Analyst, Revenue Cycle Management – Managed Care

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Compass Surgical Partners

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2011

🏥 Healthcare

🤝 B2B

🏠 Real Estate

💰 Private Equity Round - Compass Surgical Partners on 2024-01

Healthcare • B2B • Real Estate

Compass Surgical Partners is a strategic partner to health systems and high-performing physician groups that develops, manages, and scales ambulatory surgery centers (ASCs). The firm provides end-to-end ASC services including facility design and build, licensure and staffing, payer contracting and managed-care strategy, operational and clinical integration, and procedural growth programs across specialties such as cardiovascular, joint, and spine. Compass emphasizes measurable outcomes and partnership-driven growth—having developed or managed 40+ ASCs, overseen 1M+ surgical cases, and supported physician syndications to expand outpatient surgical footprints.

📋 Description

• Develop and maintain reporting on revenue cycle performance, including accounts receivable, collections, denials, aging, and reimbursement trends • Identify performance gaps and emerging risks and recommend improvements to financial outcomes • Analyze denial patterns, payment variances, and collection trends to identify root causes and improvement opportunities • Monitor revenue cycle metrics and provide insights to operational leadership • Analyze payer contracts, reimbursement rates, fee schedules, and payment methodologies • Identify and quantify reimbursement discrepancies, underpayments, and incorrect contract rate applications • Develop financial models for payer contract negotiations, renewals, and reimbursement changes • Evaluate payer mix, service line performance, and reimbursement scenarios • Support budgeting, forecasting, growth initiatives, portfolio performance, and strategic analysis with Finance and Corporate Development • Analyze claims, reimbursement, procedure-level, and specialty data to develop projections and identify risks • Translate complex datasets into recommendations for business and operational leaders • Maintain payer, contract, and reimbursement data quality and consistency • Streamline reporting, reduce manual work, and improve analytical efficiency • Maintain confidentiality and comply with HIPAA and data governance standards • Use AI-enabled tools, automation, and advanced analytics to accelerate analysis and improve reporting • Evaluate workflows and develop scalable solutions that improve accuracy and consistency • Validate automated and AI-generated outputs before using them in financial analysis or recommendations • Apply safeguards when handling sensitive financial, payer, or protected healthcare information

🎯 Requirements

• Bachelor's degree in Finance, Accounting, Healthcare Administration, Business Analytics, Economics, Information Systems, or a related field • Experience in healthcare revenue cycle management, managed care, reimbursement analysis, healthcare finance, or a closely related analytical function • Working knowledge of healthcare revenue cycle processes, including claims, payment posting, denials, collections, and accounts receivable • Understanding of payer reimbursement methodologies, contract rates, and reimbursement variance analysis • Experience analyzing financial or operational data and translating findings into actionable recommendations • Advanced Microsoft Excel skills, including formulas, lookups, pivot tables, data reconciliation, and analysis of large datasets • Strong analytical judgment, attention to detail, and ability to communicate effectively with cross-functional stakeholders • Understanding of healthcare data confidentiality and HIPAA requirements • Experience using AI, automation, business intelligence, or workflow tools to improve analysis and reporting • Ability to evaluate new technologies and apply them thoughtfully to practical business challenges • Sound judgment when validating AI-generated outputs and handling sensitive healthcare information • Preferred: Experience supporting ambulatory surgery centers, hospital outpatient departments, physician practices, or multisite healthcare organizations • Preferred: Experience with payer contract modeling, fee schedule analysis, reimbursement methodologies, or contract performance evaluation • Preferred: Experience analyzing accounts receivable, denials, collections, payment variances, or other revenue cycle performance indicators • Preferred: Familiarity with healthcare financial reporting, forecasting, and dashboard development • Must be eligible to work in the United States; visa sponsorship question is included in the application

🏖️ Benefits

• Compensation varies by work location, relevant skills, experience, education or training, and company and individual performance • Remote work arrangement

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