Change Healthcare (Nasdaq: CHNG) is a leading healthcare technology company focused on insights, innovation, and accelerating the transformation of the healthcare system through the power of the Change Healthcare Platform.

The Sr. Data Analyst -Claims Editing/CXT Cloud Service Operations analyst will work ClaimsXten Portfolio customers and their leadership teams to facilitate the adoption and utilization of CXT-P editing solutions. This position will help develop (or strengthen) existing processes associated with Invoicing and Dashboards. This position is customer facing with clients and will often need to make decisions/answer questions on both a recurring and ad hoc basis. An individual in this role will manage multiple workstreams (blending business and technical resources) to drive requirements, high level design, and work with leadership and finance team to forecast revenue based on contingency models.

What will be my duties and responsibilities in this job?

• Work with clients and internal teams to design and implement analytic solutions and deliverables to manage contingency based editing results including, but not limited to: savings calculations, revenue reconciliation, contingency payment methodology, financial forecasting, business case components, and other ad-hoc analyses required by constituents
• Lead requirements sessions with internal and external stakeholders for Cloud Dashboarding and Invoicing applications. Obtain customer and Change Healthcare Sign off on requirements
• Serve as Single point of contact to client support for all operational aspects of dashboard and invoice (requirements, build, implementation, post- production monitoring, etc.)
• Make recommendations to Cloud leadership and operational teams around trends/anomalies associated with savings or optimization data
• Triage and drive analysis for questions/issues/etc. associated with dashboard and invoicing for both internal and external clients
• Analyze trends associated with client savings and make recommendations to Operations Team for optimization opportunities, new ideas, etc. (new editing logic, enhancements to dashboard/invoice and associated processes)
• Drive new client dashboard/invoice implementations (requirements, resources, etc.)
• Work with leadership and finance team to forecast revenue based on contingency models
• Query and report development to support editing solutions

What are the requirements needed for this position?

• Bachelor’s Degree
• 3+ years Experience with end-to-end claims editing and processing and related analytics required, i.e., clinical code auditing, pre-submission auditing, post payment auditing, and medical record review
• 3+ years experience associated with analytics, finance, process development or operations
• 3+ years experience CPT codes, DRG codes, HCPCS, Diagnosis codes, and modifier rules and guidelines
• Ability to write and execute SQL queries
• Expertise in Excel, Word, PowerPoint

What other skills/experience would be helpful to have?

• Bachelor’s Degree in business, analytics, healthcare IT, finance
• Excellent verbal and written skills. Proven ability to communicate effectively with external customers, stakeholders, and cross-functional team members
• Experience with driving requirements sessions (business and technical)
• Analytical and research oriented (financial modeling, trending, etc.)
• Rapid critical thinking skills and problem solving skills Previous experience with a claim editing vendor (understanding of edit lifecycles)
• Large Health Plan Experience (insights into edit vendor processes from a client perspective)

How much should I expect to travel?

Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.