Business Analyst (Revenue Cycle Management) at Inovalon · Canonsburg

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Location: This position is a hybrid role based out of our Canonsburg, PA office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month.Business Unit: Pharmacy (software Scriptmed)Overview: We are seeking an experienced Business Analyst with strong expertise in medical billing, healthcare operations, and financial reconciliation to support implementations for specialty and infusion pharmacies. The Business Analyst is the liaison between the design and development teams and the client to define the objectives and requirements of the client. Finalizes the implementation process by implementing development plans. The ideal candidate has deep familiarity with revenue cycle processes and has collaborated closely with finance teams.

Duties and Responsibilities:

• Serve as the subject matter expert for medical billing and financial reconciliation
• Work with client to understand their Revenue Cycle Management requirements of the system.
• Work with Product development to communicate the client’s needs and provide business case for enhancement requests.
• Accountable for RCM functional track, deliverables, and assist QA and Support with understanding Client needs.
• Creating and maintaining deliverables within assigned area.
• Participate in testing the product before it is released to the client.
• Assist in triaging escalated system defects and/or providing clarification on defects and works to resolve them.
• Integrated throughout the full client lifecycle, including RFP development, product demos, project kick-off, implementation, go-live, and ongoing optimizations.
• Collaborate with the RCM Product Manager on Product/Knowledge Share.
• Provide support to the team during implementation as well as post go live.
• Provide support to RCM SME’s for client training initiatives.
• Document and maintain deliverables (requirements document, Configuration Design Doc, etc.).
• Document process workflow.
• Build and configure system based on design.
• Ensuring configuration meets requirements and works as expected.
• Maintain industry expertise.
• Provide support for internal training events as necessary.
• Rely on experience and judgment to plan and accomplish goals.
• A wide degree of creativity and latitude is expected.
• Maintain compliance with lnovalon's policies, procedures and mission statement.
• Adhere to all confidentiality and HIPAA requirements as outlined within lnovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position.
• Fulfill those responsibilities and/or duties that may be reasonably provided by lnovalon for the purpose of achieving operational and financial success of the Company.
• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function.
• We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Technology On-Call Policy None.

Education:

• Bachelor’s Degree in Arts/Sciences (B.A./B.S.) in Healthcare and IT or related field or a combination of education and experience required

Experience:

• 2+ Years of experience with medical billing and financial reconciliation
• 2+ Years of experience as a software business analyst required
• 1-2 Years of experience in a healthcare/specialty pharmacy related environment required

Skills and Abilities:

• Strong background in healthcare/specialty pharmacy revenue cycle processes
• Must be familiar with healthcare/pharmacy system designs and concepts
• Possesses excellent communication, organizational and observational skills
• Proficient problem-solving skills with good judgment and decision making
• Must be goal-oriented and focused
• Work well as a member of a team
• Possess SQL and Crystal Reports skills

Working Conditions and Physical Demands:

• This is a primarily sedentary role. The employee is regularly required to sit, talk, and hear for extended periods of time, and also required to repetitively use manual labor to operate a computer keyboard and other office equipment.
• The employee may occasionally need to stand, walk, or lift and/or move up to 10 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Inovalon Offers a Competitive Salary and Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range

$83,000—$120,000 USD

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

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