Analyst, Revenue Cycle Management – Managed Care
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Revenue cycle analyst improving reimbursement and financial performance across Compass Surgical Partners’ ambulatory surgery centers. Analyzing payer contracts, denials, collections, and healthcare data.
Responsibilities:
- Develop and maintain reporting on revenue cycle performance, including accounts receivable, collections, denials, aging, and reimbursement trends
- Identify performance gaps and emerging risks and recommend improvements to financial outcomes
- Analyze denial patterns, payment variances, and collection trends to identify root causes and improvement opportunities
- Monitor revenue cycle metrics and provide insights to operational leadership
- Analyze payer contracts, reimbursement rates, fee schedules, and payment methodologies
- Identify and quantify reimbursement discrepancies, underpayments, and incorrect contract rate applications
- Develop financial models for payer contract negotiations, renewals, and reimbursement changes
- Evaluate payer mix, service line performance, and reimbursement scenarios
- Support budgeting, forecasting, growth initiatives, portfolio performance, and strategic analysis with Finance and Corporate Development
- Analyze claims, reimbursement, procedure-level, and specialty data to develop projections and identify risks
- Translate complex datasets into recommendations for business and operational leaders
- Maintain payer, contract, and reimbursement data quality and consistency
- Streamline reporting, reduce manual work, and improve analytical efficiency
- Maintain confidentiality and comply with HIPAA and data governance standards
- Use AI-enabled tools, automation, and advanced analytics to accelerate analysis and improve reporting
- Evaluate workflows and develop scalable solutions that improve accuracy and consistency
- Validate automated and AI-generated outputs before using them in financial analysis or recommendations
- Apply safeguards when handling sensitive financial, payer, or protected healthcare information
Requirements:
- Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Analytics, Economics, Information Systems, or a related field
- Experience in healthcare revenue cycle management, managed care, reimbursement analysis, healthcare finance, or a closely related analytical function
- Working knowledge of healthcare revenue cycle processes, including claims, payment posting, denials, collections, and accounts receivable
- Understanding of payer reimbursement methodologies, contract rates, and reimbursement variance analysis
- Experience analyzing financial or operational data and translating findings into actionable recommendations
- Advanced Microsoft Excel skills, including formulas, lookups, pivot tables, data reconciliation, and analysis of large datasets
- Strong analytical judgment, attention to detail, and ability to communicate effectively with cross-functional stakeholders
- Understanding of healthcare data confidentiality and HIPAA requirements
- Experience using AI, automation, business intelligence, or workflow tools to improve analysis and reporting
- Ability to evaluate new technologies and apply them thoughtfully to practical business challenges
- Sound judgment when validating AI-generated outputs and handling sensitive healthcare information
- Preferred: Experience supporting ambulatory surgery centers, hospital outpatient departments, physician practices, or multisite healthcare organizations
- Preferred: Experience with payer contract modeling, fee schedule analysis, reimbursement methodologies, or contract performance evaluation
- Preferred: Experience analyzing accounts receivable, denials, collections, payment variances, or other revenue cycle performance indicators
- Preferred: Familiarity with healthcare financial reporting, forecasting, and dashboard development
- Must be eligible to work in the United States; visa sponsorship question is included in the application
Benefits:
- Compensation varies by work location, relevant skills, experience, education or training, and company and individual performance
- Remote work arrangement
Similar Jobs
Onboarding Analyst – 6 month contract
Onboarding Analyst reviewing KYC, sanctions, and risk cases for BVNK’s stablecoin-powered financial infrastructure. Supporting compliant customer onboarding across a global fintech team.
Prime Financing Trading Analyst
Prime Financing Trading Analyst managing Coinbase’s institutional crypto financing book across lending, margin, and shorting. Trading liquidity, optimizing net interest margin, and structuring client financing solutions.
Behavioral Health Medical Policy Analyst
Behavioral health policy analyst supporting Centene’s healthcare coverage decisions through evidence-based research, technical writing, and clinical policy maintenance.
Software Analyst
Analista de Software desenvolvendo sistemas e soluções para a Monks, agência digital global orientada por dados. Garantindo qualidade, escalabilidade e eficiência da infraestrutura tecnológica.
Advanced Analyst, Guest Product
Advanced Analyst leading measurement, experimentation, and dashboards to improve guest experiences. Partnering with Product, Engineering, Finance, and Data Science on marketplace strategy.
General Ledger Analyst
General Ledger Analyst supporting core banking conversions, reconciliations, testing, and implementations for TEKsystems. Partnering with banking, accounting, technology, and project teams.
Facility Coding Quality Integrity Analyst – Inpatient
Facility Coding Quality Integrity Analyst auditing inpatient coding and compliance for Advocate Health, a nonprofit integrated healthcare system. Analyzing trends, supporting audits, and improving documentation accuracy.
Regional Principal Analyst, Falcon Complete
Regional Principal Analyst providing senior technical leadership for CrowdStrike’s Falcon Complete cybersecurity operations. Improving incident response, detection quality, remediation, and AI-driven automation across U.S. regional teams.
Analyst I, Falcon Complete
Cybersecurity Analyst investigating and responding to endpoint, identity, email, network, and cloud threats. Protecting CrowdStrike customers through its virtual security operations center.
Analyst I, Falcon Complete
Cybersecurity analyst investigating endpoint, identity, email, and cloud threats for CrowdStrike’s global cybersecurity platform. Responding to incidents and guiding customers through remediation.
Analyst I, Falcon Complete
Cybersecurity analyst protecting CrowdStrike customers through real-time alert triage, investigation, and incident response. Analyzing endpoint, identity, email, and cloud threats for a global cybersecurity leader.
Analista y Redactor/a de Informes de Mercado Laboral
Analista y redactor/a de informes sobre el mercado laboral uruguayo para Advice. Interpretación de datos y producción de estudios para medios, empresas y organismos públicos.
Senior Performance Analyst – High-Touch Onboarding
Analista Sênior de Performance analisando dados e ativação de corretores no onboarding do QuintoAndar. Construção de dashboards e projetos de impacto para o maior ecossistema imobiliário da América Latina.
Microsoft Dynamics 365 F&SCM Functional Analyst
Microsoft Dynamics 365 F&SCM Functional Analyst supporting global ERP implementation and stabilization. Configuring standard solutions, documenting requirements, and coordinating testing for enterprise transformation.
Product Testing Analyst
Product Testing Analyst developing and quality-testing Acxiom data products. Preparing datasets, auditing data quality, and supporting scalable marketing analytics solutions.
Real Estate Credit Analyst
Analista de crédito imobiliário no QuintoAndar, ecossistema imobiliário latino-americano. Avaliando financiamentos, documentos bancários e a jornada de clientes no crédito imobiliário.
Planning and Performance Analyst 2 – Business
Analista de planejamento e performance monitorando cidades, indicadores e funil de demanda no ecossistema imobiliário do QuintoAndar. Transformação de dados em recomendações, dashboards e iniciativas de crescimento.
Planning and Performance Analyst – Supply Photos
Analista de Planejamento e Performance otimizando o funil de supply photos do Grupo QuintoAndar, ecossistema imobiliário latino-americano. Automatizando operações com SQL, IA generativa e análise de performance.
Analyst – Complaints Management
Beschwerdemanagement-Analyst bei Finanzen.net, einem deutschen FinTech-Unternehmen und Online-Broker. Bearbeitung von Beschwerden, regulatorische Qualitätssicherung und Root-Cause-Analysen.
Provider Enrollment Analyst
Provider enrollment analyst processing healthcare provider applications and records for Gainwell Technologies. Supporting California healthcare operations remotely during Pacific Time business hours.