Senior Business Analyst – Pharmacy (rcm, Billing & Financial Reconciliation)

Inovalon Inc

Canonsburg, PA, United States
Base: $109,000 - $143,600 usd; bonus/equity: perfo...
On-site
Specialty or infusion pharmacy expertise
Medical billing and financial reconciliation
Claims lifecycle management experience
This role serves as a critical liaison between clients, operations, product, and engineering teams to define business requirements and ensure successful delivery of Revenue Cycle Management solutions

Job Summary

  • This role serves as a critical liaison between clients, operations, product, and engineering teams to define business requirements and ensure successful delivery of Revenue Cycle Management solutions.
  • The ideal candidate brings strong domain knowledge in pharmacy billing, claims adjudication, payment posting, and reconciliation to optimize workflows and improve clean claim rates.
  • Inovalon offers a competitive salary range of $109,000 to $143,600 USD along with a comprehensive benefits package including health insurance, 401k, and paid time off.

Matching Summary

This role serves as a critical liaison between clients, operations, product, and engineering teams to define business requirements and ensure successful delivery of Revenue Cycle Management solutions.

Salary

Base: $109,000 - $143,600 USD; Bonus/Equity: Performance-based incentives eligible; Benefits: Health insurance, life insurance, disability, 401k, 18+ days PTO

Skills & Requirements

Must-have

  • Specialty or infusion pharmacy expertise
  • Medical billing and financial reconciliation
  • Claims lifecycle management experience
  • Revenue Cycle Management (RCM) domain knowledge
  • SaaS implementation and Agile methodologies

Nice-to-have

  • Strong stakeholder management skills
  • Experience with HIPAA and DEA compliance
  • Ability to mentor junior analysts
  • Background in product roadmap collaboration
  • Excellent written and verbal communication

Key Requirements

  • 5+ years of Business Analysis experience in healthcare or SaaS
  • 2+ years of experience in medical billing and financial reconciliation
  • Bachelor's Degree in Healthcare, IT, Business, or related field
  • Authorization to work in the United States without sponsorship

Work Rights

Must be authorized to work in the United States

Tailored Resume

Cover Letter