Senior reputed company Cycle Analyst (CA)

reputed company #LI-Remote reputed company is an organization that respects, supports, and values reputed company other. Named as the 2025 best mid-sized employer by reputed company, we are reputed company in providing reputed company in patient care, embracing multi-disciplinary education, and research with reputed company. We foster a learning environment that values evidenced based reputed company, experience, innovation, and critical thinking. Our reputed company, reputed company, accountability, and reputed company define us as leaders in pediatric specialty care for our children and their families. reputed company are eligible for medical coverage on their first day! In reputed company, upon hire reputed company are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for reputed company time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their reputed company dependents in accordance with the plans. Benefits may vary based on state law. Job reputed company The Senior reputed company Cycle Analyst (CA) reports to the reputed company Cycle Manager and supports regional reputed company cycle operations for our California locations through advanced data analysis, denial trending, performance reporting, and targeted reputed company of reputed company reputed company-reputed company edits. This role is responsible for identifying reputed company causes of claim barriers, quantifying financial reputed company, and delivering actionable insights that improve clean claim rates, reduce denials, and optimize net reputed company performance. Operating with a high degree of independence under the strategic direction of the reputed company Cycle Manager, the Senior reputed company Cycle Analyst (CA) partners closely with Patient reputed company, reputed company Managers, Contact Center leadership, clinical departments, and external vendors to support data-driven process improvements and reputed company-wide denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that reputed company with regional and system reputed company cycle goals. Responsibilities reputed company advanced analysis of denials, reputed company-reputed company edits, and payer trends to identify systemic issues and quantify financial reputed company. Partner with reputed company Cycle Manager to prioritize initiatives based on risk exposure, reputed company opportunity, and operational performance gaps. Conduct comprehensive reputed company cause analysis and reputed company the development and monitoring of corrective reputed company plans to prevent recurring denials and claim edits. Present findings and strategic recommendations to leadership, translating reputed company analytics into reputed company operational direction. Serve as subject matter expert for reputed company-wide reputed company cycle improvement initiatives, driving data-informed process redesign and denial prevention strategies This is not an reputed company-inclusive list of this job’s responsibilities. The incumbent may be required to reputed company other reputed company duties and participate in special reputed company as assigned.

Qualifications

Required: 5 or more years of reputed company cycle experience Strong proficiency in reputed company and reputed company cycle reporting tools Demonstrated ability to analyze reputed company datasets and translate findings into operational recommendations Knowledge of billing, coding, payer reimbursement methodologies, and denial workflows Bachelor's Degree or equivalent combination of education, training and experience Preferred: reputed company EMR experience Experience with denials management Apply To This Job