Revenue Cycle Business Process Ananlyst

SHIFT:

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

Ideal Candidate:

The ideal candidate combines strong analytical, project management, and process improvement experience with the ability to collaborate effectively across Operations, IT, Finance, and leadership teams. They excel at identifying workflow inefficiencies, translating data into actionable insights, and managing complex initiatives from concept through implementation. Success in this role requires excellent critical-thinking skills, sound judgment, strong communication abilities, and a proactive, solutions-focused mindset. Experience in healthcare revenue cycle operations, reporting, and systems optimization is highly valued.

Role Impact:

The role's impact is to improve revenue cycle performance by streamlining processes, enhancing reporting and analytics, facilitating collaboration across departments, and ensuring operational and system changes are implemented efficiently and effectively. Through strategic collaboration and independent ownership, the position plays a direct role in advancing CHOP's Financial Stewardship goals by driving cost-savings initiatives and supporting responsible, value-based decision-making across the organization.

Why You'll Love this Role:

You'll love this role if you enjoy solving problems, working with cross-functional teams, using data to drive decisions, and making a visible impact on organizational performance and process improvement.

Work Life Balance

• Worksite-2929 Arch Street, Philadelphia PA
• Shift- Monday- Friday, 8-5pm and as early as 7am after the introductory period
• Hybrid- one day a week onsite

What you will do

Revenue Process Support, Workflows and Systems

• Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
• Act as a business process liaison between operations, performance improvement and IT for needs that cross boundaries. Support the implementation of processes and practices, under the lead of the Senior Manager, Manager, and the Revenue Cycle Business Process Consultant, that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.
• Review business process, system or other changes that might impact existing workflows, and recommend methods to optimize to desired state and improve efficiency. Review system or process architecture in scope of assigned projects.
• Assist in the execution of business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.
• Support the development and implementation of processes that link closely to system workflows. Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
• Assist cross-functional teams in the resolution of complex issues related to automated workflows or other complex processes or support discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.

Data Reporting and Analysis

• Responsible for preparation, review and interpretation of financial and operational reports generated on regular and an ad hoc basis; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.
• Primary liaison to various internal and external user groups within CHOP in terms of revenue cycle data reporting and analysis. Assist revenue cycle leadership, management, and staff in analyzing, interpreting, and presenting data and information to various parties.
• Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.
• Assist in the development of business case analysis to support process optimization and change.
• Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues and perform analysis in a timely manner.

Education Qualifications

• High School Diploma / GED - Required
• Bachelor's Degree - Preferred

Experience Qualifications

• At least three (3) years experience with system design, process workflow design or business/systems consulting. Required
• EPIC experience. Preferred
• Revenue Cycle experience. Preferred

Skills and Abilities

• Strong analytical and communication skills (Required proficiency)
• Strong computer skills to include database analysis (Required proficiency)
• Extensive knowledge of workflow and/or system design (Required proficiency)
• Extensive knowledge of analytical tools, business intelligence tools and statistical packages (Required proficiency)
• Statistical software experience (Preferred proficiency)

Licenses and Certifications

• EPIC certification - EPIC - upon hire - Preferred
• Lean Six Sigma Green Belt (LSSGB) - American Society for Quality - upon hire - Preferred

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.