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Niche healthcare RCM analytics role with moderate demand and some mid-level amplifiers.
Role requires domain-specific healthcare RCM and vendor management experience, limiting cross-industry transferability.
Explicit years, healthcare RCM domain knowledge, BI and SQL requirements make screening stringent.
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Manage and validate data quality for all self-pay vendors to ensure accuracy and compliance with formats and SLAs.
Develop, maintain, and analyze vendor performance scorecards and dashboards tracking KPIs like eligibility hit rates, denial rates, and clean claim rates.
Drive identification of trends, anomalies, and process improvements, supporting vendor management and operational optimization through actionable insights.
Bachelor's degree in Healthcare Administration, Finance, Business Administration, Data Analytics, or a related field.
Minimum 3+ years of experience in healthcare revenue cycle management or healthcare operations.
Minimum 2+ years of experience in data analysis, business intelligence, or analytics in a healthcare setting.
Demonstrated experience with vendor performance monitoring or third-party management and development of performance dashboards or KPI tracking systems.
Strong analytical focus with ability to translate healthcare revenue cycle data into actionable business insights, especially for self-pay operations.
Experienced in building and using BI tools (Power BI, Tableau) and advanced Excel skills to create automated dashboards and scorecards.
Familiar with healthcare billing systems and compliance regulations, capable of independently managing multiple priorities and driving issue resolution in vendor operations.