Senior Business Analyst-Denial Analytics-PRIZM-Remote
Job Description
The Senior Business Analyst - Denial Analytics is a key member of the Enterprise Denial Management team, with a focus on leveraging data to uncover denial trends, identify root causes, and provide actionable insights that inform enterprise-wide strategies. This individual will support the PRIZM platform-our core denial analytics engine-and collaborate with both clinical and operational stakeholders to drive measurable improvements in revenue recovery and denial prevention.
This role will report to the Senior Manager responsible for PRIZM oversight and serve as a subject matter expert in data visualization, claims analysis, and revenue cycle intelligence.
Key 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.
• Work collaboratively 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.
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
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. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
The Senior Business Analyst - Denial Analytics is a key member of the Enterprise Denial Management team, with a focus on leveraging data to uncover denial trends, identify root causes, and provide actionable insights that inform enterprise-wide strategies. This individual will support the PRIZM platform-our core denial analytics engine-and collaborate with both clinical and operational stakeholders to drive measurable improvements in revenue recovery and denial prevention.
This role will report to the Senior Manager responsible for PRIZM oversight and serve as a subject matter expert in data visualization, claims analysis, and revenue cycle intelligence.
Key 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.
• Work collaboratively 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.
About Us
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
About the Team
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
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. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.