RCM Analyst

Specialty1 Partners is a practice services organization committed to providing non-clinical, business support services to the nation's leading specialty dental practices. The company supports endodontics, periodontics, and oral surgery practices across the U.S.

About the role

The RCM Analyst supports the Revenue Cycle Management department through reporting, data analysis, and business intelligence activities. This role delivers accurate, timely, and actionable reporting and analysis to improve visibility into payor, credentialing, and revenue cycle performance. The Analyst identifies trends and potential issues, supports leadership decision-making with reliable data, maintains strong data integrity, and contributes to improvements in reporting efficiency and operational processes.

Healthcare and insurance knowledge is not required; domain training will be provided by the RCM Intelligence Manager. Strong technical capability in data analysis, database querying, and business intelligence tools is required from day one.

Responsibilities

• Reporting & Analytics
  • Develop, maintain, and enhance recurring reports, dashboards, scorecards, and ad hoc analyses supporting RCM operations.
  • Collect, validate, organize, and analyze data from practice management systems, billing platforms, payor portals, credentialing systems, contract databases, and other data sources.
  • Identify trends, variances, anomalies, and opportunities for improvement within operational and financial data.
  • Support the development and monitoring of key performance indicators and provide timely reporting to leadership and business stakeholders.
  • Perform data validation and reconciliation to ensure reporting accuracy, consistency, and integrity.
  • Assist with automating recurring reports and improving reporting processes to reduce manual effort.
  • Translate analytical findings into clear summaries, visualizations, and actionable insights for non-technical stakeholders.
  • Participate in projects involving data integration, reporting improvements, system enhancements, and operational optimization.
• Payor Relations Support
  • Analyze payor performance, reimbursement trends, negotiated rates, underpayments, denials, and reimbursement variances.
  • Develop and maintain reporting processes to monitor negotiated reimbursement rates and payor compliance.
  • Support benchmarking of reimbursement across commercial insurance, Medicare Advantage, Medicaid, and other payor arrangements.
  • Assist with financial analysis related to payor contract negotiations, renewals, rate changes, and proposed contract terms.
  • Maintain and update contract and reimbursement information within internal databases and reporting tools.
  • Develop analyses and models to quantify the potential financial impact of reimbursement changes and other payor-related initiatives.
  • Assist with identifying and escalating trends that may negatively impact reimbursement, collections, or overall revenue cycle performance.
  • Support analysis of insurance contracts and reimbursement structures for existing and prospective practices.
• Credentialing Analytics Support
  • Develop and maintain reporting related to provider credentialing, enrollment, participation, and related operational activities.
  • Track and report on credentialing status, enrollment progress, aging, expirations, turnaround times, and outstanding requirements.
  • Identify trends, bottlenecks, and opportunities to improve credentialing workflows and operational visibility.
  • Support data reconciliation and validation between credentialing records, provider information, payor data, and other relevant systems.
  • Maintain accurate and well-documented datasets related to providers, locations, payors, participation status, and credentialing activities.

Requirements

• Bachelor's degree in Data Analytics, Business Analytics, Computer Science, Statistics, Information Systems, or a related technical field preferred.
• 2 to 4 years of experience in data analysis, business intelligence, reporting, or a related field.
• Demonstrated experience building reports and dashboards in Power BI or a comparable business intelligence platform required.
• Experience writing SQL queries to extract, transform, and analyze data from relational databases required.
• Experience working with financial, operational, or insurance-related data is an advantage but not required.

Skills

• Proficiency in Power BI, including report building, data visualization, and working with data models. Experience with DAX measures is a strong plus.
• Working SQL skills with the ability to write queries independently, including joins, filters, aggregations, and subqueries.
• Advanced proficiency in Microsoft Excel, including formulas, pivot tables, lookups, and structured data analysis.
• Experience working with relational databases and understanding how data tables, relationships, and keys work.
• Familiarity with ETL concepts, data pipelines, or data integration between systems is preferred.
• Familiarity with healthcare data, practice management systems, billing platforms, or insurance data is helpful but can be developed on the job.
• Strong analytical and problem-solving skills with the ability to identify trends, variances, and meaningful patterns in data.
• Strong attention to detail and ability to work accurately with large and complex datasets.
• Ability to manage multiple priorities and complete assignments within established deadlines.
• Strong written, verbal, and presentation skills, with the ability to communicate analytical findings to both technical and non-technical stakeholders.
• Ability to work independently and collaboratively in a cross-functional environment.
• Commitment to data integrity, documentation, confidentiality, and continuous improvement.

Working Conditions

• Must be able to sit/stand for extended periods of time.
• Must be able to reach overhead as needed.
• Must be able to lift and carry up to 25 pounds as needed.
• Must be able to work in a fast-paced environment.
• Must be able to maintain attention to detail for extended periods.
• Must be able to operate standard office equipment.
• Must be able to work flexible hours, including evenings or weekends, if required.
• Must be able to perform duties with or without reasonable accommodation.

Benefits

• BCBS High Deductible & PPO Medical Insurance Options
• VSP Vision Coverage
• BCBS PPO Dental Insurance
• Complimentary Life Insurance Policy
• Short-term & Long-Term Disability
• Pet Insurance Coverage
• 401(k) plan
• HSA / FSA Account Access
• Identity Theft Protection
• Legal Services Package
• Hospital/Accident/Critical Care Coverage
• Paid Time Off
• Diverse and Inclusive Work Environment

Pay

Base salary range: $70,000 USD - $80,000 USD