Locate, validate, and analyze data utilizing tools such as Alteryx, SAS, SQL, Access, VBA and Tableau, from disparate sources to support RCM goals and RCM leadership requests. Combine specimen data from all systems in the RCM life cycle (lab and billing), claim transactions, and data elements provided in policies from payers and government entities to influence and initiate changes in claim outcomes, payer behavior, or system processing. Reduce risk of lost revenue to company through Systems Control support research, monitoring system functions, and business rule development of system changes.

RESPONSIBILITIES

Develop research level analysis, containing elements ofClaim level data from billing or lab system in current state or following claim life cycle from order to post adjudication activityNoting recognition of system opportunitiesIndustry standard transactions to and from payerPayer policy information applied to claim detail and system dataProblem solving through applied cleverness and curiosityWork effectively with data and consistently validate the data and the resultsAble to use tools such as SAS, SQL, Access, Excel, VBA, TableauUse statistical sampling and modeling to drive guidancePresent analysis findings as a storySlide and/or in person formatScorecard or dashboard formatFollow, and suggest changes to, business rule development for system technology changes using knowledge of system flow, policy guides, and claim examplesParticipate in team and RCM Policy discussions as active participant or facilitatorSupport industry activities of RCM Policy under industry workgroups, acquisitions, and payer meetings with research or process testingMaintain documentation and results to customer of standard RCM Policy Team responsibilitiesWeekly inventory reportsSystems control informationDrops and suspends/SOX Control detailOut of balance reportsRCM Systems Support testing reviewTesting reimbursement advisory responseReimbursement review claim analysis and processing filesSubsidiary monthly reportsLab Advisory Council support

REQUIREMENTS

Advanced knowledge and at least 2+ years’ experience with Microsoft SQL Server (SSIS, SSRS, SSMS), SAS, Microsoft Office, Visual Basic for Applications and other analytic toolsStrong analytical, critical thinking, problem solving skillsExcellent written and verbal communication skills, with the ability to communicate effectively to technical and non-technical audiencesDemonstrate accuracy and attention to detail with tight deadlines and turnaround targets

EDUCATION

Bachelor’s degree or 2 or more years programming experience in healthcare environment

This hybrid position offers a balanced schedule of a minimum of three in-office days at an assigned location to be either Burlington or Durham, NC, supporting both collaboration and flexibility.

Benefits: All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Regular, full-time or part-time employees working 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(K), ESPP, Paid time off (PTO) or Flexible time off (FTO), Commissions, and Company bonus where applicable.  For more detailed information, please click here. 

Labcorp is proud to be an Equal Opportunity Employer:

Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. 

We encourage all to apply

If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.