185 business requirements analyst jobs found

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Pharmacy Revenue Cycle Analyst, under the direction of the Revenue Cycle Manager-Pharmacy, supports the financial performance of a large health system pharmacy enterprise by analyzing reimbursement, billing, revenue cycle operations, and payer performance across specialty pharmacy, infusion, retail, and provider-administered drug services. This role partners with Pharmacy Operations, Finance, Revenue Cycle, and Information Systems teams to optimize reimbursement, ensure revenue integrity, and identify revenue enhancement opportunities. Job Description: Essential Responsibilities: Analyze pharmacy reimbursement, denials, underpayments, and accounts receivable trends to identify revenue recovery and optimization opportunities. Perform analytics, rebate reconciliation, dispute management, and financial performance reporting. Analyze 340B and...

Overview About the Role This self-directed position participates in the planning, development, implementation, and support of clinical information systems. Functions independently, performs analysis, testing and implementation of procedures on systems to solve complex problems. Develops testing strategies according to system build and downstream system requirements. Maintains project plans and assists with the development of detailed training programs and materials. Ensures that systems are functioning under the guidance of acceptable University policies and procedures and meets all regulatory requirements. Responsibilities What You’ll Do Provides analysis, design, and support of hospital systems, including testing, training, implementation, and on-going support. Documents, communicates, and assists in problem determination and resolution. Interacts with end users, vendors, and other related areas to gather...

Position Title: EHR Clinical Application Analyst ClinDoc - Level I-III Department: IT Care Delivery Applications Job Description: Job Description The EHR Application Analyst I will assist in the development, support and functionality roll out of an Electronic Health Record (EHR) system.  The EHR Application Analyst I assists the organization in optimizing their workflow processes through building applications that are tailored to meet the organizations’ needs.  Responsible for learning the EHR system’s capabilities and functional use and apply knowledge of Healthcare Business workflows to assist in the implementation of a system that meets process needs. Essential Responsibilities: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Provide day-to-day technical support to end-users, including troubleshooting issues,...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Pharmacy Reimbursement Analyst, under the direction of the Manager, Pharmacy Reimbursement, supports the financial performance of a large health system pharmacy enterprise by analyzing reimbursement, billing, revenue cycle operations, and payer performance across specialty pharmacy, infusion, retail, and provider-administered drug services. This role partners with Pharmacy Operations, Finance, and Information Systems teams to optimize reimbursement, ensure revenue integrity, and identify revenue enhancement opportunities. Job Description: Essential Responsibilities: Analyze pharmacy reimbursement, denials, underpayments, and accounts receivable trends to identify revenue recovery and optimization opportunities. Perform analytics, rebate reconciliation, dispute management, and financial performance reporting. Analyze 340B and MFP rebate...

We deliver exceptional service by hiring extraordinary talent! We are currently seeking a skilled Board Certified Behavior Analyst to fulfill a Clinical BCBA position. This individual will support patients in the Bloomington, IN area. As a BCBA with LittleStar, you will join a team dedicated to high-quality clinical care. About Us LittleStar ABA Therapy works with children, teens, and young adults affected by autism. Operating as a non-profit organization, we use our resources to ensure quality services to our patients, and to invest in our staff and the autism community. We have been improving the lives of individuals with autism for over 20 years! Summary The Clinical BCBA is responsible for developing appropriate programs and behavior plans as well as supervising their implementation. The Clinical BCBA works closely with the CD in order to determine goals for each patient. The Clinical BCBA continually monitors their assigned teams and each patient’s progress in order to...

Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Senior Data Analyst to join our Operational Analytics department. This position is a FULL-TIME opportunity based out of our regional office located in Washington, D.C. with a hybrid work model. Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia. Reporting to the Lead Data Consultant, the Senior Data Analyst provides analytical and consulting support to MAPMG leadership to inform strategic decision-making. You will lead complex data analytics projects, develop comprehensive clinical, operational, and financial analyses, and transform data from multiple enterprise systems into actionable insights and recommendations for organizational leaders. You can expect to: Lead the...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

The Principal Clinical Informatics Analyst supports the organization’s clinical and operational goals by collecting, analyzing, and interpreting healthcare data. This role develops dashboards, reports, and data visualizations that inform decision-making across departments. The Principal Clinical Informatics Analyst collaborates across departments to ensure data accuracy, optimize reporting tools, and enhance the usability of clinical platforms. The Principal Clinical Informatics Analyst work directly supports strategic initiatives and improves the efficiency and effectiveness of front-line staff. In addition, the Principal Clinical Informatics Analyst leads complex analytical initiatives, translates business requirements into scalable reporting solutions, and drives the adoption of clinical technologies and informatics tools that enhance workflow efficiency and frontline staff effectiveness. This position will allow the successful candidate to work a schedule that will be...

Nemours is seeking an Imaging Informatics Analyst (Full-Time), to join our Nemours Children's Heath team in either Wilmington, Delaware or Orlando, Florida. Position requires on site presence at Nemours Children's Hospital, Delaware or Nemours Children's Hospital, Florida for the first 90 days followed by ongoing 2-3 days per week depending on customer needs. Qualified applicants should have experience with PACS, DICOM, HL7, and imaging informatics workflows. This position is responsible for providing direct support to end users in the efficient and accurate utilization of the IS Imaging Informatics applications and the electronic medical record as it relates to imaging. Analysts participate in building, testing and validating new functionality and engaging in custom configuration activities. Analysts perform in-depth analysis of workflows, data collection, report details and other technical issues associated with the use of clinical applications. The Analyst must have the...

The Ingenious Med Implementation Consultant helps healthcare organizations improve how physicians and practice teams manage patient rounding, documentation, charge capture, billing workflows, and related operational processes. This is a workflow-consulting and application-configuration role. The consultant leads customer discovery, translates operational needs into an effective Ingenious Med configuration, prepares and trains users, supports go-live, and provides post-go-live optimization and advisory services. The role requires strong active listening, physician credibility, revenue cycle understanding, presentation skills, and the ability to build trust quickly with clinical and operational leaders. This direction aligns with the established Ingenious Med role emphasis on workflow expertise, current-state and future-state analysis, configuration, training, testing, and go-live readiness. Key Responsibilities: Lead workflow discovery. Meet with physicians, practice...

Job Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment systems. This position is responsible for reviewing medical records for appropriate provider documentation to support the principal diagnosis, co-morbidities, complications, secondary diagnosis, surgical procedures, POA indicators to validate coding and DRG assignment accuracy, insuring the physician documentation supports the hospital coded data. Essential Accountabilities: Level I • Analyzes and audits acute inpatient claims. Integrates medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise. Clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently....

Job Description: Summary: The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities. Essential Accountabilities: Level I Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations. Travels from home to provider offices or facilities to retrieve the medical records, if required. Face-to-face interaction with medical personnel during onsite provider office and facility visit. Communication with medical personnel to schedule or confirm appointments, etc. Completes productivity and progress reports on a daily, weekly and/or monthly basis. Meets or exceeds productivity and accuracy targets as established by management. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and...

Job Description: Summary: The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities. Essential Accountabilities: Level I Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations. Travels from home to provider offices or facilities to retrieve the medical records, if required. Face-to-face interaction with medical personnel during onsite provider office and facility visit. Communication with medical personnel to schedule or confirm appointments, etc. Completes productivity and progress reports on a daily, weekly and/or monthly basis. Meets or exceeds productivity and accuracy targets as established by management. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and...

Job Description: Summary: The Medical Record Retrieval Specialist I/II is responsible for the retrieval of medical records from various healthcare facilities. Essential Accountabilities: Level I Accurately and efficiently retrieves medical records, via remote EMR access, fax and/or on-site at the provider/facility locations. Travels from home to provider offices or facilities to retrieve the medical records, if required. Face-to-face interaction with medical personnel during onsite provider office and facility visit. Communication with medical personnel to schedule or confirm appointments, etc. Completes productivity and progress reports on a daily, weekly and/or monthly basis. Meets or exceeds productivity and accuracy targets as established by management. Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and...

Medication Technician Position Title Medication Technician Department Health Services Reports to: Health Services Director FLSA Status: Non-exempt Schedule for this position: Tuesday - Saturday NOC shift Pay range for the position is $18-$24 DOE +$2 shift differential for NOC shift. General Purpose The primary purpose of your job position is to assist in the administering of medications to residents as ordered by the attending physician, under the direction of the attending physician, the nurse supervisor or charge nurse, and the Health Services Director. The administration of medications shall be in accordance with established nursing standards, the policies, procedures, and practices of this facility, and the requirements of this state. Essential Duties • Follow the policies and procedures of the facility governing the administering of medications to residents. • Note and report errors in the administration of medications. • Assist in developing and...

Overview: When you join Piedmont, you're not just changing your work environment. We open doors to real change in the lives we touch - especially yours. We're committed to bringing award-winning care to communities across Georgia and celebrating the strength our diversity creates. Together, we're doing big things. One employee, one team, and one community at a time. Piedmont is a place where your work truly matters-and where you're supported to do your best every day. We offer a collaborative culture, innovative resources, and leadership that is genuinely invested in your growth. With competitive benefits, wellness programs, and opportunities for advancement, you'll have what you need to thrive now and build a strong future. Responsibilities: Performs testing which requires limited skill and responsibility and a minimal exercise of independent judgment for which the technician has demonstrated competency. Under supervision as defined by CMS, performs general tests...

Overview: Sentara Medical Group is currently seeking a Site Chief Hospitalist for Sentara Virginia Beach General Hospital in Virginia Beach, VA. This position is a 1.0 FTE role comprised of two complementary leadership responsibilities: 0.5 FTE as the SVBGH Medical Director of Quality, Regulatory, & Safety and 0.5 FTE as the SVBGH Chief Hospitalist. The individual in this role will maintain the full scope of responsibilities outlined in each respective job description while operating in a combined capacity to support clinical excellence, operational performance, and physician leadership across SVBGH. Both components of the role report directly to the Market Chief Medical Officer. SVBGH Medical Director of Quality, Regulatory, & Safety (50%) The SVBGH Medical Director of Quality, Regulatory & Safety is the hospital’s physician leader responsible for driving clinical quality, patient safety, regulatory readiness, and medical staff performance. The QRS...