Business Analyst RCM
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Job Location:
Taguig - Philippines
Monthly Salary:
Not Disclosed
Posted on:
16 hours ago
Vacancies:
1 Vacancy
Job Summary
What Data Analytics brings to Cardinal Health:
The Data & Analytics Function oversees the analytics life-cycle in order to identify analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This function manages analytic data platforms the access design and implementation of reporting/business intelligence solutions and the application of advanced quantitative modeling.
Data Analytics applies business process knowledge and data analytics to develop recommend and communicate timely accurate relevant and actionable insights to support business decisions and objectives.
Qualifications
- Bachelors degree in Business Finance Healthcare Administration or related field (Masters preferred).
- 5 years of experience in business analysis with at least 3 years in RCM within a healthcare or DMEPOS environment.
- Proven ability to develop solutions to a wide range of difficult problems in a manner consistent with company goals.
- Strong understanding of payer reimbursement models billing codes (HCPCS ICD-10) and regulatory requirements.
- Proficiency in SQL Excel and data visualization tools (Power BI Tableau etc.).
- Excellent communication critical thinking and stakeholder engagement skills.
What is expected of you and others at this level
- Execute complex projects of large scope often involving cross-functional collaboration and high visibility.
- Analyze and optimize the full RCM lifecycle including eligibility authorization billing collections denials and payment posting.
- Perform variance analysis to identify trends root causes and opportunities for operational and financial improvement.
- Design and build data visualization tools and dashboards (e.g. Power BI Tableau) to track KPIs and support decision-making.
- Enable efficient and effective root cause analysis on denials underpayments and delays in cash flow and the development of corrective strategies.
- Drive cash collection optimization through payer behavior analysis AR aging reviews and workflow enhancements.
- Work independently with general guidance ensuring solutions are aligned with organizational objectives and compliance standards.
- Translate complex data into clear actionable insights for executive leadership and operational teams.
- Support audits payer contract reviews and compliance initiatives as needed.
Preferred Skills:
- Experience with DMEPOS billing systems (e.g. Brightree Kareo or similar).
- Familiarity with HIPAA CMS guidelines and payer-specific policies.
- Lean Six Sigma or similar process improvement certification is a plus.
Candidates who are back-to-work people with disabilities without a college degree and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race religion color national origin ancestry age physical or mental disability sex sexual orientation gender identity/expression pregnancy veteran status marital status creed status with regard to public assistance genetic status or any other status protected by federal state or local law.
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Required Experience:
IC
Key Skills
- SQL
- Agile
- Business Analysis
- Visio
- Waterfall
- Business Process Modeling
- Requirements Gathering
- User Acceptance Testing
- Business requirements
- SDLC
- Systems Analysis
- Data Analysis Skills
About Company
Cardinal Health improves the cost-effectiveness of healthcare. We help focus on patient care while reducing costs, enhancing efficiency and improving quality.
