Revenue Cycle Operations Analyst

Job Title: Revenue Cycle Operations Analyst Location: California (Remote/Hybrid) Employment Type: Full-time Salary: $85,000 - $95,000 per year (dependent on experience, education, and market factors) Date Posted: 07-02-2026 About The Role The Revenue Cycle Operations Analyst supports California Operations by analyzing and improving front-end revenue cycle performance across multiple programs. This role serves as a subject matter expert in eligibility verification, payer requirements, authorization management, financial clearance, and billing readiness processes. Working closely with operational, clinical, and revenue cycle leadership, the Revenue Cycle Operations Analyst identifies opportunities for process improvement, reduces billing and compliance risks, and supports organizational performance through data-driven decision-making and operational excellence. Responsibilities Analyze front-end revenue cycle workflows, eligibility verification processes, financial clearance activities, and billing readiness across multiple programs Interpret Medi-Cal, Medi-Medi, commercial payer, authorization, Share of Cost, and eligibility requirements and provide operational guidance Develop, implement, and maintain revenue cycle procedures, controls, and best practices that support compliant and efficient operations Prioritize revenue cycle issues, identify risks, and coordinate corrective actions with operational and revenue cycle leadership Review billing errors, financial clearance trends, and workflow exceptions to identify root causes and improvement opportunities Recommend and monitor corrective action plans to improve claim readiness and reduce denial risks Develop and maintain key performance indicators (KPIs), dashboards, scorecards, and operational reports Analyze operational and financial data to identify trends, forecast risks, and support performance improvement initiatives Present findings, recommendations, and action plans to leadership and stakeholders Design and deliver training related to payer requirements, eligibility processes, financial clearance, and billing readiness standards Provide subject matter expertise on EHR and billing platforms, including IRIS, Avatar, or similar systems Collaborate with clinical, operational, billing, and leadership teams to improve workflows and support organizational goals Participate in county, operational, revenue cycle, and cross-functional meetings as needed Support contract compliance, reporting requirements, audits, and operational initiatives Perform additional duties as assigned Required Qualifications Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Analytics, Public Health, or a related field, or an equivalent combination of education and directly related experience Minimum three years of revenue cycle, billing operations, financial clearance, healthcare operations, payer operations, or related analytical experience Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost, and claim readiness requirements Experience analyzing operational data and developing reports, dashboards, and performance metrics Experience with EHR and billing platforms such as IRIS, Avatar, or similar systems Advanced proficiency in Microsoft Excel and reporting tools Strong analytical, critical thinking, and problem-solving skills Ability to exercise independent judgment and make recommendations regarding complex operational issues Preferred Qualifications Experience supporting multiple programs, regions, or business units Experience with healthcare KPI reporting, dashboard development, business intelligence, or data visualization tools Knowledge of County behavioral health systems, public behavioral health funding structures, and payer contracts Experience leading process improvement initiatives, workflow redesign, or cross-functional projects CRCR, CHAA, HFMA, Lean Six Sigma, or related certification preferred Compensation & Benefits Full-time Employees: Paid vacation days (increase with tenure) Separate sick leave that rolls over annually Paid holidays Medical, dental, and vision insurance options DailyPay – access your earnings without waiting for payday Training, development, and professional growth opportunities All Employees 401(k) Employee Assistance Program (EAP) Pet insurance Perks @ Clarvida – national discounts on shopping, travel, Verizon, and entertainment (Benefits may vary by state or county) Work Location California – Remote/Hybrid Travel required up to approximately 30% for meetings, training, program support, and operational initiatives Employment Type Full-time Equal Opportunity Employer Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic. #J-18808-Ljbffr