CrawlJobs Logo

Revenue Cycle Analytics - Payer Operations

Stedi

Location Icon

Location:
United States , NYC

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

Not provided

Job Description:

We're building a new healthcare clearinghouse. Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our Payer Strategy & Operations team is responsible for the health, growth, and operational efficiency of this system. To help support and scale this system, we are hiring our first member of the Revenue Cycle Analytics team. Your mandate is to leverage the data flowing through our clearinghouse to define and track key claims and revenue cycle metrics, eliminate operational toil, improve customer outcomes, enhance our product offering, and uncover payer performance trends across the ecosystem.

Job Responsibility:

  • Define and track RCM health metrics such as claim acceptance rates, denial reasons, first-pass resolution rates, payer adjudication times
  • Analyze payer-level performance (claim rejections, delay patterns, ERA discrepancies, eligibility response behavior)
  • Create actionable reporting via dashboards and reports
  • Drive claims & RCM insights by analyzing claim flows, denial patterns, payer rules, and reimbursement behaviors
  • Document patterns and requirements in a knowledge base
  • Maintain a clear analytics backlog in Linear

Requirements:

  • Deep RCM expertise in analyzing healthcare claims, claim status, and payer reimbursement data
  • Exceptional analytics and documentation skills
  • Expert in SQL
  • Fluent in modern visualization tools
  • Experience using emerging AI tools to improve analysis speed, automate workflows, enhance pattern detection
  • Relentlessly curious and self-motivated
  • Resourceful, self-disciplined, and able to work with urgency and crisp communication
  • Thrives on details

Additional Information:

Job Posted:
February 18, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Revenue Cycle Analytics - Payer Operations

Manager, Revenue Cycle Management

The Manager, Revenue Cycle Management (RCM) will build, lead, and scale the RCM ...
Location
Location
United States
Salary
Salary:
111012.00 - 133215.00 USD / Year
babylist.com Logo
Babylist
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 7+ years of experience in healthcare revenue cycle management
  • At least 5 years managing RCM or billing operations teams
  • Proven expertise in DME billing and payer management including claims submission, denial analysis, appeals, and reimbursement workflows
  • Deep knowledge of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS)
  • Experience implementing or optimizing RCM systems such as Brightree, Niko Health, or similar DME billing software
  • Data-driven leader with strong analytical and process improvement skills
  • Proficient with Excel and/or BI reporting tools
  • Exceptional communicator who can translate technical billing issues into cross-functional strategies
  • Collaborative, hands-on leader who inspires trust, accountability, and performance across distributed teams
  • Strong operational discipline with the ability to establish SLAs, observability metrics, and scalable processes
Job Responsibility
Job Responsibility
  • Lead end-to-end revenue cycle operations including charge entry, claims submission, payment posting, denial management, and AR follow-up
  • Establish quality controls, monitor key metrics (days in AR, denial rates, clean claim rates), and prevent backlogs to ensure timely reimbursements within filing deadlines
  • Build, manage, and develop a high-performing team of RCM professionals
  • Create a culture of accountability and continuous improvement through clear goals, mentorship, and data-driven decision-making
  • Serve as the primary point of contact and voice of Babylist with key insurance providers and partners
  • Develop and implement scalable workflows for claims management, payer recoupments, and patient billing
  • Ensure compliance with regulatory requirements (HIPAA, CMS) and optimize EDI performance through clearinghouses and payer portals
  • Partner cross-functionally with Finance, Product, Engineering, Clinical Operations, and Customer Support to forecast cash flow, identify revenue opportunities, and design automated tools
  • Drive the adoption of technology and AI to automate routine processes, improve claims accuracy, and build scalable systems
  • Establish operational mechanisms, SLAs, and observability metrics to build a disciplined, scalable foundation for growth
What we offer
What we offer
  • Competitive salary with equity and bonus opportunities
  • Company-paid medical, dental, and vision insurance
  • Retirement savings plan with company matching and flexible spending accounts
  • Generous paid parental leave and PTO
  • Remote work stipend to set up your office
  • Perks for physical, mental, and emotional health, parenting, childcare, and financial planning
  • Fulltime
Read More
Arrow Right

Management Trainee – Operations (Medical Coding Trainer)

We are seeking an experienced and certified Medical Coding Trainer to facilitate...
Location
Location
India , Chennai
Salary
Salary:
Not provided
accesshealthcare.com Logo
Access Healthcare LLC
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Excellent communication and people skills
  • Strong analytical skills and in-depth knowledge of the Revenue Cycle Management (RCM) cycle
  • Minimum 5 years of work experience
  • 3 to 4 years in medical coding
  • 1 year in denial coding management
  • 1 year in trainer role
  • Proven experience in a training role within Medical Coding or a related field
  • Experience in training and mentoring coders
  • AHIMA/AAPC certified
  • Expertise in medical coding using ICD-10-CM, CPT conventions, and HCPCS codes
Job Responsibility
Job Responsibility
  • Follow the training agenda and facilitate the training sessions for Coding – Denial Management
  • Utilize proficient analytic skills to accurately code medical records using ICD-10-CM, CPT conventions, and HCPCS codes
  • Browse payer guidelines to collate and provide the most accurate payer-specific information
  • Interpret medical records across various specialties and provide appropriate denial actions based on analysis
  • Handle and train diverse groups of new hires and existing coders
  • Mentor and develop coders' capabilities in denial management within the organization
  • Provide Subject Matter Expert (SME) support for transitioning clients
  • Conduct focus and compliance audits for all types of coders and auditors (ATA)
  • Report and analyze trainees' performance to ensure client partners are ramping up to meet client and SD/SQ team standards
Read More
Arrow Right
New

Revenue Systems Analyst

At Luna, we’re transforming physical therapy into something more accessible, mod...
Location
Location
Salary
Salary:
70000.00 - 95000.00 USD / Year
getluna.com Logo
Luna
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree in Healthcare Administration, Business, Analytics, or equivalent
  • 2–3+ years of experience in healthcare revenue cycle analytics, financial analysis, or operational data analysis
  • hands-on experience related to claims analytics, denial management, and payer performance reporting
  • Strong analytical skills with the ability to translate data into insights and operational recommendations
  • Strong Proficiency with SQL and Tableau is required
  • Solid understanding of healthcare RCM processes
  • Clear, concise communication skills—comfortable explaining complex findings to non-technical stakeholders
  • Highly organized, adaptable, and comfortable working in a dynamic, fast-growing environment
Job Responsibility
Job Responsibility
  • Analyze revenue cycle data across internal systems and payer portals to identify trends, patterns, and performance gaps
  • Monitor claims, denials, reimbursements, and payer behavior through daily and weekly reporting
  • Track KPIs such as days in A/R, denial rates, net collections, and reimbursement timelines
  • Conduct root-cause analysis for denials, rejections, underpayments, and delayed payments—recommending actionable solutions
  • Build dashboards, reports, and visualizations with SQL and other tools that support leadership and operational decision-making
  • Partner closely with RCM teams to improve clean-claim rates, streamline workflows, and enhance overall efficiency
  • Support ad hoc data requests and cross-functional initiatives for revenue cycle leadership
What we offer
What we offer
  • Opportunity to grow within a high-impact health tech startup scaling nationwide
  • Supportive leadership and career growth opportunities
  • A full-time, remote role
  • Competitive PTO and paid company holidays
  • Stock options
  • Medical, dental, and vision insurance starting the first of the month following your start date
  • Health and wellness benefits
  • Company paid life insurance and additional benefits
  • Fulltime
Read More
Arrow Right

Revenue Integrity Analyst

This Contract to permanent position is integral to maintaining compliance and en...
Location
Location
United States , Austin
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree in business, finance, health information management, or a related field is preferred
  • Proven experience in hospital revenue cycle processes, billing, coding, or claims analysis is highly desirable
  • Strong analytical abilities to interpret complex billing and reimbursement data effectively
  • Comprehensive knowledge of healthcare compliance, payer regulations, and revenue cycle operations
  • Exceptional communication and collaboration skills to work effectively with diverse teams, including clinical, financial, and IT departments
  • Advanced proficiency in Microsoft Excel and familiarity with data analytics tools and revenue cycle systems such as Epic, Cerner, or Meditech
  • Expertise in healthcare revenue cycle concepts, including medical billing and claims processes, is essential
Job Responsibility
Job Responsibility
  • Analyze revenue cycle processes, including charge capture, coding, billing, and reimbursement, to identify areas for improvement and potential revenue leakage
  • Ensure compliance with payer contracts, reimbursement policies, and regulatory requirements by interpreting and applying relevant guidelines
  • Collaborate with clinical, operational, and IT teams to educate stakeholders, address process gaps, and implement corrective measures that enhance revenue integrity
  • Conduct audits of claims, accounts receivable, and denials to identify patterns and recommend solutions for discrepancies such as underpayments or overpayments
  • Develop and present detailed reports and dashboards to highlight key findings, trends, and actionable recommendations for senior leadership
  • Participate in system upgrades, process improvement efforts, and the implementation of new services to optimize charge and revenue capture
  • Stay informed about changes in healthcare compliance standards, payer regulations, and hospital billing requirements to maintain up-to-date practices
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Revenue Cycle Director

We are looking for an experienced Revenue Cycle Director to join our team on a c...
Location
Location
United States , Hillsborough
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A minimum of 5 years of experience in healthcare revenue cycle management
  • Proven expertise in medical billing and collections within smaller healthcare practices
  • Strong knowledge of healthcare billing regulations and compliance standards
  • Familiarity with ambulatory surgery center billing processes
  • Experience in utilizing and implementing AI-driven tools for revenue cycle improvements
  • Exceptional analytical and problem-solving skills
  • Effective leadership and communication abilities
  • Proficiency in managing insurance claims and payer relationships
Job Responsibility
Job Responsibility
  • Supervise and manage all aspects of the revenue cycle, including billing, collections, and financial reporting
  • Identify opportunities to streamline processes and implement automation to enhance operational efficiency
  • Collaborate with leadership to align revenue cycle strategies with organizational goals
  • Ensure compliance with healthcare billing regulations and standards
  • Monitor key performance indicators and generate reports to track financial outcomes
  • Provide guidance and training to staff to maintain high levels of performance and accuracy
  • Work closely with insurance providers to resolve claims and payment issues
  • Develop and implement policies to improve the overall effectiveness of revenue cycle operations
  • Analyze financial data to identify trends and recommend improvements
  • Support leadership in integrating advanced technologies, such as AI, into revenue cycle processes
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right
New

Vp, Rcm

Our revenue cycle capabilities are a key differentiator for us at Verse, not jus...
Location
Location
Salary
Salary:
Not provided
versemedical.com Logo
Verse Medical
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 10+ years in revenue cycle management
  • 6+ years leading RCM teams in complex, multi-payer, operationally intensive environments (e.g., DME, home health, specialty services, PE-backed healthcare platforms)
  • Elite analytical skills
  • Strong Excel skills and deep understanding of RCM metrics
  • Preferred: SQL experience
  • A demonstrated track record of diagnosing ambiguous RCM problems using data, judgment, and process insight
  • Exposure to technology and product development teams, with a history of working with EPD teams to deliver operational improvement in RCM
  • Proven ability to build and scale high-performing teams, including managers, operators, and analytics talent
  • Have built and scaled excellent teams, including hiring team members across the whole spectrum of revenue cycle work
  • Willingness to travel to New York City every 1–2 months
Job Responsibility
Job Responsibility
  • Own end-to-end revenue cycle outcomes at Verse, including strategy, execution, and performance across billing, collections, denials, audits, and payer-specific workflows
  • Partner deeply with engineering, product, and design to build, automate, and scale internal RCM tooling
  • Proactively identify structural weaknesses in the revenue cycle and implement solutions before they become material risks
  • Lead and develop an existing team of directors and managers, while designing the next phase of the org
  • Recruit and develop high-caliber talent across RCM operations, analytics, and strategy
What we offer
What we offer
  • Comprehensive Health & Wellness: We cover 100% of your health insurance premium
  • Provide access to high-quality dental and vision insurance plans for you and your dependents
  • Plan for the Future: We offer a 401(k) plan
  • Career Growth: opportunities for rapid career advancement
  • Fulltime
Read More
Arrow Right

Medical Revenue Cycle Analyst

A National Healthcare Organization is in the need of a Medical Revenue Cycle Ana...
Location
Location
United States , Los Angeles
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • strong analytical skills
  • healthcare billing knowledge
  • ability to collaborate across departments
  • working knowledge of Epic Software
  • CPC or CCS license is a plus
Job Responsibility
Job Responsibility
  • Perform data analysis to identify trends, issues, and opportunities for improvement within the revenue cycle processes, including billing, coding, collections, and reimbursements
  • Maintain and analyze financial and operational performance metrics related to claims processing, denial management, and payment posting
  • Collaborate with cross-functional teams, such as billing and collections, to streamline processes and improve revenue cycle operations
  • Research industry regulations and payer policies to ensure compliance and optimize reimbursements
  • Provide regular reporting to department leaders on revenue cycle performance, including key performance indicators (KPIs)
  • Support system upgrades and technology implementation to enhance revenue cycle efficiency
  • Identify and resolve discrepancies in payments or coding to reduce denials and delays in reimbursements
  • Conduct root cause analysis for claim denials and develop strategies for resolution
  • Participate in budgeting and forecasting to align revenue cycle goals with financial strategies
What we offer
What we offer
  • competitive compensation and benefits
  • free online training
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Revenue Analyst

We are looking for a detail-oriented Revenue Analyst to join our team in Central...
Location
Location
United States , Tinton Falls
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Proven experience in healthcare revenue cycle management, with a focus on payer and insurance processes
  • Advanced proficiency in Excel and Power BI for financial reporting and analysis
  • Solid understanding of coding principles and classifications within healthcare
  • Strong analytical skills with the ability to interpret complex financial data
  • Excellent communication skills for presenting findings to management and stakeholders
  • Familiarity with private equity-backed healthcare organizations is preferred
  • Ability to work independently and manage multiple priorities effectively
  • Knowledge of revenue recognition accounting principles and compliance standards
Job Responsibility
Job Responsibility
  • Conduct thorough analyses of revenue cycles, focusing on payer and insurance processes for surgical procedures
  • Develop and maintain financial reports using tools such as Power BI and Excel to support decision-making
  • Apply coding principles and classifications to ensure accurate revenue recognition and compliance
  • Collaborate with management to present findings and recommendations clearly and effectively
  • Monitor and evaluate revenue trends to identify opportunities for optimization
  • Ensure proper coding practices are followed to support accurate financial reporting
  • Support the integration of new practices into the revenue cycle framework as the organization grows
  • Identify discrepancies in revenue data and implement corrective measures
  • Provide insights and analytics to improve operational efficiency within the revenue cycle
  • Partner with cross-functional teams to align revenue strategies with organizational goals
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • company 401(k) plan
Read More
Arrow Right