REVENUE CYCLE ANALYST-OPTIMIZATION

General Purpose of Job:  

The Revenue Cycle Analyst partners with revenue cycle and clinical operations to optimize financial performance and maximize revenue opportunities. This role brings deep expertise and a holistic understanding of clinical and financial workflows to perform root cause analysis, identify process gaps, and drive workflow and technology-enabled improvements. The Analyst proactively monitors performance, analyzes results, and delivers actionable, data-driven insights to support revenue optimization, reduce avoidable write-offs, and improve operational efficiency across the Region.     

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis.  Team members may be asked to perform additional duties as assigned by their leader.  Leadership has the right to alter or modify the duties of the position.

• Conducts in-depth root cause analysis of revenue leakage, avoidable write-offs, and performance variation, summarizing findings and recommending actionable improvements to support leadership decision-making and process improvement.
• Develops and proposes mitigation strategies, including workflow redesign, education, and technology-enabled solutions, to address systemic issues.
• Leads and supports initiatives to reduce avoidable write-offs across UMH Sparrow and UMH West.
• Facilitates and leads stakeholder meetings, providing high-level problem solving with consideration of revenue, compliance, and operational impacts.
• Partners with payers to address policy changes, claim processing issues, and systemic drivers of write-offs.
• Educates clinical and operational teams on workflows, payer requirements, and process improvements to improve outcomes and mitigate write-offs.
• Leverages technology, analytics tools, and software solutions to track performance, monitor progress, and support improvement initiatives.
• Partners with Regional IT to design and implement Epic build changes, enhanced functionality, and new or optimized workflows.
• Translates complex quantitative and qualitative data into clear, actionable insights through written summaries, dashboards, and presentations for leadership.
• Monitors trends, variances, and outliers to proactively identify revenue risk, opportunity, and performance improvement areas.
• Serves as a senior analytical resource and escalation point for complex reporting, metrics, and analytical questions.
• Participates in regional and systemwide initiatives by providing analytical expertise and reporting support.
• Mentors and supports Analyst I and II staff in reporting standards, best practices, and analytical techniques, fostering strong analytical capability across the team.
• Builds and maintains strong regional partnerships with clinical, revenue cycle, IT, and payer stakeholders.     

Job Requirements