Key skills
SaaS
About this role
Role Overview
- Lead complex and enterprise-wide implementations with multiple integrated workstreams
- Own RCM functional track deliverables, ensuring alignment across stakeholders
- Define governance standards, implementation plans, and risk mitigation strategies
- Drive future-state workflow design across pharmacy operations and revenue cycle processes
- Manage release coordination, dependencies, and cross-functional execution
- Serve as Subject Matter Expert (SME) in medical and pharmacy billing (specialty and infusion)
- Optimize workflows to improve clean claim rate and first-pass yield
- Analyze and resolve billing discrepancies including underpayments, overpayments, and unapplied cash
- Ensure alignment between pharmacy systems, billing platforms, clearinghouses, and financial systems
Requirements
- Bachelor’s Degree in Healthcare, IT, Business, or related field (or equivalent experience)
- 5+ years of Business Analysis experience in healthcare or SaaS
- 2+ years of experience in medical billing and financial reconciliation
- Experience in specialty or infusion pharmacy environments preferred
- Strong background in Revenue Cycle Management (RCM)
Benefits
- Health insurance
- Life insurance
- Company-paid disability
- 401k
- 18+ days of paid time off