Sr. Denials Prevention Analyst; Remote

** This is a Stanford Health Care job.*
* ** A Brief Overview
** The Senior Denials Prevention Analyst is an operational subject‐matter expert in denial prevention who combines advanced revenue cycle analytics with targeted account sampling to identify trends, pinpoint root causes, and drive sustainable reductions in initial denials for maximum reimbursement. The role prepares denial prevention materials that synthesize denial metrics, initiative status, and workgroup findings; leads cross‐functional discussions to connect interdependent topics;

and supports DPTF Work groups by documenting minutes, key takeaways, action items, owners, and due dates, and coordinating follow‐ups. The analyst monitors denial prevention KPIs and initiative progress, quantifies net revenue opportunities and realized benefits, and maintains benefit‐tracking dashboards and concise leadership readouts. Partnering closely with revenue cycle and, as appropriate, clinical operations and IT/Epic teams, the role translates insights into actionable prevention plans, monitors and helps implement workflow and system improvements, and tracks adoption, outcomes, and barriers.

The Senior Denials Prevention Analyst leverages strong problem‐solving, data visualization, and knowledge of reimbursement policies and healthcare operations to deliver durable results.

** Locations
* * Stanford Health Care    
** What you will do
*** Perform revenue cycle denial analytics to trend issues, identify root causes, and prioritize denial prevention opportunities.
* Conduct targeted account sampling and case reviews to validate findings and help define corrective actions.
* Prepare concise analytics summaries, denial prevention related Power Points and reports, and leadership readouts of workgroup findings.
* Lead and facilitate cross-functional discussions; connect interdependent topics across work groups to align solutions.
* Build and maintain action plans with clear owners, timelines, and success metrics; document minutes, key takeaways, and next steps; distribute follow-up communications, reports, and analytics to attendees.
* Monitor denial prevention KPIs, initiative progress, and associated revenue impact; explain fluctuations and escalate barriers.
* Lead cross-functional root cause analysis with Patient Access, Patient Financial Clearance, UM/CM, CDI, HIM/Coding, Clinical Operations, and PFS to identify workflow, system, policy, and education changes needed to prevent denials and monitor progress on implementation of remediation strategies.
* Help develop and implement denial prevention strategies, workflows, and playbooks and monitor their effectiveness through regular KPI reporting.
* Monitor payer policy changes, national guidelines, and CMS/Medicare/Medicaid updates to ensure compliance and timely adjustment of practices.
* Maintain denial dashboards, action plans, and performance reports for leadership review.
* Prepare denial reports and summary findings of analysis for department leadership; maintain clear documentation of analyses and outcomes; escalate systemic risks and barriers as appropriate.
** Education Qualifications
*** High school diploma (or GED equivalent). Required
* Bachelor’s degree in a work-related field/discipline from an accredited college or university. Preferred
** Experience Qualifications
*** Five (5) years of progressively responsible and directly related work experience, with a preference for denial prevention, denial management, prior authorization, or revenue cycle specific experience.
* Two (2) years’ experience in denial prevention, denial recovery, prior auth, registration, coding, or denial management related role within a healthcare setting.
* 1-2 years of statistical analysis experience.
** Required Knowledge,

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