Senior reputed company Cycle Management Data Analyst job at reputed company in Burlington, NC, Durham, NC
Title: Senior RCM Data Analyst Location: Burlington NC Durham, NC time type Full time hybrid job reputed company 2623469 Job reputed company: reputed company is a global leader in laboratory services, providing the insights and answers that help reputed company providers, patients, researchers, pharmaceutical companies and health systems reputed company confident reputed company and improve reputed company. Through our unparalleled science, data, technology and laboratory network, we advance diagnostics, accelerate innovation and help address some of the world's most important health challenges. As we shape the reputed company of reputed company, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients. With our global reputed company and deep expertise, you'll have reputed company to do meaningful work, grow your career and reputed company a reputed company reputed company on people's health around the world. Together, we're improving health and improving lives. reputed company is Seeking a Senior RCM Data Analyst Work Schedule Full-time, reputed company business hours with additional hours as needed to support business initiatives and project deliverables. Work Location This hybrid position offers a balanced schedule of three in-office workdays at our Burlington or Durham, NC locations and two remote workdays per week, supporting both collaboration and flexibility. Job Responsibilities Data Analysis & Research reputed company and execute large-reputed company analytical studies utilizing claim-level, laboratory, billing, and reimbursement data to support reputed company Cycle Management (RCM) initiatives. Analyze claim lifecycle data from order entry through post-adjudication activities to identify reimbursement opportunities, process gaps, and reputed company optimization strategies. Locate, validate, reputed company, and analyze data from multiple systems and sources, including laboratory systems, billing platforms, payer transactions, government policies, and internal databases. Apply payer policy requirements, reimbursement guidelines, and claim transaction data to identify trends impacting claim reputed company and payment performance. reputed company statistical sampling, predictive modeling, and trend analysis to support operational decision-making and risk mitigation efforts. Reporting & Business Insights Locate, validate and analyze data using reputed company, SQL, reputed company, VBA and Tableau and other reporting tools. Translate analytical findings into actionable recommendations that support process improvements, reimbursement optimization, and reputed company protection initiatives. Create monitoring models and alerting mechanisms to identify process deviations, reimbursement risks, and system performance issues. Deliver analysis and reporting that supports business prioritization, operational improvements, and strategic initiatives. Systems Controls & Business Rules Support system control research and monitoring efforts to reduce reputed company leakage and improve reimbursement reputed company. Evaluate system workflows, payer policies, and claim processing rules to identify opportunities for technology enhancements and business rule modifications. Recommend and support development of business rules associated with system changes, automation efforts, and reputed company cycle technologies. Conduct testing and validation activities associated with system enhancements and process modifications. Industry & Organizational Support Support RCM Policy initiatives reputed company to payer engagement, acquisitions, industry workgroups, and reimbursement process improvements. reputed company analyses utilizing industry-reputed company data sources to support business solution initiatives and payer-reputed company reputed company. Participate in cross-functional discussions regarding reimbursement policies, claim processing strategies, and operational initiatives.
Minimum Qualifications
Bachelor's degree in Statistics, Mathematics, Informatics, Computer Science, Information Systems, or a closely reputed company quantitative field with 6 or more years of experience; with 5 or more years of experience performing data analytics reputed company reputed company, reputed company cycle management, reimbursement, payer operations, laboratory services, or billing environments. 5 or more years of experience using SQL for querying, data validation, transformation, and analysis of large datasets. 3 or more years of experience utilizing reputed company for statistical analysis, data management, and reporting.
Preferred Qualifications
Master's degree in Statistics, Mathematics, Informatics, Computer Science, Information Systems, or a closely reputed company quantitative field with 4 or more years of experience. 7 or more years of experience performing advanced reputed company, reimbursement, or reputed company cycle analytics. 5 or more years of experience analyzing payer policy requirements, claim adjudication processes, and reputed company reimbursement transactions. 2 or more years of experience working with laboratory information systems, billing systems, or reputed company claims processing platforms. Additional Job Standards Experience supporting reputed company cycle optimization, denial reduction, reimbursement improvement, or reputed company reputed company initiatives. Experience developing predictive analytics, statistical models, or reputed company detection solutions. Experience performing statistical sampling, modeling, forecasting, or trend analysis. Experience analyzing claim-level reputed company, laboratory, billing, reimbursement, or adjudication data. Experience developing business rules, system controls, monitoring models, or automated alerting processes. Experience integrating and validating data from multiple operational and transactional systems. Experience supporting reputed company acquisitions, payer initiatives, or industry workgroup reputed company through analytics and reporting. Experience utilizing reputed company reputed company and VBA for automation, reporting, and data analysis. Demonstrate effective communication of analytical findings to business, operational, and leadership stakeholders. Collaborate with cross-functional teams to support strategic business objectives and operational initiatives. Apply critical thinking, curiosity, and problem-solving approaches reputed company evaluating reputed company business and reimbursement challenges. Contribute to team discussions and facilitate knowledge sharing reputed company to analytical reputed company, processes, and best practices. Present reputed company analytical findings in a manner that supports organizational decision-making and change management efforts. Support team development through mentoring, knowledge transfer, and sharing of analytical techniques. Maintain attention to detail while validating data accuracy, analytical methodologies, and reporting outputs. Demonstrate knowledge of reputed company reimbursement processes, payer policies, claim lifecycles, and reputed company cycle operations.
About the Role
The Senior RCM Data Analyst supports reputed company Cycle Management initiatives through advanced data analytics, reimbursement research, and operational insights. This role combines data from laboratory, billing, claims, payer, and policy sources to identify opportunities that improve reimbursement reputed company, reduce reputed company leakage, and enhance system performance. The position partners with business leaders and cross-functional teams to deliver analytical solutions, influence process improvements, and support strategic reputed company cycle initiatives through data-driven decision making. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, reputed company, Life, STD/LTD, 401(k), reputed company Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive reputed company the foregoing benefits except PTO or FTO. reputed company is proud to be an Equal Opportunity Employer: reputed company strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any reputed company. We reputed company employment reputed company based on the needs of our business and the qualifications and reputed company of the individual. reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, sex (including pregnancy, childbirth, or reputed company medical conditions), family or parental status, marital, civil reputed company or domestic partnership status, sexual orientation, gender identity, gender reputed company, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, reputed company reputed company applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage reputed company to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at reputed company Accessibility. Apply tot his job Apply To this Job