Senior Analyst, RCM Optimization

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Senior Analyst, RCM (Revenue Cycle Management) Optimization will perform extensive quantitative and qualitative analysis to support business decision making and revenue improvement. The incumbent will oversee the monitoring of performance of revenue impacting operations across the entire revenue cycle on a regular basis, ensuring maximum revenue realization, and identifying/executing actionable revenue improvement initiatives. In addition, the incumbent will be providing analytical support and working with cross-functional teams including IT, Billing, HEDIS, and BI to understand, develop, and improve the revenue cycle of the business. The incumbent is responsible for providing actionable insights on operational outcome metrics that unlock revenue opportunities and contribute to the success of ChenMed’s overall revenue performance.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• Monitors revenue operations performance on regular basis through key performance metrics and models, explain variance from a business perspective and mitigate business risk by creating actionable tasks to mitigate revenue leakage.
• Leverages large amounts of data to solve business issues, support various function teams with business intelligence using MySQL, PowerBI, or other data analysis tools.
• Performs quantitative and qualitative analyses around various business subject matter, provide valuable data driven insight to facilitate business decision making.
• Identifies business model improvement opportunities and actionable strategic initiatives through robust analytics, work independently and within the team to implement the initiatives.
• Designs and executes processes and procedures to continuously improve data quality and integrity. Proactively identifying issues at every step and coordinates the implementation of required fixes.
• Partners with business stakeholders to understand their requirements and assist in the development of dashboards, visualizations and solutions tailored to their needs.
• Evaluates and implements new technologies and systems to enhance revenue cycle processes.
• Works closely with RCM Optimization leadership to obtain strategic areas of focus to guide RCM team’s work.
• Monitors and analyzes key performance indicators (KPIs) for assigned RCM functions, preparing regular reports for senior leadership.
• Leads change management efforts for new processes, technologies, and regulatory requirements within assigned areas.
• Supports the integration and alignment of revenue cycle management operational activities to drive standardization, and to streamline and increase operational efficiency.
• Stays informed of industry trends, regulatory changes, and emerging technologies in healthcare revenue cycle management, recommending best practices for implementation.
• Ensures compliance with all relevant healthcare regulations and standards. Keeps abreast of changes in laws and regulations affecting revenue cycle management.
• Performs other duties as assigned and modified at manager’s discretion.

KNOWLEDGE, SKILLS AND ABILITIES:

• Ability to interpret the needs of the organization and communicate actionable insights through analytics.
• Analytical, independent worker, conceptual thinker, and fast learner with attention to detail and high level of prioritization, organization, and accuracy.
• Ability to build relationships with key stakeholders across the ChenMed enterprise.
• SQL and PowerBI knowledge is required; additional programming languages a plus (e.g., Python, R).
• Strong communication skills, with the ability to prepare, review, and consolidate data findings for senior leadership.
• Ability to manage multiple projects with varying levels of complexity.
• Proven ability to meet deadlines and work in a fast paced environment with changing priorities; exceptional time management and organizational skill.
• Advanced Microsoft Excel & PowerPoint skills including statistical modeling, VLOOKUP and pivot tables.
• Spoken and written fluency in English.
• Willingness and ability to travel within the US up to 10% of the time.
• This job requires the use and exercise of independent judgment.

EDUCATION AND EXPERIENCE CRITERIA:

• BA/BS degree in Computer Science, Information Technology or a related field required OR additional experience above the minimum may be considered in lieu of the required education on a year-for-year basis.
• Minimum 3 year’s experience utilizing and developing data visualization through tools such as PowerBI and/or SSRS required.
• Prior experience in strategic or management consulting, business development, health care, insurance or advanced data analytics preferred.
• Experience in health care models including Medicare Advantage Programs and provider risk models preferred.