Denials Inflow Prevention Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Denials Inflow Prevention Associate

We are looking for a Denials Inflow Prevention Associate to join the Denials Prevent and Inflow Mitigation team within our RCM Admin division. In this role, the Denials Inflow Prevention Associate will be responsible for identifying, analyzing, and addressing the root causes of claim denials to improve operational performance and client outcomes. This individual will partner across Operations, Product, and external Partners to develop prevention strategies, implement process improvements, and drive initiatives that reduce denials and enhance revenue cycle performance. The Denials Inflow Prevent Associate will combine data-driven analysis, project leadership, and stakeholder collaboration to deliver scalable solutions that improve efficiency and customer value. Success in this role requires strong critical thinking, business acumen, and the ability to influence cross-functional teams.

The Team: The Denials Prevention and Inflow Mitigation team is dedicated to improving revenue cycle performance by proactively identifying opportunities to prevent claim denials and streamline operational processes. We collaborate with partners across the organization to solve complex business challenges through data, automation, and continuous improvement. Our team values innovation, accountability, and customer focus while fostering an environment of learning, collaboration, and operational excellence. Together, we work to deliver measurable outcomes that create lasting value for both clients and athenahealth.

Job Responsibilities:

• Analyze quantitative and qualitative data to identify root causes of claim denials and operational challenges.

• Lead cross-functional initiatives that improve denial prevention, operational efficiency, and client outcomes.

• Design and implement scalable process improvements, emphasizing automation, work prevention, and product enhancements.

• Develop business cases, project plans, success metrics, and executive-ready presentations to drive stakeholder alignment and project execution.

• Partner with internal and external stakeholders to identify customer needs, prioritize improvements, and optimize service delivery.

• Monitor performance trends, communicate actionable insights, and recommend solutions that enhance operational effectiveness.

Typical Qualifications

• Bachelor's degree preferred

• 3+ years of professional experience in healthcare operations, revenue cycle management, or a related field.

• Experience analyzing claim denials and revenue cycle processes.

• Demonstrated success leading cross-functional projects and influencing stakeholders to achieve business objectives.

• Experience working directly with internal and/or external customers to improve operational outcomes.

• Strong analytical, communication, and presentation skills with proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook, OneNote).

• Experience with Lean Six Sigma, Agile methodologies, and SQL is preferred.

Expected Compensation

The 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.

About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here: athenahealth.com/careers