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Role Description

Under the direction of the Director Analytics System, the Senior Revenue Cycle Business Analyst position is responsible for developing standard reports that serve the needs of our business users. They will play a key role in projects across revenue cycle functions, with a focus on analysis of data to inform management, drive accountability, and guide business decisions.

• Develops, tests and deploys standard reports and dashboards based on business requirement document specifications.
• Works collaboratively with Business Systems Analysts and/or directly with key business users to ensure business requirements and report specifications are documented accurately and completely.
• Incorporates data from multiple sources in evaluations, including hospital and physician billing system, budget system, cost accounting system, and general ledger.
• Works on and/or leads special projects that require research and analysis, potentially partnering with other business areas to identify and resolve issues.
• Conforms to hospital standards of performance and conduct, including those pertaining to patient rights, to provide the best possible customer service and patient care.
• Utilizes hospital’s behavioral standards as the basis for decision making and to support the hospital’s mission and goals.
• Fosters collaboration across the team and other revenue cycle stakeholders to ensure alignment of strategies and initiatives.
• Takes lead on special projects and other duties as assigned.
• Demonstrates strong critical thinking and innovation to drive BMHS analytics and reporting toward modern, industry-standard technologies.
• Focuses on applying data science to operational revenue cycle challenges, applying predictive and prescriptive analytics to revenue cycle metrics and areas of focus for denials management, AR optimization, and cash forecasting.

Qualifications

• Bachelor's degree required, preferably in Health Informatics or finance field, or related field of study.
• Master's Degree in Health Informatics, Business, Public Health or related field preferred.
• Epic Revenue Data Model (Clarity) Certification.

Requirements

• 3+ years of related managed healthcare or insurance operations experience.
• Excellent understanding of Hospital Billing and Professional billing data.
• Demonstrated expertise with SQL, Crystal Reports, and Tableau.
• Expertise with relational database concepts, data modeling, and OLAP technologies.
• Ability to work independently and excel in a complex, demanding environment with time-sensitive deadlines.
• Excellent oral and written communication skills.
• Utilizes advanced data analytics and governance expertise to develop, maintain, and standardize certified datasets that serve as the centralized source for Revenue Cycle KPI metrics.
• Develops predictive models to prioritize work queues and design root cause analysis frameworks.
• Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with physicians, management, staff, and other internal/external customers.
• Experience in translating and communicating key analyses and assumptions in concise fashion to Senior Management for decision making purposes.
• Excellent computer skills and experience on both a General Ledger System as well as comparable spreadsheet and word processing software (Excel, Word, PowerPoint, Access, and other analytical tools) and ability to train others.
• Team player with the willingness and desire to learn and grow within the organization.
• Demonstrated leadership abilities.
• Ability to respond quickly and positively to change; acts as a change agent.
• Ability to link understanding of business processes, business drivers, and changes to other areas.
• Excellent communication, presentation, and negotiation skills; adept at handling group dynamics.
• Highly motivated individual able to take direction from managers.
• Ability to prioritize work while working on multiple projects keeping track of and meeting due dates.
• Proficient in SQL, Tableau, PowerPoint & Excel.

Benefits

• Compensation Range: $78,000.00 - $113,000.00.
• Generous total compensation that includes benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.