We are looking for an Enhanced Claim Resolution Associate to join the Enhanced Claims Resolution team here at athenahealth. In this role, the Enhanced Claim Resolution Associate will be responsible for the delivery and execution of business solutions within our operations division. This individual will work to propose and implement solutions to improve customer value and athena operational efficiency. The Enhanced Claim Resolution Associate will be a strong analytical problem solver, an excellent communicator, a critical thinker who creates business cases, influences stakeholders, and demonstrates a command of technical and industry knowledge. This individual will manage and influence project teams to action, balancing urgency while cultivating lasting collegial relationships.

Job Responsibilities

Use data analysis and qualitative evaluation to determine root causes of a problem
Analyze trends to deliver clear and compelling data stories to stakeholders
Design elegant solutions that favor automation, work prevention, and product enhancement over manual workflows
Seek and consume internal and external client feedback to inform decision making and improvement opportunities
Identify opportunities to expand the value we provide to clients through more or better service(s) using your understanding of customer business problems
Design and implement workflows to define and improve business processes
Lead initiatives and projects that improve client and operational outcomes over a planning cycle, representing broad subject matter expertise
Creates and curates project plans and initiative roadmap, balancing and setting clear stakeholder expectations and proactively identifying areas of risk
Ensure success by leading execution across the company - including commercial, R&D, and operations
Identify metrics and define success criteria to create transparency and visibility into program success and/or improvement areas
Interface with internal and external stakeholders as needed to remediate pain points and optimize desired outcomes
Discover customer requirements and improve the service by incorporating feedback into product and service prioritization
Present project purpose, updates, and outcomes to Operations and stakeholder leadership, demonstrating command over all components of the project

Typical Qualifications

Bachelor’s Degree (or commensurate level of professional experience)
3+ years of professional experience
Experience working denials or within the revenue cycle
Experience working with cross-functional groups and teams to achieve common goals and communicating and presenting to stakeholders
Demonstrated ability to assume sole and independent responsibility for various projects
Experience interfacing with internal or external customers to achieve a desired objective
Proficiency in Microsoft Office Suite: Excel, PowerPoint, Word, Outlook, OneNote
Knowledge of Lean Six Sigma and Agile development methodologies preferred
SQL experience preferred

About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here: athenahealth.com/careers

https://www.athenahealth.com/careers/equal-opportunity

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