Business Analyst

Janus Health is dedicated to improving healthcare efficiency and enhancing the lives of administrative workers. They are seeking a motivated Business Analyst to analyze healthcare revenue cycle data, identify growth opportunities, and support automation solutions for better operational efficiency.

Responsibilities:

• Analyze prior authorization and claim status datasets to identify trends, performance metrics, and improvement opportunities
• Conduct root cause analysis on process inefficiencies, claim denials, and authorization delays
• Research and analyze payer clinical policies, medical necessity criteria, and prior auth submission requirements
• Monitor customer feedback and product performance to identify enhancement opportunities
• Maintain current knowledge of industry standards, payer requirements, and regulatory changes affecting prior authorization workflows and claims processes
• Document and map complex healthcare workflows and identify pain points and automation opportunities
• Gather business requirements and create detailed user stories, process flows, and functional specifications
• Develop and maintain documentation of workflows, data specifications, and product features
• Partner with product managers to define and prioritize features based on data insights and customer needs
• Participate in product discovery sessions and contribute analytical perspectives
• Collaborate with implementation and support teams to identify, document, and resolve product issues and defects
• Communicate complex technical and analytical concepts effectively to both technical and non-technical audiences

Requirements:

• Bachelor's degree in Business Administration, Computer Science, Healthcare Administration, or related field
• 1-3 years of experience working with prior authorization and admission notification workflow and claim status processes on the provider and payer sides
• Experience working with provider organizations, EHR systems, and RCM platforms
• Hands-on experience with AI applications, Payer Guidelines, and Clinical Documentation initiatives
• Strong critical thinking skills to address complex healthcare business challenges
• Strong data analytical skills
• Comfortable creating and using process diagrams and flowcharts (MS Visio, Draw IO, etc.)
• Excellent written and verbal communication skills
• Ability to thrive in a fast-paced, dynamic environment with shifting priorities
• Knowledge of healthcare EDI transactions, including 278 X215/216/217, 837, 835, 276/277, and 270/271 EDI transactions
• Must be located in the United States; no sponsorship is available at this time
• Familiarity with EPIC is a plus
• Strong SQL and Excel proficiency preferred