RCM Business Enablement Analyst

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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

💼 Consulting

📦 Logistics

🏭 Manufacturing

Consulting • Logistics • Manufacturing

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Build, test, and maintain insurance payor contracts • Build, test, and maintain expected reimbursement rules to accurately calculate expected reimbursement • Apply healthcare, technical, analytical, and financial skills to implement and manage contracts throughout the payor contract lifecycle • Coordinate with Operations to keep expected reimbursement rules current and accurate after initial build, QA, and testing • Maintain updates for expected reimbursement rules, including Medicare OP quarterly updates, yearly DRG updates, and yearly Managed Care contract increases • QA and test models by reviewing reports and output before publishing live models • Coordinate managed care contract questions with clients, managers, and team leads • Assist with onboarding Revenue Acceleration projects, including validating data requirements, creating workflows and processes, training, and implementation QA • Perform ad hoc analyses assigned by the departmental Director, Manager, or Team Lead

🎯 Requirements

• Minimum of 1–3 years of experience preferred • 5+ years in a healthcare background required • Working knowledge of managed care contracting and modeling desired • Preferred knowledge of billing and coding • Knowledge of CMS guidelines, including Medicare, IPPS, and OPPS reimbursement logic • Knowledge of administrative and clerical procedures and systems, including word processing, file and record management, form design, policy writing, and office terminology • Knowledge of business and management principles related to strategic planning, resource allocation, production methods, and coordination of people and resources • Ability to analyze data, processes, and systems to identify gaps, understand needs, and propose solutions • Strong verbal and written communication skills • Proficiency in project management from conception through implementation and review • Familiarity with CRM systems, LMS platforms, data analytics tools, and content management systems • Ability to collaborate with cross-functional teams, clients, and Operations leaders • Strong problem-solving skills • Flexibility to adapt to changing needs, technologies, and business processes • Detail-oriented approach to enablement activities and documentation • Understanding of end-user needs and ability to design enablement solutions that improve user experience and productivity • Ability to work for long periods using a desktop computer or laptop, mouse and keyboard, and hard or soft phone

🏖️ Benefits

• Remote work arrangement • 0% travel requirement