Business Analyst - RCM

What Data Analytics Brings To Cardinal Health

The Data & Analytics Function oversees the analytics life-cycle in order to identify, analyze and present relevant insights that drive business decisions and anticipate opportunities to achieve a competitive advantage. This function manages analytic data platforms, the access, design and implementation of reporting/business intelligence solutions, and the application of advanced quantitative modeling.

Data Analytics applies business process knowledge and data analytics to develop, recommend and communicate timely, accurate, relevant and actionable insights to support business decisions and objectives.

Qualifications

• Bachelor’s degree in Business, Finance, Healthcare Administration, or related field (Master’s preferred).
• 5+ years of experience in business analysis, with at least 3 years in RCM within a healthcare or DMEPOS environment.
• Proven ability to develop solutions to a wide range of difficult problems in a manner consistent with company goals.
• Strong understanding of payer reimbursement models, billing codes (HCPCS, ICD-10), and regulatory requirements.
• Proficiency in SQL, Excel, and data visualization tools (Power BI, Tableau, etc.).
• Excellent communication, critical thinking, and stakeholder engagement skills.
  
  

• Execute complex projects of large scope, often involving cross-functional collaboration and high visibility.
• Analyze and optimize the full RCM lifecycle, including eligibility, authorization, billing, collections, denials, and payment posting.
• Perform variance analysis to identify trends, root causes, and opportunities for operational and financial improvement.
• Design and build data visualization tools and dashboards (e.g., Power BI, Tableau) to track KPIs and support decision-making.
• Enable efficient and effective root cause analysis on denials, underpayments and delays in cash flow and the development of corrective strategies.
• Drive cash collection optimization through payer behavior analysis, AR aging reviews, and workflow enhancements.
• Work independently with general guidance, ensuring solutions are aligned with organizational objectives and compliance standards.
• Translate complex data into clear, actionable insights for executive leadership and operational teams.
• Support audits, payer contract reviews, and compliance initiatives as needed.
  
  

• Experience with DMEPOS billing systems (e.g., Brightree, Kareo, or similar).
• Familiarity with HIPAA, CMS guidelines, and payer-specific policies.
• Lean Six Sigma or similar process improvement certification is a plus.