The RDA Associate will be responsible for analyzing athena’s claims data and conducting independent research to deliver data driven insights and solutions that prevent/improve detractors of clean claim performance. The role combines technical expertise in data analysis with the research acumen required to identify and define actionable opportunities while also influencing key stakeholders to implement these opportunities.

The Associate should demonstrate excellent communication skills, be detail oriented, understand how to manipulate and utilize large data sets, have a keen ability for solving business problems via independent analysis, and enjoy managing simultaneous projects with competing priorities and multiple stakeholders.

About the Team:

The Rejection and Denial Analysis (RDA) team empowers athenahealth to deliver industry-leading clean claim performance by identifying and investigating the drivers of rejections and denials, delivering and managing a robust, cross-functional feedback loop of data-driven opportunities that enable effective prevention and management.

Essential Job Responsibilities:

Data Analysis, Research, and Project Management

Utilizing athena’s data assets to deliver insights that promote the continuous improvement of network billing outcomes
Monitoring and reporting to stakeholders the drivers of key performance indicators (KPIs) of billing performance and areas of opportunity to drive improvement
Management of and execution against initiatives to research and improve specific areas of poor billing performance or drive process improvement
Researching the root cause of spikes and trends in negative billing outcomes and leveraging internal subject matter experts to identify and define the business requirements for actionable opportunities to improve billing performance
Ensure timely and effective implementation of billing solutions, coordinating efforts with stakeholders including collaborating on creative/alternative solutions to roadblocks
Analyze complex data sets, identifying trends and proactively developing solutions to globally felt customer issues

Expected Education & Experience:

Bachelor’s Degree required in a quantitative or technical discipline such as, economics, finance, computer science, business, or a similar quantitative field
3+ years of professional work experience, inclusive of 1+ years of data analytics
Experience leveraging data and data analysis techniques to deliver insights to stakeholders
Mastery of Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint
Experience working directly in support of healthcare revenue cycle management a plus
Strong understanding of healthcare revenue cycle management as well as the various reimbursement models

Ability to effectively synthesize data into digestible and actionable information
Must be highly motivated and able to work independently as well as part of an extended, cross-functional team
Excellent verbal and written communication skills
Passion for customer service, problem solving, and solution design
Ability to prioritize and to multi-task in a fast-paced environment, manage competing priorities and communicate potential conflicts to management
Capable of managing simultaneous projects with multiple stakeholders
Maintain a curiosity on how things work and a willingness to dive deeper
Ability to engage with external partners (payers / clearinghouses) to thoroughly understand complex billing issues
Capable of utilizing Artificial Intelligence to aid research and analysis
Familiarity and comfort with web/software applications and a basic understanding of cloud-based SaaS

Expected Compensation

$54,000 - $92,000

The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.

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.