Denials Management Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. The Denials Management Associate will be responsible for the delivery and execution of business solutions within our operations division. Your mission will be to propose and implement solutions to improve customer value and athena operational efficiency. To succeed, you are a strong analytical problem solver and an excellent communicator. The Associate is a critical thinker who creates business cases, influences stakeholders, and demonstrates command of technical and industry knowledge.

• 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
• Provide support, mentoring, and ongoing education opportunities for new hires and colleagues across Operations, creating content and collateral as needed
• Shares role specific content knowledge
• Actively participates with team and engages peers in learning and understanding

• Bachelor’s Degree (or commensurate level of professional experience)
• 3-5 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

• 401k matching
• Health insurance
• Tuition assistance
• Employee resource groups
• Collaborative workspaces
• Dog-friendly offices
• Flexible work arrangements

athenahealth is a leading healthcare technology company that is dedicated to creating a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Our vision is to create a better healthcare experience for our patients, our customers, and our employees. We are committed to innovation, collaboration, and customer satisfaction. We are a diverse and inclusive workplace that values individuality, creativity, and work-life balance.