Inovalon
Senior Business Analyst – Pharmacy (RCM, Billing & Financial Reconciliation)
Remote- United States · Senior
No sponsorship$109k-$144kDetected 27 days ago
SQLComplianceAgileEmployment LawHIPAAHL7/FHIRPharmacy PracticeLeadershipCollaborationAccounts Payable
About the role
- The ideal candidate brings strong domain knowledge in pharmacy billing, claims adjudication, payment posting, and reconciliation, and plays a key role across the full client lifecycle-from pre-sales through implementation and post-go-live optimization.
Responsibilities
- Lead complex and enterprise-wide implementations with multiple integrated workstreams
- Own RCM functional track deliverables, ensuring alignment across stakeholders
- Drive future-state workflow design across pharmacy operations and revenue cycle processes
- Manage release coordination, dependencies, and cross-functional execution
- Optimize workflows to improve:
- Post-production support and optimization
- Partner with Product Managers on roadmap and knowledge sharing
- Elicit, document, and manage business and system requirements (BRDs, design documents)
- Develop process workflows using tools such as Visio
- Support system configuration and ensure alignment with business requirements
Requirements
- Ability to work in a fast-paced, dynamic environment
- Bachelor's Degree in Healthcare, IT, Business, or related field (or equivalent experience)
- 5+ years of Business Analysis experience in healthcare or SaaS
- 2+ years of experience in medical billing and financial reconciliation
- Strong background in Revenue Cycle Management (RCM)
- Primarily sedentary role involving extended periods of sitting and computer use
- Occasional lifting (up to 10 pounds)
- Travel for this position will include up to 10%
Nice to have
- Experience in specialty or infusion pharmacy environments preferred
Compensation
- Inovalon Offers a Competitive Salary and Benefits Package
Benefits
- Medical and pharmacy billing (specialty and infusion)
Company info
- Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics.
- At Inovalon, we believe that when our customers are successful in their missions, healthcare improves.
- Therefore, we focus on empowering them with data-driven solutions.
- And the momentum is building.
- Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs.
- Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.
Visa & Work Authorization
- This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3).
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This listing is sourced directly from Inovalon's careers page and normalized into a canonical job model.