Mayo Clinic Healthcare LLP
Senior Business Analyst-Denial Analytics-PRIZM-Remote
Mayo Clinic Healthcare LLP, Rochester, Minnesota, us, 55905
Senior Business Analyst - Denial Analytics - PRIZM - Remote
Overview
Senior Business Analyst – Denial Analytics is a key member of the Enterprise Denial Management team. The role focuses on leveraging data to uncover denial trends, identify root causes, and provide actionable insights that inform enterprise-wide strategies. The position supports the PRIZM platform (our core denial analytics engine) and collaborates with clinical and operational stakeholders to drive improvements in revenue recovery and denial prevention.
Responsibilities
Analyze denial-related data from PRIZM and other systems to identify trends, patterns, and root causes impacting reimbursement.
Build dashboards, models, and reports that translate complex data into clear, actionable insights for executive leadership and operational teams.
Collaborate with denial operations teams, clinical departments, coding, and revenue cycle leadership to inform and align on data-driven initiatives.
Monitor key denial performance indicators (e.g., volume trends, appeal success rates, payer-specific denial rates) and escalate significant variances.
Serve as a PRIZM engine expert and support governance of data inputs, categorization logic, and model performance.
Translate business questions into analytical frameworks and communicate findings to both technical and non-technical audiences.
Provide support for strategic initiatives by contributing data analyses and recommendations during workgroup discussions or executive briefings.
Partner with IT and analytics teams to improve data quality, automation opportunities, and integration across platforms.
Document data definitions, logic, and workflows to support transparency and repeatability in reporting.
Key Competencies
Analytical Rigor & Attention to Detail
Business Acumen in Healthcare Revenue Cycle
Effective Communication & Data Storytelling
Cross-Functional Collaboration
Process Improvement & Root Cause Analysis
Stakeholder Engagement & Problem Solving
Qualifications Bachelor's and 6 years experience in business analysis, business administration, engineering, information science, health or science-related field OR Master’s and 2 years experience in business analysis, business administration, engineering, information science, health or science-related field
Preferred Qualifications
Experience in an academic medical center or integrated delivery system.
Familiarity with EPIC systems and claims data structures.
Involvement in cross-functional denial prevention or revenue integrity project.
CBAP Certified Business Analysis Professional, CCBA Certification of Competency in Business Analysis, or PMI-PBA Professional in Business Analysis preferred.
This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Additional Details Exemption Status: Exempt
Compensation Detail: $86,632 - $133,764/ year
Benefits Eligible: Yes
Schedule: Full Time
Hours/Pay Period: 80
Schedule Details: Monday-Friday Business Hours
International Assignment: No
Site & Equal Opportunity Site Description: Mayo Clinic locations across multiple campuses and international sites. Equal Opportunity statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Mayo Clinic participates in E-Verify.
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Responsibilities
Analyze denial-related data from PRIZM and other systems to identify trends, patterns, and root causes impacting reimbursement.
Build dashboards, models, and reports that translate complex data into clear, actionable insights for executive leadership and operational teams.
Collaborate with denial operations teams, clinical departments, coding, and revenue cycle leadership to inform and align on data-driven initiatives.
Monitor key denial performance indicators (e.g., volume trends, appeal success rates, payer-specific denial rates) and escalate significant variances.
Serve as a PRIZM engine expert and support governance of data inputs, categorization logic, and model performance.
Translate business questions into analytical frameworks and communicate findings to both technical and non-technical audiences.
Provide support for strategic initiatives by contributing data analyses and recommendations during workgroup discussions or executive briefings.
Partner with IT and analytics teams to improve data quality, automation opportunities, and integration across platforms.
Document data definitions, logic, and workflows to support transparency and repeatability in reporting.
Key Competencies
Analytical Rigor & Attention to Detail
Business Acumen in Healthcare Revenue Cycle
Effective Communication & Data Storytelling
Cross-Functional Collaboration
Process Improvement & Root Cause Analysis
Stakeholder Engagement & Problem Solving
Qualifications Bachelor's and 6 years experience in business analysis, business administration, engineering, information science, health or science-related field OR Master’s and 2 years experience in business analysis, business administration, engineering, information science, health or science-related field
Preferred Qualifications
Experience in an academic medical center or integrated delivery system.
Familiarity with EPIC systems and claims data structures.
Involvement in cross-functional denial prevention or revenue integrity project.
CBAP Certified Business Analysis Professional, CCBA Certification of Competency in Business Analysis, or PMI-PBA Professional in Business Analysis preferred.
This position is a 100% remote work. Individual may live anywhere in the US.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
Additional Details Exemption Status: Exempt
Compensation Detail: $86,632 - $133,764/ year
Benefits Eligible: Yes
Schedule: Full Time
Hours/Pay Period: 80
Schedule Details: Monday-Friday Business Hours
International Assignment: No
Site & Equal Opportunity Site Description: Mayo Clinic locations across multiple campuses and international sites. Equal Opportunity statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Mayo Clinic participates in E-Verify.
#J-18808-Ljbffr