Business Analyst - RCM

Posted Yesterday
7 Locations
In-Office or Remote
Senior level
Healthtech • Pharmaceutical
The Role
Lead analytics and optimization of the full RCM lifecycle (eligibility, billing, denials, collections). Build dashboards, perform variance and root-cause analyses, drive cash collections, support audits and payer contract reviews, and translate data into actionable insights for leadership.
Summary Generated by Built In

What Data Analytics brings to Cardinal Health:

The Data & Analytics Function oversees the analytics life-cycle in order to identify, analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This function manages analytic data platforms, the access, design and implementation of reporting/business intelligence solutions, and the application of advanced quantitative modeling.

Data Analytics applies business process knowledge and data analytics to develop, recommend and communicate timely, accurate, relevant and actionable insights to support business decisions and objectives.

Qualifications

  • Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred).
  • 5+ years of experience in business analysis, with at least 3 years in RCM within a healthcare or DMEPOS environment.
  • Proven ability to develop solutions to a wide range of difficult problems in a manner consistent with company goals.
  • Strong understanding of payer reimbursement models, billing codes (HCPCS, ICD-10), and regulatory requirements.
  • Proficiency in SQL, Excel, and data visualization tools (Power BI, Tableau, etc.).
  • Excellent communication, critical thinking, and stakeholder engagement skills.

What is expected of you and others at this level

  • Execute complex projects of large scope, often involving cross-functional collaboration and high visibility.
  • Analyze and optimize the full RCM lifecycle, including eligibility, authorization, billing, collections, denials, and payment posting.
  • Perform variance analysis to identify trends, root causes, and opportunities for operational and financial improvement.
  • Design and build data visualization tools and dashboards (e.g., Power BI, Tableau) to track KPIs and support decision-making.
  • Enable efficient and effective root cause analysis on denials, underpayments and delays in cash flow and the development of corrective strategies.
  • Drive cash collection optimization through payer behavior analysis, AR aging reviews, and workflow enhancements.
  • Work independently with general guidance, ensuring solutions are aligned with organizational objectives and compliance standards.
  • Translate complex data into clear, actionable insights for executive leadership and operational teams.
  • Support audits, payer contract reviews, and compliance initiatives as needed.
Preferred Skills:
  • Experience with DMEPOS billing systems (e.g., Brightree, Kareo, or similar).
  • Familiarity with HIPAA, CMS guidelines, and payer-specific policies.
  • Lean Six Sigma or similar process improvement certification is a plus.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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Skills Required

  • Bachelor's degree in Business, Finance, Healthcare Administration, or related field
  • Master's degree
  • 5+ years of business analysis experience
  • At least 3 years of experience in RCM within healthcare or DMEPOS
  • Strong understanding of payer reimbursement models, billing codes, and regulatory requirements
  • Proficiency in SQL and Excel
  • Experience with data visualization tools (Power BI, Tableau)
  • Excellent communication, critical thinking, and stakeholder engagement skills
  • Experience with DMEPOS billing systems (e.g., Brightree, Kareo)
  • Familiarity with HIPAA, CMS guidelines, and payer-specific policies
  • Lean Six Sigma or similar process improvement certification

Cardinal Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Cardinal Health and has not been reviewed or approved by Cardinal Health.

  • Leave & Time Off Breadth Paid time off is frequently described as generous, including examples like multiple weeks of vacation, additional sick days, and in some roles even “unlimited” or untracked time off. Parental leave, paid holidays, and volunteer time further broaden the overall leave offering.
  • Healthcare Strength Medical, dental, and vision coverage is positioned as comprehensive, with added supports such as preventive care, telehealth/clinic access, mental health resources, and EAP counseling. Wellness programs and incentives (e.g., premium discounts tied to checkups or healthy lifestyle actions) add to the perceived breadth of healthcare-related support.
  • Retirement Support A 401(k) with company match, along with programs like stock purchase/equity participation and charitable matching, contribute to a stronger total rewards picture beyond base pay. Additional financial supports such as disability coverage and early wage access also enhance the overall package.

Cardinal Health Insights

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The Company
HQ: Dublin, OH
44,000 Employees
Year Founded: 1971

What We Do

Cardinal Health is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With 50 years in business, operations in more than 35 countries and approximately 44,000 employees globally, Cardinal Health is essential to care. We are navigating the complexities of healthcare and providing scaled solutions to help our customers thrive in a changing world. We strive to be a trusted healthcare partner by driving growth in evolving areas of healthcare, while building upon our distribution, products, and solutions to meet customer needs.

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