Revenue Cycle Operations Analyst

· Analyze front-end revenue cycle workflows, eligibility verification processes, financial clearance activities, and billing readiness across multiple programs
· Interpret Medi-Cal, Medi-Medi, commercial payer, authorization, Share of Cost, and eligibility requirements and provide operational guidance
· Develop, implement, and maintain revenue cycle procedures, controls, and best practices that support compliant and efficient operations
· Prioritize revenue cycle issues, identify risks, and coordinate corrective actions with operational and revenue cycle leadership
· Review billing errors, financial clearance trends, and workflow exceptions to identify root causes and improvement opportunities
· Recommend and monitor corrective action plans to improve claim readiness and reduce denial risks
· Develop and maintain key performance indicators (KPIs), dashboards, scorecards, and operational reports
· Analyze operational and financial data to identify trends, forecast risks, and support performance improvement initiatives
· Present findings, recommendations, and action plans to leadership and stakeholders
· Design and deliver training related to payer requirements, eligibility processes, financial clearance, and billing readiness standards
· Provide subject matter expertise on EHR and billing platforms, including IRIS, Avatar, or similar systems
· Collaborate with clinical, operational, billing, and leadership teams to improve workflows and support organizational goals
· Participate in county, operational, revenue cycle, and cross-functional meetings as needed
· Support contract compliance, reporting requirements, audits, and operational initiatives
· Perform additional duties as assigned

· Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Analytics, Public Health, or a related field, or an equivalent combination of education and directly related experience
· Minimum three years of revenue cycle, billing operations, financial clearance, healthcare operations, payer operations, or related analytical experience
· Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost, and claim readiness requirements
· Experience analyzing operational data and developing reports, dashboards, and performance metrics
· Experience with EHR and billing platforms such as IRIS, Avatar, or similar systems
· Advanced proficiency in Microsoft Excel and reporting tools
· Strong analytical, critical thinking, and problem-solving skills
· Ability to exercise independent judgment and make recommendations regarding complex operational issues

· Experience supporting multiple programs, regions, or business units
· Experience with healthcare KPI reporting, dashboard development, business intelligence, or data visualization tools
· Knowledge of County behavioral health systems, public behavioral health funding structures, and payer contracts
· Experience leading process improvement initiatives, workflow redesign, or cross-functional projects
· CRCR, CHAA, HFMA, Lean Six Sigma, or related certification preferred