Senior Denial Prevention Process Improvement Advisor
Jobgether, Washington, District of Columbia, United States
Senior Denial Prevention Process Improvement Advisor
This role plays a critical part in strengthening revenue cycle performance across healthcare organizations by analyzing complex clinical and technical denial patterns. You will act as a strategic advisor, using advanced data analytics and deep problem-solving skills to uncover root causes behind payment denials and drive scalable process improvements. Working closely with hospital leadership and revenue cycle teams, you will translate data insights into actionable recommendations that reduce denials and improve reimbursement outcomes. The position is highly client-facing and requires strong communication skills to influence stakeholders and guide operational change. You will also contribute to committee discussions, lead reporting efforts, and support continuous improvement initiatives. This is a high-impact role combining analytics, consulting, and healthcare revenue cycle expertise in a collaborative, mission-driven environment.
Accountabilities:
Conduct deep-dive analysis of clinical and technical denials using multiple data sources and analytics tools to identify trends and root causes
Perform root cause analysis on denied claims and extrapolate findings across broader denial patterns
Lead denial prevention initiatives, including monthly client meetings, reporting sessions, and stakeholder discussions
Collaborate with hospital leadership, finance teams, and revenue cycle stakeholders to implement process improvements
Develop and deliver actionable reports, summaries, and presentations on denial trends and performance insights
Create training materials and support education for revenue cycle teams on denial prevention best practices
Monitor and track remediation efforts while ensuring follow-up on corrective actions and outcomes
Requirements:
This role requires strong analytical expertise combined with healthcare revenue cycle and client-facing advisory experience. Candidates should be highly skilled in data interpretation, process improvement, and stakeholder engagement.
Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred)
4+ years of experience in healthcare revenue cycle, denial management, or related analytical roles
Strong experience working with healthcare data systems (e.g., Epic, 835 data, SQL, Access)
Advanced Excel and data analysis skills with ability to identify trends and insights
Strong understanding of revenue cycle operations, denial processes, and healthcare reimbursement
Excellent communication, consulting, and stakeholder management skills
Ability to influence cross-functional teams and drive operational change
Experience with process improvement methodologies (LEAN Six Sigma preferred)
Benefits:
Competitive salary range of $69,000 to $104,100 annually
Performance-based incentives and bonus opportunities
Comprehensive medical, dental, and vision insurance coverage
Paid certifications and tuition reimbursement programs
Career advancement opportunities within a growing organization
Paid time off, holidays, and flexible work arrangements
Retirement savings plan and financial wellness support
Remote work flexibility with occasional onsite client travel as needed
Continuous learning, training, and professional development support.
This role plays a critical part in strengthening revenue cycle performance across healthcare organizations by analyzing complex clinical and technical denial patterns. You will act as a strategic advisor, using advanced data analytics and deep problem-solving skills to uncover root causes behind payment denials and drive scalable process improvements. Working closely with hospital leadership and revenue cycle teams, you will translate data insights into actionable recommendations that reduce denials and improve reimbursement outcomes. The position is highly client-facing and requires strong communication skills to influence stakeholders and guide operational change. You will also contribute to committee discussions, lead reporting efforts, and support continuous improvement initiatives. This is a high-impact role combining analytics, consulting, and healthcare revenue cycle expertise in a collaborative, mission-driven environment.
Accountabilities:
Conduct deep-dive analysis of clinical and technical denials using multiple data sources and analytics tools to identify trends and root causes
Perform root cause analysis on denied claims and extrapolate findings across broader denial patterns
Lead denial prevention initiatives, including monthly client meetings, reporting sessions, and stakeholder discussions
Collaborate with hospital leadership, finance teams, and revenue cycle stakeholders to implement process improvements
Develop and deliver actionable reports, summaries, and presentations on denial trends and performance insights
Create training materials and support education for revenue cycle teams on denial prevention best practices
Monitor and track remediation efforts while ensuring follow-up on corrective actions and outcomes
Requirements:
This role requires strong analytical expertise combined with healthcare revenue cycle and client-facing advisory experience. Candidates should be highly skilled in data interpretation, process improvement, and stakeholder engagement.
Bachelor's degree in Healthcare Administration, Business, or related field (Master's preferred)
4+ years of experience in healthcare revenue cycle, denial management, or related analytical roles
Strong experience working with healthcare data systems (e.g., Epic, 835 data, SQL, Access)
Advanced Excel and data analysis skills with ability to identify trends and insights
Strong understanding of revenue cycle operations, denial processes, and healthcare reimbursement
Excellent communication, consulting, and stakeholder management skills
Ability to influence cross-functional teams and drive operational change
Experience with process improvement methodologies (LEAN Six Sigma preferred)
Benefits:
Competitive salary range of $69,000 to $104,100 annually
Performance-based incentives and bonus opportunities
Comprehensive medical, dental, and vision insurance coverage
Paid certifications and tuition reimbursement programs
Career advancement opportunities within a growing organization
Paid time off, holidays, and flexible work arrangements
Retirement savings plan and financial wellness support
Remote work flexibility with occasional onsite client travel as needed
Continuous learning, training, and professional development support.