Senior Business Analyst - Denial Analytics (PRIZM Team)

The Senior Business Analyst – Denial Analytics is a key member of the Enterprise Denial Management team, with a focus on leveraging data to uncover denial trends, identify root causes, and provide actionable insights that inform enterprise-wide strategies. This individual will support the PRIZM platform—our core denial analytics engine—and collaborate with both clinical and operational stakeholders to drive measurable improvements in revenue recovery and denial prevention.

This role will report to the Senior Manager responsible for PRIZM oversight and serve as a subject matter expert in data visualization, claims analysis, and revenue cycle intelligence.

Key Responsibilities:

• Analyze denial-related data from PRIZM and other systems to identify trends, patterns, and root causes impacting reimbursement.
• Build dashboards, models, and reports that translate complex data into clear, actionable insights for executive leadership and operational teams.
• Work collaboratively with denial operations teams, clinical departments, coding, and revenue cycle leadership to inform and align on data-driven initiatives.
• Monitor key denial performance indicators (e.g., volume trends, appeal success rates, payer-specific denial rates) and escalate significant variances.
• Serve as a PRIZM engine expert and support governance of data inputs, categorization logic, and model performance.
• Translate business questions into analytical frameworks and communicate findings to both technical and non-technical audiences.
• Provide support for strategic initiatives by contributing data analyses and recommendations during workgroup discussions or executive briefings.
• Partner with IT and analytics teams to improve data quality, automation opportunities, and integration across platforms.

Document data definitions, logic, and workflows to support transparency and repeatability in reporting.

 

During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Qualifications:

Required:

• Bachelor’s degree in Business, Finance, Health Informatics, Statistics, or related field.
• Minimum of 5 years of experience in data analytics, business intelligence, or financial analysis within a healthcare or revenue cycle setting.
• Strong understanding of denial management processes, payer behavior, and revenue cycle operations.
• Proficient with denial analytics platforms.
• Expertise in data visualization tools (e.g., Tableau, Power BI) and intermediate to advanced Excel skills.
• Proven experience with SQL, data modeling, and reporting in large-scale healthcare environments.
• Strong communication skills, with the ability to present complex analysis to leadership in a compelling and understandable manner.

Preferred:

• Experience in an academic medical center or integrated delivery system.
• Familiarity with EPIC systems and claims data structures.
• Involvement in cross-functional denial prevention or revenue integrity projects.

Key Competencies:

• Analytical Rigor & Attention to Detail
• Business Acumen in Healthcare Revenue Cycle
• Effective Communication & Data Storytelling
• Cross-Functional Collaboration
• Process Improvement & Root Cause Analysis
• Stakeholder Engagement & Problem Solving

Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement op