Healthcare Solutions, Project Analyst

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Analyze client workflows pertaining to utilization review, case management, clinical documentation improvement (CDI), coding, denials management, and revenue cycle operations.

• Collect and document business requirements from both internal and external stakeholders.

• Assess operational processes and pinpoint opportunities for enhancing efficiency, quality, turnaround times, and financial results.

• Formulate recommendations and implementation strategies based on operational insights.

• Aid in onboarding new clients and deploying HURC service offerings.

• Generate process maps, workflow documentation, training materials, and operational manuals.

• Support client meetings by preparing reports, dashboards, presentations, and action plans.

• Track operational metrics, identify trends, and convey findings to leadership and clients.

• Work collaboratively with clinical, coding, physician advisor, and operations teams to ensure seamless service delivery.

• Contribute to quality initiatives, audits, and continuous improvement projects.

• Employ Microsoft Excel and reporting tools to evaluate operational and performance data.

• Participate in client presentations and act as a reliable operational resource.

• Keep up to date with regulatory requirements, payer guidelines, and best practices in the healthcare industry.

⛳️ Requirements

• Bachelor's degree in Health Information Management or a related discipline.

• 2–3 years of experience in healthcare operations.

• 2–3 years of project management experience within healthcare, managed care, revenue cycle, utilization management, or healthcare consulting.

• Familiarity with one or more areas including: Utilization Review, Case Management, Clinical Documentation Improvement (CDI), Medical Coding, Revenue Cycle, Managed Care, or Denials Management.

• Strong analytical and problem-solving abilities.

• Excellent written and verbal communication skills.

• Advanced proficiency in Microsoft Excel.

• Capability to manage multiple priorities in a dynamic consulting environment.

• Strong organizational skills and project management expertise.

• Comfortable engaging directly with healthcare executives and clinical leaders.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health and wellness benefits.

• Opportunities for professional development and career growth.

• Flexible work arrangements and supportive work culture.