Sr. RCM Business Analyst

• Facility Corporate - Enterprise Allocations
• Schedule - Shift - Hours Full Time - Days

The Sr. Business Analyst is responsible for driving data-informed decisions, identifying opportunities for improvement, and translating complex operational needs into actionable technical requirements. This position plays a key role in delivering insights that improve financial performance, enable accurate forecasting, streamline revenue operations, and optimize the end-to-end Revenue Cycle Management (RCM) lifecycle.

The ideal candidate has a strong background in trend analysis, Net Revenue Per Visit (NRPV) modeling, payer mix evaluation, financial forecasting, process improvement with proven experience in stakeholder engagement and cross-functional collaboration. This role also requires advanced SQL skills, fluency in working with EMR data, and the ability to communicate insights clearly to both technical and non-technical audiences, including executive leadership.

This list may not include all of the duties that may be assigned.

• Partner with stakeholders across clinical, billing, and operational teams to understand revenue drivers, business needs, challenges, and goals.
• Conduct in-depth trend and variance analysis across the revenue cycle, identifying revenue leakage, payer underperformance, or coding opportunities. and recommending data-driven strategic actions.
• Perform and maintain Net Revenue Per Visit (NRPV) calculations and modeling to monitor payer performance and support financial benchmarking decision-making.
• Analyze existing business processes and workflows, identify inefficiencies, and propose practical, measurable solutions.
• Lead the development of financial forecasting tools, incorporating historical trends, seasonal patterns, payer behavior, and utilization rates to project expected revenue and identify deviations.
• Translate complex business needs into functional and technical specifications for analytics, automation, or system enhancements.
• Extract, interpret and leverage data from EMR and billing systems to support advanced analytics and forecasting, to uncover operational gaps and financial opportunities.
• Develop, build, and maintain robust dashboards, KPI-driven interactive reports, and ad-hoc analyses using SQL, Excel, and tools such as Power BI and Databricks to monitor financial performance and operational efficiency in real time.
• Support project management in planning, tracking, and delivering key initiatives, ensuring alignment with strategic priorities.
• Evaluate payer contract performance, reimbursements, and denial trends; support negotiation strategies through data insights.
• Lead process improvement initiatives, identifying operational bottlenecks and recommending actionable, scalable solutions.
• Provide change management support by facilitating stakeholder alignment, process documentation, training, and adoption tracking.
• Collaborate with finance and executive leadership to inform budget development, revenue projections, and scenario planning.
• Support risk analysis efforts, especially related to shifts in patient volume, payer policy, or regulatory updates that may impact forecast accuracy.
• Ensure that all analytical solutions and recommendations are aligned with organizational goals and result in measurable value creation.
• Provide mentorship and guidance to junior analysts and contribute to building a high-performing analytical culture.

Supervising Business Analysts

• Minimum of Bachelor’s Degree in engineering, accounting, finance or related field required.
• 5 years of healthcare experience is commensurate to the education required.

2-3 years of related work experience.

• Excellent written and verbal communication skills.
• Great analytical, critical thinking and problem-solving abilities.
• Detail-oriented with proficient data analysis tools and methodologies.
• Proven management and organizational skills to meet deadlines.
• Strong adaptability and capacity to work in fast-paced environments.
• In-depth understanding of organizational data flow and its use in management decision-making.
• Bachelor's degree or higher in business analysis, business administration, finance or related field.
• Excel, Tableau, and SQL Proficiency.

• May be full time remote/telework
• This job can be either US or MX based
• Indoor work; professional office environment
• Operating computer
• May require sitting or standing for long periods, including stooping, bending, stretching
• Lift up to 10lbs
• Requires manual dexterity sufficient to operate a keyboard, type at 35 wpm, operate copier, and other office equipment