Senior Denials Prevention Process Improvement Advisor [Remote]

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Denials Prevention Process Improvement Advisor based in United States.

This role sits at the intersection of healthcare revenue cycle management, data analytics, and operational transformation within a high-impact healthcare services environment. You will lead deep-dive analyses of clinical and technical denials, uncovering root causes that affect hospital reimbursement performance and operational efficiency. Acting as a strategic advisor to hospital clients, you will translate complex datasets into clear, actionable insights that drive measurable improvements. The position requires strong client-facing communication, as you will regularly engage with hospital leadership and multidisciplinary stakeholders. You will also play a key role in shaping denial prevention strategies, influencing process redesign, and improving documentation and education practices. This is a highly analytical yet highly collaborative role with direct impact on healthcare financial health and patient service continuity.

Accountabilities

• Lead comprehensive analysis of clinical and technical denials using advanced datasets, including 835 transactions, Epic records, and SQL-based tools to identify trends and root causes
• Conduct deep root cause analysis across denied claims and translate findings into scalable process improvement recommendations
• Partner with hospital leadership and revenue cycle teams to present findings, align on corrective actions, and support operational transformation initiatives
• Facilitate denial prevention committee meetings, including monthly reviews, kickoff sessions, and follow-ups on action plans and performance tracking
• Develop and maintain detailed reports, dashboards, and summaries documenting denial trends and remediation progress
• Act as a primary client-facing advisor for assigned hospital systems, ensuring strong stakeholder relationships and consistent communication
• Design and deliver training, documentation, and guidance materials to improve denial prevention practices across teams and departments
• Collaborate with subject matter experts to influence policy, workflow redesign, and system enhancements that reduce denial volume

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field
• 5+ years of experience in healthcare revenue cycle management, denial management, or healthcare analytics
• Strong experience performing data analysis using tools such as Excel, Access, SQL, and healthcare billing systems
• Proven ability to conduct root cause analysis and translate findings into operational improvements
• Experience working directly with hospital clients, providers, or healthcare system stakeholders in a consultative or advisory capacity
• Strong communication, presentation, and stakeholder management skills
• Ability to lead cross-functional discussions and influence operational and clinical teams
• Experience in process improvement, project management, or Lean/Six Sigma methodologies (certification preferred)
• Familiarity with Epic or other EHR systems is a strong plus
• Comfort working in a remote environment with periodic onsite client visits

Benefits

• Competitive salary ranging from approximately $69,000 to $104,100 depending on experience and location
• Annual bonus and incentive programs for high performance
• Comprehensive medical, dental, and vision insurance coverage
• Retirement savings plan (401k)
• Tuition reimbursement and paid certification programs
• Remote-first flexibility with occasional onsite client engagement
• Career advancement opportunities within a growing healthcare analytics organization
• Continuous learning and professional development support
• Recognition programs rewarding performance and impact

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.