Lead Business Analyst

When you’re the best, we’re the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future.

Summary:

In this role, you will lead complex healthcare revenue cycle analytics supporting client engagements focused on chargemaster optimization, pricing, reimbursement, claims, and financial performance. You will analyze large and complex datasets, develop analytical solutions, and translate findings into actionable recommendations. You will apply expertise in healthcare billing, reimbursement, and revenue cycle operations to identify opportunities, validate results, and deliver insights that support client and business decisions.

Responsibilities:

• Analyze client data and issues involving chargemaster structure, revenue codes, CPT and HCPCS codes, modifiers, billing units, pricing, reimbursement, and charge accuracy. • Evaluate healthcare pricing and reimbursement methodologies to identify opportunities to improve consistency, transparency, and financial performance. • Review chargemaster, pricing, claims, remittance, payer contract, adjustment, denial, underpayment, and payment data to identify trends and improvement…