About this role

Engage with revenue cycle and finance stakeholders to understand existing denial management processes
Conduct detailed assessments of current denial root causes, resolution workflows, and reporting capabilities
Map current-state workflows to the target product environment
Design best-practice denial management processes leveraging product capabilities
Define key metrics, dashboards, and reports to track denial trends and root-cause performance
Translate business, operational, and analytical requirements into clear functional specifications
Maintain expert-level knowledge of product features related to denial management
Collaborate closely with Product Managers and Data Science teams

7+ years in revenue cycle operations, analytics, or healthcare technology
Experience configuring or implementing denial management or analytics tools (e.g., Epic Resolute, nThrive, FinThrive, Waystar, Change Healthcare, MedeAnalytics, or equivalent)
Familiarity with claims data standards (ANSI 837/835), payer denial codes, and root-cause analytics
Proficiency in data visualization and analytics platforms (e.g., Tableau, Power BI, Looker)
Bachelor’s degree in Healthcare Administration, Informatics, Computer Science, Statistics, or related field (Master’s preferred)

Product SME – Denial Management, Data Analytics

Key skills