RCM Project Analyst at GeneDx

RemoteFull-timeRemoteFinancePosted 6 days ago

About the Role

Summary   The RCM Project Analyst supports the Revenue Cycle Management initiatives by analyzing operational and financial data, tracking project performance, identifying process improvement opportunities, and providing actionable insights that improve reimbursement outcomes and operational efficiency. This role serves as a key partner to RCM leadership and cross-functional stakeholders by managing project reporting, developing dashboards, monitoring KPIs, and supporting strategic initiatives across areas such as prior authorization, billing, denials, appeals, collections and reimbursement optimization.  Job Responsibilities  <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Collect, analyze, and interpret operational, financial, and reimbursement data for the RCM division.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Develop recurring and ad hoc reports to support leadership decision-making.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1">Identify trends, root causes, and opportunities for process improvement related to denials, appeals, reimbursement, and productivity. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="1">Produce reporting and visual summaries of identified trends as well as project outcomes. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="5" data-aria-level="1">Support implementation of process improvements designed to reduce denials, improve cash collections, enhance productivity, and optimize reimbursement.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="6" data-aria-level="1">Support the planning, execution, and monitoring of RCM initiatives and operational improvement projects.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="7" data-aria-level="1">Coordinate with stakeholders across the RCM division to ensure project milestones are tracked and achieved.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="8" data-aria-level="1">Measure and report performance and outcome of all projects.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="9" data-aria-level="1">Assist in documenting business requirements, workflows, and standard operating procedures as needed.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="10" data-aria-level="1">Create and maintain dashboards and report solutions to support RCM operations in Power BI.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="11" data-aria-level="1">Partner with stakeholders to define reporting requirements and performance metrics.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="12" data-aria-level="1">Ensure data accuracy, consistency, and reliability across reporting tools.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="11" data-list-defn-props="{"335552541":1,"335559685":1080,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="13" data-aria-level="1">Collaborate with technical teams and data owners to improve reporting automation and data accessibility. </li> </ul>   Education, Experience, and Skills  <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Associate’s degree in Business Administration, Healthcare Administration, Data Analytics, Information Systems, or related field. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Equivalent combination of education and relevant experience may be considered.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1">2-5 years of experience in healthcare operations, revenue cycle management, business analysis, or data analytics.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="1">Experience working with healthcare reimbursement, claims, denials, appeals, billing, or accounts receivable processes preferred. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="5" data-aria-level="1">Strong analytical, critical thinking, and problem-solving skills.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="6" data-aria-level="1"> Ability to translate data into actionable business recommendations. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="7" data-aria-level="1">Excellent written and verbal communication skills.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="8" data-aria-level="1">Strong organizational skills with the ability to manage multiple priorities.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="9" data-aria-level="1">Detail-oriented with commitment to data accuracy. </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="10" data-aria-level="1">Ability to build relationships and collaborate effectively with cross-functional teams.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="11" data-aria-level="1">Self-motivated and capable of working independently in a fast-past environment.  </li> </ul> <ul> <li data-leveltext="·" data-font="Symbol" data-listid="13" data-list-defn-props="{"335552541":1,"335559685":1800,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"·","469777815":"hybridMultilevel"}" data-aria-posinset="12" data-aria-level="1">Familiarity with AI tools and technologies and the ability to leverage them to improve productivity, data analysis, reporting, workflow efficiency, and operational decision-making. </li> </ul>   Work Environment  This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs.  Physical Demands  This is a sedentary role requiring prolonged periods of sitting while working at a computer. Physical demands include:  <ul> <li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Sitting for extended periods (up to 8 hours per day) </li> </ul> <ul> <li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Repetitive use of hands and fingers for typing and mouse operation </li> </ul> <ul> <li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1">Visual acuity for reading computer screens and documents </li> </ul> <ul> <li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="4" data-aria-level="1">Ability to communicate effectively via phone and video calls </li> </ul> <ul> <li data-leveltext="" data-font="Symbol" data-listid="5" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="5" data-aria-level="1">Occasional lifting of up to 10 pounds (office supplies, equipment) </li> </ul> Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.  #LI-REMOTE #LI-REMOTE  <div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Transparency, Budgeted Range</div><div class="pay-range">$104,956—$116,590 USD</div></div></div><div class="content-conclusion"><div class="column _8-col center-element _12-col-tab"> <div class="margin-bottom margin-24"> <h3 class="heading-l">A culture that plays to win, because patients are counting on us</h3> </div> </div> <div class="column _8-col _12-col-tab"> At GeneDx, we're driven by urgency and purpose: helping patients get diagnosed earlier. Our mission, to empower everyone to live their healthiest life through genomics, drives our team to make a tangible impact each day – and shapes our culture where high standards, strong teamwork, and meaningful ownership are the norm. We act with intention, support one another, and deliver work we're proud to put our names on. Here’s what you can expect day to day: 1. Play like a champion (step up, redefine what’s possible, own it) We bring energy, focus, and a bias for action. We step up, take initiative, and deliver on our commitments – with quality, speed, and care. <div class="card-number">2. Think bigger (stretch beyond, courage not consensus)</div> We push past the obvious. We challenge assumptions, raise the bar, and make thoughtful, decisive calls — choosing progress over perfection. <div class="card-number">3. Grow fast (be curious, speak up, be agile)</div> We stay curious, ask questions, and share direct feedback with respect. We adapt quickly and keep learning through collaboration and continuous improvement. If you’re motivated by meaningful work, a fast-moving environment, and teammates who care deeply about outcomes, you’ll thrive at GeneDx. </div> <div>At GeneDx, we believe in taking care of our people. We provide competitive compensation and benefits that reflect local market practices and legal requirements in each country where we operate, helping employees thrive both professionally and personally.</div> We welcome everyone regardless of their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender, gender identity, sexual orientation, protected veteran status, disability, age, and other characteristics protected by law. GeneDx is a place where people from all backgrounds can make an impact. All privacy policy information can be found <a href="https://www.genedx.com/privacy" target="_blank">here</a>.</div>

About the Role

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