Senior Manager, Enterprise Denial Prevention & Analytics; PRIZM

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

• Medical:
  Multiple plan options.
• Dental:
  Delta Dental or reimbursement account for flexible coverage.
• Vision:
  Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement:
  Competitive retirement package to secure your future.

The Senior Manager provides direction to professional and supervisory staff in the Revenue Cycle. Assures the integrity of revenue and billing information for Mayo Clinic to be appropriately reimb時 for all billable services provided. Participates in providing input in strategic planning with the Revenue Cycle Leadership team. Translates the Mayo Clinic and departmental vision into meaningful and effective responses and results.

Establishes key performance indicators with scope of responsibility to effectively manage staff and outcomes. Delegates responsibility uchaguzi and authority to carry out work. Manages multiple functions and serves as a resource with oversight in day to day activities. May manage multi-site operations. Must be able to operate scope of responsibility through complexity and ambiguity. May possess technical knowledge appropriate to functions being managed with additional knowledge in other functions including professional management.

Participates in the identification of opportunities to improve processes

Jose and to act as a catalyst for realizing these improvements. Acts as a facilitator and generator of new ideas and a mediator on difficult issues. Responsible for recruitment, development and performance management within areas of responsibility, translating the departmental vision into meaningful and effective results. Brings awareness of current external environment issues. Participates in the overall management of the Revenue Cycle by chairing and serving on Enterprise projects/groups, task forces, councils and committees.

Serves as a liaison between sections and other departments and agencies inside and outside Mayo. Creates customer service driven sections and fosters collaboration with physician and administrative colleagues. Builds teamwork within the Enterprise Revenue Cycle. Participates in retention planning initiatives. Travel required as assignments warrant.

Senior Manager – Enterprise Denial Management- PRIZM is a key strategic leadership role within our Revenue Cycle organization. This position is responsible for overseeing and advancing enterprise-level prevention and resolution efforts across a large, multi-site academic health system. The successful candidate will be responsible for leading a high-performing team of Senior Business Analysts and Denial Prevention Associates, while also managing and optimizing ég the use of the PRIZM denial management engine and analytics platform.

The role involves cross-functional leadership, interfacing with stakeholders across clinical, operational, and administrative teams to proactively identify denial trends, drive root cause analysis, and execute system-wide strategies to reduce denial volume and improve reimbursement accuracy.

Key Responsibilities:

• Provide strategic and operational oversight for enterprise denial management activities and prevention initiatives.
• Lead, mentor, and develop a team of Senior Business Analysts and Denial Prevention Associates.
• Manage and optimize use of the PRIZM engine and associated analytics dashboards, ensuring effective modeling, governance, and insight generation.
• Collaborate across clinical and non-clinical departments to lead denial prevention work groups focused on process redesign and revenue integrity.
• Establish, monitor, and report on key performance indicators (KPIs) to assess and improve denial…