.

Knowledge of healthcare regulations, compliance standards, and industry trends, such as HIPAA and value-based reimbursement models.

Preferred

A Master's degree is a plus.

Benefits

Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs

Professional certification relevant to their field

Tuition reimbursement

Quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company