Senior Operations Analyst
$42k - $72kathenahealth
Operations Senior Analyst, RCM TransformationJoin us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.The Operations Senior Analyst, RCM Transformation plays a key role in advancing revenue cycle operations and supporting the development of enhanced service offerings. This RCM Optimization Pilot role focuses on resolving claims and unpostables, analyzing operational performance, and contributing to pilot initiatives that inform scalable solutions. The analyst collaborates across teams to improve workflows, support product strategy, and contributes with innovative thinking to help define 'what's next' for RCM services. The ideal candidate thrives in ambiguity, balances execution with exploration, and follows established playbooks while actively helping write the next version of them. This is a hybrid role based in the United States and reports to the RCM Transformation Senior Manager.The RCM Transformation team is focused on improving revenue cycle outcomes through operational innovation and scalable solutions. The team partners closely with Product, Service Operations, and Customer Success to test and refine new service models. They support pilot programs that inform long-term strategy and enhance customer experience. Insights generated from hands-on operational work directly inform long-term strategy, product decisions, and customer experience improvements. The team leverages operational data, system tools, and cross-functional collaboration to influence and drive continuous improvement.Essential Job Responsibilities:Independently resolve a broad range of claims and unpostables with accuracy and efficiency for RCM Optimization Pilot customers, following practice directives where available while exercising judgment in ambiguous scenariosUse internal systems and tools (i.e., athenaOne navigation, access to payer portals, etc.) to manage claims workflows and complete operational tasksAnalyze incoming and completed work to identify root causes and recommend process improvementsAdapt to evolving workflows and support new, untried, and evolving processes as part of pilot initiativesParticipate in pilot program activities including workflow documentation, validation of new processes, customer discussions, and operational readiness assessmentsUse available AI-enabled tools (such as workflow automation, data summarization, or pattern identification tools) to increase efficiency, support analysis, and continuously learn new tools that enhance daily workAdditional Job Responsibilities:Support documentation of processes and workflows for pilot programsAssist with preparing materials for stakeholder updates and presentationsProvide input on scaling pilot program operationsContribute to knowledge sharing across the teamSupport ad hoc operational or analytical requests as neededParticipate in team meetings and continuous improvement initiativesAssist in testing and validating new tools or workflowsExpected Education & Experience:3+ years of experience in athenahealth revenue cycle management, claims processing, or healthcare operationsExperience resolving claims or unpostables in athenahealth settingsFamiliarity with medical billing processes and payer interactionsStrong command of athenaOne navigation and functionality, or ability to quickly develop deep system expertiseStrong analytical and problem-solving skills, including the ability to evaluate data and identify trendsStrong organizational skills and attention to detail, with the ability to self-manage workload and competing prioritiesStrong written and verbal communication skills, including the ability to simplify complex information for diverse audiences and senior leadersProficiency in Microsoft Excel and PowerPoint preferredExperience working in cross-functional environments preferredBachelor's degree or equivalent experience preferredExpected Compensation$42,000 - $72,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
$42k - $72k
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