Waystar
Enterprise Rules & Edits Analyst
Lehi, UT · Mid
Sponsorship not specifiedDetected 172 days ago
SQLData AnalysisData VisualizationExcelProcess ImprovementCommunicationCollaborationAdaptabilityOrganizational Skills
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odds of building a lasting career here
37Risky
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- ABOUT THIS POSITION Waystar is seeking a curious, technical, and solutions‑oriented Enterprise Rules & Edits Analyst who's eager to deepen their expertise in claim billing, coding, and authorization rules.
- Waystar is trusted by 1M+ providers, 1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid/Medicare payers.
- Waystar products have won multiple Best in KLAS® or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book™ surveys since 2012.
Responsibilities
- Build, validate, and deploy claim edit and authorization rule configurations with accuracy and efficiency.
- Partner with high‑value clients to refine and optimize their claim edit and authorization rule configurations.
- Collaborate with client support, product, and technology teams to ensure rule accuracy, scalability, and long‑term maintainability.
- Develop sustainable processes and documentation to ensure claim edits and rules are consistently maintained and updated.
- Create clear, comprehensive rule specifications, testing artifacts, and operational documentation.
- You'll report to the Manager of Enterprise Rules & Edits and work closely with client support, product, and technology teams.
- This role is ideal for someone who enjoys digging into data, solving operational puzzles, and building scalable rules that drive measurable impact.
Requirements
- Intermediate-advanced Excel proficiency, including the ability to build and troubleshoot complex formulas, analyze large datasets, create pivot tables, and develop data‑driven insights.
- Experience using analytical tools such as Power BI and SQL databases to investigate trends, anomalies, and root causes.
- Ability to interpret complex payer and government policies and translate them into clear, structured rule logic.
- Exceptional written communication skills, with the ability to clearly articulate complex concepts.
Compensation
- Competitive total rewards (base salary + bonus, if applicable)
Benefits
- Competitive total rewards (base salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays.
- We also offer flexible time off for our exempt team members + 13 paid holidays
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- Stay current on healthcare billing, coding, and authorization requirements, with a focus on government and payer policies.
- Serve as a subject matter expert in medical billing, coding, authorization workflows, and EDI transactions.
- Bachelor's degree or 2-4 years of relevant experience in a healthcare or revenue cycle environment.
- Strong understanding of hospital revenue cycle workflows and provider reimbursement processes, gained through direct healthcare experience or work with RCM technology.
Company info
- We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
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This listing is sourced directly from Waystar's careers page and normalized into a canonical job model.