Revenue Cycle Regulatory Research Analyst Senior

SSM Health • MO-REMOTE, MO

2d • Remote

About The Position

Serves as a subject matter expert responsible for leading complex regulatory analysis, payer policy interpretation, and compliance-driven revenue cycle initiatives. Monitors federal, state, and commercial payer regulations to ensure organizational compliance, mitigate audit risk, and prevent revenue loss. Operates as a strategic partner across departments, driving large-scale projects, providing advanced guidance to analysts and operational teams, and ensuring alignment between regulatory requirements and revenue cycle operations. Functions in a leadership capacity through influence, expertise, and project ownership.

Requirements

• Bachelor's degree
• Five years' experience
• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication.
• Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.
• Candidates must reside in MO, IL, OK, or WI

Nice To Haves

• CHC Certification or demonstrated compliance experience and strong analytical ability

Responsibilities

• Analyzes and interprets complex regulatory changes from CMS, Medicare Administrative Contractors (MACs), Medicaid, and commercial payers.
• Translates regulatory guidance into actionable operational workflows and billing practices.
• Serves as an organizational subject matter expert on reimbursement and compliance requirements.
• Leads large-scale, cross-functional revenue cycle and compliance projects from initiation through implementation.
• Coordinates efforts across departments including coding, billing, clinical operations, compliance, and finance.
• Develops project plans, timelines, and deliverables to ensure timely execution of regulatory initiatives.
• Supports audit response efforts, including documentation review, appeal strategy, and corrective action planning.
• Provides advanced education and guidance to revenue cycle teams and operational leaders.
• Develops training materials and communications related to regulatory updates and compliance expectations.
• Acts as a liaison between regulatory guidance and frontline operational execution.
• Performs other duties as assigned.

Benefits

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior