Business Analyst (Revenue Cycle Management)

Inovalon•Canonsburg, PA

2h•$83,000 - $120,000•Hybrid

About The Position

We are seeking an experienced Business Analyst with strong expertise in medical billing, healthcare operations, and financial reconciliation to support implementations for specialty and infusion pharmacies. The Business Analyst is the liaison between the design and development teams and the client to define the objectives and requirements of the client. Finalizes the implementation process by implementing development plans. The ideal candidate has deep familiarity with revenue cycle processes and has collaborated closely with finance teams.

Requirements

Bachelor’s Degree in Arts/Sciences (B.A./B.S.) in Healthcare and IT or related field or a combination of education and experience required
2+ Years of experience with medical billing and financial reconciliation
2+ Years of experience as a software business analyst required
1-2 Years of experience in a healthcare/specialty pharmacy related environment required
Strong background in healthcare/specialty pharmacy revenue cycle processes
Must be familiar with healthcare/pharmacy system designs and concepts
Possesses excellent communication, organizational and observational skills
Proficient problem-solving skills with good judgment and decision making
Must be goal-oriented and focused
Work well as a member of a team
Possess SQL and Crystal Reports skills
Applicants must be authorized to work in the United States as a condition of employment.

Responsibilities

Serve as the subject matter expert for medical billing and financial reconciliation
Work with client to understand their Revenue Cycle Management requirements of the system.
Work with Product development to communicate the client’s needs and provide business case for enhancement requests.
Accountable for RCM functional track, deliverables, and assist QA and Support with understanding Client needs.
Creating and maintaining deliverables within assigned area.
Participate in testing the product before it is released to the client.
Assist in triaging escalated system defects and/or providing clarification on defects and works to resolve them.
Integrated throughout the full client lifecycle, including RFP development, product demos, project kick-off, implementation, go-live, and ongoing optimizations.
Collaborate with the RCM Product Manager on Product/Knowledge Share.
Provide support to the team during implementation as well as post go live.
Provide support to RCM SME’s for client training initiatives.
Document and maintain deliverables (requirements document, Configuration Design Doc, etc.).
Document process workflow.
Build and configure system based on design.
Ensuring configuration meets requirements and works as expected.
Maintain industry expertise.
Provide support for internal training events as necessary.
Rely on experience and judgment to plan and accomplish goals.
A wide degree of creativity and latitude is expected.
Maintain compliance with lnovalon's policies, procedures and mission statement.
Adhere to all confidentiality and HIPAA requirements as outlined within lnovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
Fulfill those responsibilities and/or duties that may be reasonably provided by lnovalon for the purpose of achieving operational and financial success of the Company.
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.