Senior Business Analyst-Denial Analytics-PRIZM-Remote
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Job Location:
Rochester, NH - USA
Monthly Salary:
Not Disclosed
Posted on:
28 days ago
Vacancies:
1 Vacancy
Department:
Job Summary
The Senior Business Analyst Denial Analytics is a key member of the Enterprise Denial Management team with a focus on leveraging data to uncover denial trends identify root causes and provide actionable insights that inform enterprise-wide strategies. This individual will support the PRIZM platformour core denial analytics engineand collaborate with both clinical and operational stakeholders to drive measurable improvements in revenue recovery and denial prevention.
This role will report to the Senior Manager responsible for PRIZM oversight and serve as a subject matter expert in data visualization claims analysis and revenue cycle intelligence.
Key Responsibilities:
Analyze denial-related data from PRIZM and other systems to identify trends patterns and root causes impacting reimbursement.
Build dashboards models and reports that translate complex data into clear actionable insights for executive leadership and operational teams.
Work collaboratively with denial operations teams clinical departments coding and revenue cycle leadership to inform and align on data-driven initiatives.
Monitor key denial performance indicators (e.g. volume trends appeal success rates payer-specific denial rates) and escalate significant variances.
Serve as a PRIZM engine expert and support governance of data inputs categorization logic and model performance.
Translate business questions into analytical frameworks and communicate findings to both technical and non-technical audiences.
Provide support for strategic initiatives by contributing data analyses and recommendations during workgroup discussions or executive briefings.
Partner with IT and analytics teams to improve data quality automation opportunities and integration across platforms.
Document data definitions logic and workflows to support transparency and repeatability in reporting
Key Competencies:
Analytical Rigor & Attention to Detail
Business Acumen in Healthcare Revenue Cycle
Effective Communication & Data Storytelling
Cross-Functional Collaboration
Process Improvement & Root Cause Analysis
Stakeholder Engagement & Problem Solving
Qualifications
Bachelors and 6 years experience in business analysis business administration engineering information science health or science-related field
OR
Masters and 2 years experience in business analysis business administration engineering information science health or science-related field
Preferred Qualifications:
Experience in an academic medical center or integrated delivery system.
Familiarity with EPIC systems and claims data structures.
Involvement in cross-functional denial prevention or revenue integrity project
CBAP Certified Business Analysis Professional CCBA Certification of Competency in Business Analysis or PMI-PBA Professional in Business Analysis preferred.
*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Required Experience:
Senior IC
Key Skills
- SQL
- Agile
- Business Analysis
- Visio
- Waterfall
- Business Process Modeling
- Requirements Gathering
- Business requirements
- JD Edwards
- SDLC
- Systems Analysis
- Data Analysis Skills
About Company
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