Senior Strategic Initiatives Analyst

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

This role supports Revenue Cycle Management by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop innovative solutions that enhance organizational results by increasing revenues and efficiencies. As the Subject Matter Expert (SME) for Revenue Cycle operations, the Senior Analyst will lead strategic project implementations. Additionally, this position will act as the liaison between teams and departments to ensure initiatives and requirements are met/or trends independently and makes business recommendations to management.

 

Responsibilities 

• Work independently and take ownership of assigned strategic projects to ensure timely and effective completion.
• Identify, evaluate, and recommend strategic initiatives that drive revenue optimization and  operational improvement within the Revenue Cycle.
• Lead comprehensive data analysis efforts, generating actionable insights to support decision making and performance enhancement.
• Identify strategic initiatives opportunity for Revenue optimization.
• Effectively manage stakeholder relationship.
• Analyze inventory trends to ensure all patient accounts are moving correctly to/from vendors.
• Build workflows with vendors within Revenue cycle management and HIPPA compliance.
• Analyze, build, and manage KPIs on vendor performance.
• Collaborate and implement changes across departments.
• Provide training for Analyst positions and Jr. Analyst positions.  

Qualifications

Required qualifications:

Familiar with Revenue Cycle processes including but not limited to Registration, Billing, Denials, Coding, Reimbursement methodologies, etc.

Ability to work independently for independent judgement and decision-making.

Understanding of UB04, 1500, 835/837, claims status codes with Billing / Coding experience.

Excellent Communication skills, able to answer customer questions and provide solutions.

Excellent working knowledge with EHR / EMR and Clearinghouses (EPIC, Meditech, Relay, Waystar, Experian, etc.)

Ability to create and execute project plans and change management plan

Ability to create analytical reports per operational trends to resolve operational challenges and identify areas for improvement.

Preferred qualifications:

Minimum 3 Years of Healthcare Experience with bachelor’s preferred or 2 years with masters preferred

Vendor Management Experience.

Minimum 3 years of working experience with Microsoft suite (Excel, Word, PowerPoint, Project, Visio). 

Knowledge using SQL is preferred.

Preferred Certifications including SQL, Scrum Master, PMP, CRCR, Certified Billing, Certified Coding, etc. 

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf