Rcm Data Jobs

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1d ago

Senior RCM Data Analyst

Labcorp Burlington, NC

Burlington, NC

1d ago

Full time Senior Analyst Analytical Skills

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Job Description

Senior RCM Data Analyst at Labcorp, based in Burlington, NC with a hybrid work arrangement, focusing on advanced data analytics to support Revenue Cycle Management initiatives, reimbursement research, and operational insights.

Responsibilities

Design and conduct large-scale analyses leveraging claim-level, laboratory, billing, and reimbursement data to advance RCM initiatives.
Examine the end-to-end claim lifecycle from order placement to adjudication to uncover reimbursement opportunities, identify process gaps, and inform revenue optimization strategies.
Identify, validate, integrate, and analyze data across diverse sources, including lab systems, billing platforms, payer transactions, policy sources, and internal databases.
Apply payer policy requirements and reimbursement guidelines to detect trends affecting claim outcomes and payment performance using claim transaction data.
Perform statistical sampling, predictive modeling, and trend analysis to inform operational decisions and mitigate risk.
Utilize SAS, SQL, Access, VBA, Tableau, and other reporting tools to locate, validate, and analyze data.
Translate analytical results into actionable recommendations that drive process improvements, optimize reimbursement, and protect revenue streams.
Develop monitoring models and alert systems to detect process deviations, reimbursement risks, and system performance issues.
Provide analyses and reports that inform prioritization, operational enhancements, and strategic initiatives.
Support system control research and monitoring aimed at reducing revenue leakage and improving reimbursement outcomes.
Assess system workflows, payer policies, and claim processing rules to identify opportunities for technology enhancements and changes to business rules.
Recommend and assist in developing business rules tied to system changes, automation efforts, and RCM technologies.
Perform testing and validation activities for system enhancements and process changes.
Contribute to RCM policy initiatives involving payer engagement, acquisitions, industry groups, and improvements to reimbursement processes.
Develop analyses using industry-standard data sources to back business solution initiatives and payer-related projects.
Participate in cross-functional discussions on reimbursement policies, claim processing strategies, and operational initiatives.

Requirements

Bachelor's degree in statistics, mathematics, informatics, computer science, information systems, or a closely related quantitative field plus 6 or more years of relevant experience.
At least 5 years of experience performing data analytics in healthcare domains such as revenue cycle management, reimbursement, payer operations, laboratory services, or billing.
Minimum 5 years of SQL experience for querying, validating, transforming, and analyzing large datasets.
At least 3 years using SAS for statistical analysis, data management, and reporting.

Technologies

SAS
SQL
Access
VBA
Tableau
Microsoft Excel

Benefits

Medical
Dental
Vision
Life
STD/LTD
401(k)
Paid Time Off (PTO) or Flexible Time Off (FTO)
Tuition Reimbursement
Employee Stock Purchase Plan

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