RCM Business Enablement Analyst

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a RCM Business Enablement Analyst based in the United States.

This role supports revenue cycle management operations by optimizing processes, systems, reimbursement models, and enablement resources.You’ll work at the intersection of healthcare operations, data analysis, technology, and financial performance.The position plays an important role in building and maintaining payer contracts and expected reimbursement rules with a high degree of accuracy.You’ll collaborate closely with Operations, clients, managers, and team leads to ensure models remain current and reliable.The role also contributes to Revenue Acceleration initiatives through data validation, workflow design, training, testing, and implementation support.Success requires a self-directed, analytical professional who can investigate complex issues and turn findings into practical solutions.This is a fully remote opportunity in a collaborative healthcare services environment with no regular travel required.

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Accountabilities:

• Build, test, maintain, and optimize insurance payer contracts and expected reimbursement rules to support accurate reimbursement calculations.

• Apply healthcare, technical, analytical, and financial knowledge to ensure payer contracts are accurately implemented and effectively managed throughout their lifecycle.

• Coordinate with Operations to validate and maintain reimbursement rules following initial development, quality assurance, and testing.

• Maintain reimbursement model updates, including Medicare outpatient quarterly updates, annual DRG changes, and yearly increases for managed care contracts.

• Perform comprehensive QA and testing by reviewing reports, outputs, and model results before publishing changes to production.

• Partner with clients, managers, and team leads to research and resolve managed care contract questions and reimbursement-related issues.

• Support Revenue Acceleration onboarding initiatives by identifying and validating data requirements, developing workflows and processes, providing training, and performing QA throughout implementation.

• Analyze processes, systems, and data to identify gaps, improve efficiency, and recommend practical solutions.

• Conduct ad hoc analyses and other projects as assigned by departmental leadership.

• Maintain accurate documentation and contribute to continuous improvement across business enablement processes and tools.

Requirements:

• 1–3 years of relevant professional experience preferred, with 5+ years of healthcare industry experience required.

• Background in healthcare revenue cycle management, billing, coding, or related areas strongly preferred.

• Working knowledge of managed care contracting and reimbursement modeling is desirable.

• Understanding of CMS reimbursement guidelines, including Medicare, IPPS, and OPPS logic.

• Strong analytical thinking and the ability to evaluate data, workflows, and systems to identify issues and develop effective solutions.

• Strong verbal and written communication skills, including the ability to explain complex information and facilitate training or presentations.

• Demonstrated project management capabilities, including prioritization, organization, time management, implementation, and follow-through.

• Familiarity with business enablement technologies such as CRM systems, learning management platforms, data analytics tools, and content management systems.

• Strong collaboration skills and the ability to build productive relationships with clients, Operations leaders, and cross-functional teams.

• High attention to detail and a consistent focus on accuracy, completeness, and quality.

• Customer-centric mindset with the ability to understand end-user needs and develop solutions that improve productivity and experience.

• Adaptability and willingness to learn new technologies, processes, and business requirements.

• Ability to work independently as a self-starter while effectively collaborating with a broader team.

• Comfortable working remotely for extended periods using a desktop or laptop, phone, keyboard, and mouse.

Benefits:

• Fully remote position within the United States, aligned with Central Time.

• Full-time employment.

• No travel required; travel expectation is 0%.

• Opportunity to work at the intersection of healthcare, revenue cycle management, technology, analytics, and business enablement.

• Collaborative environment with opportunities to work alongside healthcare operations and subject-matter specialists.

• Exposure to payer contracting, reimbursement modeling, Medicare methodologies, and Revenue Acceleration initiatives.

• Opportunity to contribute to process improvement, operational efficiency, and technology-enabled healthcare solutions.

\nHow Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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