Client Business Analyst
Core
Monitor, analyze, and present data for assigned editing clients to enhance team capacity for client edit adoption and revenue optimization.
Role type
Client Business Analyst (Healthcare Payer Operations)
Builds
Monthly performance summaries, financial KPI analyses, and reports/templates for client edit adoption and revenue optimization.
Domain
Healthcare financial services / Insurance claims adjudication
Deliverable
dashboards & analysis
Required skills
Healthcare payer operations, claim adjudication guidelines, root-cause analysis, financial forecasting, budgeting, data reconciliation, HIPAA compliance, ad hoc analysis
Preferred skills
Certified coder (AAPC/AHIMA), RHIA/RHIT, RN/LPN with coding knowledge
Technologies
Zelis editing products
Responsibilities
Perform revenue optimization analysis for Zelis editing products; audit claims processes and validate edit performance; partner with Client Integration Specialist team for product implementation and go-live support; conduct weekly, monthly, and quarterly client financial KPI analysis; design and build reports/templates to present monthly performance trends; assist in project management of financial forecasting and budgeting.
Seniority
Mid-to-Senior (5–10 years experience)