Analyst, Revenue Cycle Management & Managed Care
3 дн. назад
Страна неизвестнаRemote
revenue cycle managementmanaged carehealthcare analyticsdata analysisautomationai tools
Analyze and support financial and operational performance in ambulatory surgery centers by evaluating reimbursement, identifying revenue opportunities, and monitoring payer trends.
Обязанности
- is seeking a detail-oriented and analytical Analyst, Revenue Cycle Management & Managed Care to support financial and operational performance across our growing portfolio of ambulatory surgery centers. This role works closely with Revenue Cycle Management, Managed Care, Finance, and Corporate Development teams to evaluate reimbursement performance, identify revenue opportunities, monitor payer trends, and translate complex healthcare data into actionable business insights.
- The ideal candidate combines a strong understanding of healthcare revenue cycle operations with advanced analytical skills, an innovation-focused mindset, and experience using technology, automation, and AI-enabled tools to translate complex data into actionable business insights.
Требования
- 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
Будет плюсом
- Experience supporting ambulatory surgery centers, hospital outpatient departments, physician practices, or multisite healthcare organizations
- Experience with payer contract modeling, fee schedule analysis, reimbursement methodologies, or contract performance evaluation
- Experience analyzing accounts receivable, denials, collections, payment variances, or other revenue cycle performance indicators
- Familiarity with healthcare financial reporting, forecasting, and dashboard development
Условия
- Salary ranges at Compass are based on role, level, and location, and may vary by state. Individual pay is determined by work location and factors such as relevant skills, experience, and education or training. Actual compensation will vary based on experience, qualifications, and company and individual performance.
Другое
- is a leading, independent, full-service ambulatory surgery center (ASC) development and management partner. An exclusive partner for premier health systems, Compass has built a nationwide portfolio of ASC joint ventures with health systems and physicians. Compass’ experienced leadership team has developed more than 250 ASCs over the past three decades, making it the partner of choice for high-performance ASCs. Differentiated by a proven track record of success and an agile, aligned operating model, aims to create strong partnerships that improve the lives of patients and providers. Learn more at.
- Develop and maintain accurate reporting on revenue cycle performance, including accounts receivable, collections, denials, aging, and reimbursement trends
- Identify performance gaps and emerging risks, providing actionable recommendations to improve financial outcomes
- Analyze denial patterns, payment variances, and collection trends to identify root causes and opportunities for improvement
- Monitor key revenue cycle metrics and provide timely insights to operational leadership
- Analyze payer contracts, reimbursement rates, fee schedules, and payment methodologies to evaluate financial performance
- Identify and quantify reimbursement discrepancies, including underpayments and incorrect contract rate applications
- Develop financial models supporting payer contract negotiations, renewals, and reimbursement changes
- Evaluate payer mix, service line performance, and reimbursement scenarios to inform strategic decisions
- Partner with Finance and Corporate Development to support budgeting, forecasting, and growth initiatives
- Analyze claims, reimbursement, procedure-level, and specialty data to develop financial projections and identify potential risks
- Translate complex datasets into clear recommendations for business and operational leaders
- Support ad hoc analytical requests related to portfolio performance and strategic initiatives
- Maintain accurate payer, contract, and reimbursement data used in financial analysis and reporting
- Validate data quality and ensure consistency across recurring reports and analytical models
- Identify opportunities to streamline reporting processes, reduce manual work, and improve analytical efficiency
- Maintain confidentiality and comply with applicable HIPAA requirements and data governance standards
- Leverage AI-enabled tools, automation, and advanced analytics to accelerate data analysis, identify patterns, and improve reporting efficiency
- Evaluate manual workflows and develop practical solutions that improve accuracy, consistency, and scalability
- Validate automated and AI-generated outputs before incorporating findings into financial analysis or business recommendations
- Apply appropriate safeguards when using sensitive financial, payer, or protected healthcare information
- develops and manages ambulatory surgery centers (ASCs) in partnership with physicians and health systems. We’re builders and operators committed to patient value, physician partnership, and scalable excellence. You’ll join a team that works with clear outcomes, moves fast, and supports each other through our STAR values—Service, Teamwork, Accountability, and Respect (respect through directness, kindness, and ownership).