Senior Out of Network Operations Analyst – Rev Cycle Claims Reimbursement

🔥 12 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🌐 Network Operations

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Envision Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

🤝 B2B

Healthcare • B2C • B2B

Envision Healthcare is a leading national medical group of physicians and advanced practice providers delivering acute, perioperative, emergency and specialty clinical services across hospitals, ambulatory surgery centers and other care settings throughout the United States. The organization supports millions of patient encounters annually—including emergency department care, radiology reads, anesthesia cases and newborn deliveries—while partnering with health systems to improve clinical workflows, patient access, telehealth imaging, clinician wellbeing and operational performance.

📋 Description

• Lead small to medium-sized projects, including requirements gathering, analysis, and solution development • Develop and maintain interactive Tableau or Power BI dashboards and reports for arbitration and operational performance • Design and maintain SQL-based datasets, queries, and data models for reporting and analytics • Perform complex data analysis to identify root causes, trends, and process improvement opportunities • Partner with Data, Strategy, Payor Analytics, and IT teams to ensure data accuracy and insight alignment • Support design and implementation of automation tools and workflows using Python, VBA, Alteryx, or robotic process automation platforms • Contribute to business case development through quantitative analysis, process mapping, and forecast modeling • Prepare and deliver findings and recommendations to business partners and director-level leadership • Develop and maintain process documentation and end-user materials for knowledge sharing and training • Mentor and potentially review the work of lower-level analysts

🎯 Requirements

• 4 years of Business Analyst experience required • Healthcare industry and project experience preferred • Strong analytical skills with Tableau and Power BI • Problem-solving capabilities • Ability to work independently and collaboratively in a fast-paced environment • Effective communication and presentation skills • Familiarity with healthcare revenue cycle and arbitration workflows • Experience with SDLC methodologies and business requirements documentation • Bachelor's degree required or equivalent work experience and/or education • Microsoft Office Suite • Microsoft Project • Must satisfy employment eligibility verification requirements through E-Verify

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and Parking FSAs • HSA • Paid time off (PTO), minimum 20 days and up to 25 days per calendar year • 9 observed holidays • Paid family leave • Benefits eligibility from day one for qualifying employees • Comprehensive benefits package

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