Manager - Revenue Cycle, Denials Prevention & Analytics

Tue, 08/19/2025 - 03:25

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

At Huron, we are committed to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in supporting the health system's financial health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This role is responsible for driving enterprise-wide efforts to reduce denials and write-offs by facilitating cross-functional collaboration, delivering actionable analytics, and leading prevention initiatives that result in measurable impact.

Reporting to the Vice President of Revenue Cycle, the Manager leads key activities such as denial taskforce coordination, data trend analysis, action planning, and mitigation strategy development. This role is essential in supporting operational improvements and enhancing reimbursement outcomes across the organization.

• Serve as the primary liaison between operational revenue cycle leaders and IT teams to ensure clear communication and alignment on project priorities and technology solutions.
• Translate complex operational problems and performance improvement opportunities into well-defined IT tickets, project scopes, and requirements.
• Collaborate with operational leaders and IT stakeholders to prioritize, scope, and coordinate IT initiatives that address critical revenue cycle and related workflow challenges.
• Provide insight to optimize governance model, facilitating the collaboration between operational project managers and IT to deliver impactful technology solutions.
• Lead enterprise-wide revenue cycle analytics initiatives, align insights with organizational financial strategy, operational excellence goals, and continuous improvement initiatives.
• Develop and implement predictive analytics models and AI-driven tools to proactively identify revenue leakage and performance improvement opportunities.
• Serve as a strategic partner to senior leadership, translating complex data into actionable insights that influence enterprise decision-making.
• Champion the integration of emerging technologies (e.g., machine learning, robotic process automation) to optimize revenue cycle operations.
• Establish cross-functional governance structures to ensure accountability and measurable outcomes for performance improvement initiatives.
• Oversee various revenue cycle-wide processes, including but not limited to denials & write-off prevention, vendor management, data insights, and systems applications support teams.
• Analyze, interpret, and summarize pertinent revenue cycle data components, and monitor performance against KPIs to identify and lead process improvement opportunities.
• Conduct risk assessments to achieve KPI targets, report identified risks to management and provide recommendations for mitigation.
• Extrapolate market and payer trends and coordinate with operational leaders, managed care, vendor management, and other relevant stakeholders to support the development of action plans to attain top decile metric performance.
• Develop and manage A/R and performance improvement issues logs, quantifying the impact of improvement initiatives, and prioritizing solutions within a functional area.
• Support the execution of metric improvement solutions by providing operational leaders with necessary data and insights to take targeted actions.
• Prepare status reports and action-oriented summaries for executive leaders across the system.
• Attend and co-lead metric and project calls with senior management and support staff.
• Develop polished presentations and deliver organized, appropriate updates for senior leaders across the health system.
• Stay informed on industry best practices, healthcare revenue cycle trends, and emerging technology solutions to continually enhance the organization’s capabilities.

CORE QUALIFICATIONS

• Serve as the primary liaison between operational revenue cycle leaders and IT teams to ensure clear communication and alignment on project priorities and technology solutions.
• Translate complex operational problems and performance improvement opportunities into well-defined IT tickets, project scopes, and requirements.
• Collaborate with operational leaders and IT stakeholders to prioritize, scope, and coordinate IT initiatives that address critical revenue cycle and related workflow challenges.
• Provide insight to optimize governance model, facilitating the collaboration between operational project managers and IT to deliver impactful technology solutions.
• Lead enterprise-wide revenue cycle analytics initiatives, align insights with organizational financial strategy, operational excellence goals, and continuous improvement initiatives.
• Develop and implement predictive analytics models and AI-driven tools to proactively identify revenue leakage and performance improvement opportunities.
• Serve as a strategic partner to senior leadership, translating complex data into actionable insights that influence enterprise decision-making.
• Champion the integration of emerging technologies (e.g., machine learning, robotic process automation) to optimize revenue cycle operations.
• Establish cross-functional governance structures to ensure accountability and measurable outcomes for performance improvement initiatives.
• Oversee various revenue cycle-wide processes, including but not limited to denials & write-off prevention, vendor management, data insights, and systems applications support teams.
• Analyze, interpret, and summarize pertinent revenue cycle data components, and monitor performance against KPIs to identify and lead process improvement opportunities.
• Conduct risk assessments to achieve KPI targets, report identified risks to management and provide recommendations for mitigation.
• Extrapolate market and payer trends and coordinate with operational leaders, managed care, vendor management, and other relevant stakeholders to support the development of action plans to attain top decile metric performance.
• Develop and manage A/R and performance improvement issues logs, quantifying the impact of improvement initiatives, and prioritizing solutions within a functional area.
• Support the execution of metric improvement solutions by providing operational leaders with necessary data and insights to take targeted actions.
• Prepare status reports and action-oriented summaries for executive leaders across the system.
• Attend and co-lead metric and project calls with senior management and support staff.
• Develop polished presentations and deliver organized, appropriate updates for senior leaders across the health system.
• Stay informed on industry best practices, healthcare revenue cycle trends, and emerging technology solutions to continually enhance the organization’s capabilities.

The estimated salary range for this job is $115,000 - $145,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron’s annual incentive compensation program, which reflects Huron’s pay for performance philosophy and Huron’s benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.

Position Level

Manager

Country

United States of America