Cardinal Health
Healthcare
BusinessAnalyst-RCM
Neural analysis suggests this role is
optimal for Senior candidates.
“Business Analyst - RCM at Cardinal Health. Skills: Business analysis, RCM, Data visualization. Analyze RCM lifecycle. Optimize RCM lifecycle”
What You'll Achieve.
Drive cash collection optimization; Improve operational efficiency; Improve financial efficiency
Industry & Context.
Develop solutions; Root cause analysis
What They're Looking For.
Must Have
5+ years of experience in business analysis, 3 years in RCM, understanding of payer reimbursement models, understanding of billing codes, understanding of regulatory requirements, Proficiency in Alteryx, Proficiency in SQL, Proficiency in Excel, Proficiency in data visualization tools
Nice to Have
Master's preferred, Experience with DMEPOS billing systems, Familiarity with HIPAA, Familiarity with CMS guidelines, Familiarity with payer-specific policies, Lean Six Sigma certification, Process improvement certification
What You'll Do.
Analyze RCM lifecycle
Optimize RCM lifecycle
Perform variance analysis
Identify opportunities for improvement
Design data visualization tools
Build data visualization tools
Support decision-making
Enable root cause analysis on denials
Enable root cause analysis on underpayments
Enable root cause analysis on delays in cash
Develop corrective strategies
Drive cash collection optimization
Analyze payer behavior
Align solutions with organizational objectives
Align solutions with compliance standards
Translate complex data into insights
Support payer contract reviews
Support compliance initiatives
How You'll Work.
Team & Collaboration
Cross-functional collaboration; High visibility projects
Communication Scope
Translate complex data; Actionable insights
Full Job Description
**What Data Analytics brings to Cardinal Health:** The Data & Analytics Function oversees the analytics life-cycle in order to identify, analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This function manages analytic data platforms, the access, design and implementation of reporting/business intelligence solutions, and the application of advanced quantitative modeling. Data Analytics applies business process knowledge and data analytics to develop, recommend and communicate timely, accurate, relevant and actionable insights to support business decisions and objectives. **Qualifications** * Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred). * 5+ years of experience in business analysis, with at least 3 years in RCM within a healthcare or DMEPOS environment. * Proven ability to develop solutions to a wide range of difficult problems in a manner consistent with company goals. * Strong understanding of payer reimbursement models, billing codes (HCPCS, ICD-10), and regulatory requirements. * **Proficiency in Alteryx, SQL, Excel, and data visualization tools (Power BI, Tableau, etc.).** * Excellent communication, critical thinking, and stakeholder engagement skills. **What is expected of you and others at this level** * Execute complex projects of large scope, often involving cross-functional collaboration and high visibility. * Analyze and optimize the full RCM lifecycle, including eligibility, authorization, billing, collections, denials, and payment posting. * Perform variance analysis to identify trends, root causes, and opportunities for operational and financial improvement. * Design and build data visualization tools and dashboards (e.g., Power BI, Tableau) to track KPIs and support decision-making. * Enable efficient and effective root cause analysis on denials, underpayments and delays in cash flow and the development of corre
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