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Recently postedRemoteFull timeOperations & Project Management

Out of Network operations analyst Sr. [Rev Cycle Claims Reimbursement]

Envision HealthcareNashville🇺🇸United States

Quick overview

SeniorityMid Senior
Employment typeFull Time
Work modeRemote
LocationNashville, United States
SQLMicrosoft OfficeTableauArbitrationProcess ImprovementPythonRequirements GatheringVBAPower BIData Analysis

Job description

Summary: The Senior Analyst of Out of Network Operations supports strategic and operational initiatives by delivering data-driven insights and process improvements across arbitration workflows. This role contributes to project execution, system enhancements, and performance analysis, serving as a subject matter expert in revenue cycle operations and analytics.

Company Overview: Envision is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Benefits: At Envision, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off: Envision offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

  • Leads small to medium-sized projects, including requirements gathering, analysis, and solution development.
  • Develops and maintains interactive dashboards and reports using tools such as Tableau or Power BI to monitor arbitration and operational performance.
  • Designs and maintains SQL-based datasets, queries, and data models to support reporting and analytics.
  • Performs complex data analysis to identify root causes, trends, and opportunities for process improvement.
  • Partners cross-functionally with Data, Strategy, Payor Analytics, and IT teams to ensure data accuracy and alignment on insights.
  • Supports the design and implementation of automation tools or workflows (e.g., using Python, VBA, Alteryx, or robotic process automation platforms) to streamline manual processes.
  • Contributes to business case development through quantitative analysis, process mapping, and forecast modeling.
  • Prepares and delivers clear summaries of findings and recommendations to business partners and director-level leadership.
  • Develops and maintains process documentation and end-user materials to support knowledge sharing and training.
  • Mentors and may review work of lower-level analyst.
  • 4 years of Business Analyst experience required.
  • Healthcare industry and project experience preferred.
  • Strong analytical skills with Tableau, PowerBI, and problem-solving capabilities.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Effective communication and presentation skills.
  • Familiarity with healthcare revenue cycle and arbitration workflows.
  • Experience with SDLC methodologies and business requirements documentation.
  • Bachelors degree required or equivalent work experience and/or education.
  • Microsoft Office Suite
  • Microsoft Project

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

Envision uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

Envision is an Equal Opportunity Employer.

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