Denials Optimization Associate

Posted Yesterday
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Belfast, ME, USA
In-Office
50K-86K Annually
Mid level
Healthtech • Information Technology • Telehealth
Curing complexity to simplify the practice of care.
The Role
Analyzes denial and revenue cycle data to identify trends, bottlenecks, and root causes. Leads optimization initiatives from problem definition through implementation and performance tracking, designing interventions that reduce denial rates, manual effort, and rework. Develops KPI metrics, monitors results, identifies automation opportunities, and collaborates with Operations, Business Intelligence, Training, Quality, Technology, and other stakeholders to improve workflows and operational scalability.
Summary Generated by Built In

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Denials Optimization Associate

We are looking for a Denials Optimization Associate to join the Denials Optimization & Process Efficiencies team. In this role, the Denials Optimization Associate will play a critical role in improving revenue cycle performance by using data and analytics to identify denial trends, uncover root causes, and execute targeted process improvements that reduce manual effort and improve key operational KPIs. This role blends analytical problem‑solving, workflow optimization, and cross‑functional collaboration to turn insights into measurable performance gains. The Associate leads focused initiatives that drive sustained reductions in manual touches, denial rates, and rework while improving operational scalability.

The Team: The Denials Optimization & Process Efficiencies team is responsible for reducing operational friction, lowering cost per claim, and improving denial outcomes across the revenue cycle. The team partners closely with Operations, Business Intelligence, Training, Quality, and Technology teams to identify automation opportunities and standardize best‑in‑class workflows. Using data-driven insights and pilot-led experimentation, the team delivers scalable solutions that reduce manual workload and improve efficiency across payer and client programs.

Job Responsibilities

  • Analyze denial performance data, workflows, and monitor outputs to identify trends, bottlenecks, and root causes impacting key KPIs.

  • Translate insights into action by designing and executing targeted intervention strategies that measurably improve operational performance and reduce manual effort.

  • Lead end‑to‑end optimization initiatives, including problem definition, data analysis, solution design, execution, and post‑implementation performance tracking.

  • Develop success metrics and monitor KPI performance to validate impact, identify risks, and sustain improvements over time.

  • Partner cross‑functionally with Operations, BI, R&D, Commercial, and Training teams to implement workflow changes, automation opportunities, and monitoring enhancements.

  • Communicate findings and outcomes to leadership and stakeholders through clear, data‑driven storytelling and performance reporting.

Typical Qualifications

  • Bachelor’s degree or equivalent professional experience

  • 3+ years of experience in denial management, revenue cycle operations, or a related operational role

  • Demonstrated success driving process optimization and reducing manual effort

  • Strong stakeholder engagement and cross‑functional collaboration skills

  • Experience leading projects independently with measurable outcomes

  • Working knowledge of project management concepts

  • SQL or advanced data-querying experience


Expected Compensation

$50,000 - $86,000

The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates.  Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.


About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented  employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative  workspaces  — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,full-time. With consistent communication and digital collaboration tools, athenahealthenablesemployees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued. 

Learn more about our culture and benefits here: athenahealth.com/careers  

https://www.athenahealth.com/careers/equal-opportunity

Skills Required

  • Bachelor's degree or equivalent professional experience
  • 3+ years of experience in denial management, revenue cycle operations, or a related operational role
  • Demonstrated success driving process optimization and reducing manual effort
  • Strong stakeholder engagement and cross-functional collaboration skills
  • Experience leading projects independently with measurable outcomes
  • Working knowledge of project management concepts
  • SQL or advanced data-querying experience

athenahealth Compensation & Benefits Highlights

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

  • Healthcare Strength Health coverage is described as comprehensive, including medical, dental, and vision options alongside additional protections like accident and critical illness coverage. Mental health support and EAP-style counseling resources are also part of the package.
  • Leave & Time Off Breadth Time-away offerings include PTO that covers vacation and sick time, paid holidays, and options for leaves of absence and sabbaticals. Flexible time off is positioned as a meaningful part of the overall rewards package for some roles.
  • Retirement Support Retirement benefits include a 401(k) plan with employer matching, supported by broader financial wellbeing resources. Equity and performance bonuses are also referenced as part of total rewards.

athenahealth Insights

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The Company
HQ: Boston, MA
7,200 Employees
Year Founded: 1997

What We Do

athenahealth strives to cure complexity and simplify the practice of healthcare. Our innovative technology includes electronic health records, revenue cycle management, and patient engagement solutions that help healthcare providers, administrators, and practices eliminate friction for patients while getting paid efficiently. athenahealth partners with practices with purpose-built software backed by expertise to produce the insights needed to drive better clinical and financial outcomes. We’re inspired by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.  For more information, please visit www.athenahealth.com

Why Work With Us

We are here to make an impact on the healthcare industry at scale. We enable our diverse teams to move fast, grapple with interesting technical challenges, and innovate at every level. We are on a modernization journey and build on the hybrid cloud. We deliver best-in-class solutions to help every patient receive the best possible care.

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