Revenue Cycle Policy Analyst

About the role

Analyzes and translates federal (CMS), New York State, and third-party payer regulatory and policy changes into actionable operational and system solutions that support revenue cycle performance. Serves as a subject matter expert on regulatory requirements and payer rules, evaluating financial, compliance, and workflow impacts across the organization. Leads the integration and optimization of revenue cycle workflows within Epic, ensuring accurate system configuration, reporting, and alignment with evolving requirements. Partners with contracting, finance, information services, and operational leaders to implement changes, mitigate risk, and drive compliant, efficient, and financially optimized processes.

Responsibilities

• Translate federal (CMS), New York State, and third-party payer regulatory and policy changes into actionable operational and system solutions.
• Serve as a subject matter expert on regulatory requirements and payer rules.
• Evaluate financial, compliance, and workflow impacts of regulatory and policy changes across the organization.
• Lead the integration and optimization of revenue cycle workflows within Epic.
• Ensure accurate system configuration, reporting, and alignment with evolving requirements.
• Partner with contracting, finance, information services, and operational leaders to implement changes, mitigate risk, and drive compliant, efficient, and financially optimized processes.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, Information Systems, or a related field required.
• Minimum of 3–5 years of experience in healthcare revenue cycle, managed care, regulatory compliance, or payer policy analysis.
• Demonstrated knowledge of CMS, New York State regulatory requirements, and third-party payer policies, including their impact on reimbursement, operations, and compliance.

Preferred Qualifications

• Strong analytical skills.
• Knowledge of hospital and physician billing and reimbursement practices.
• Two years experience analyzing data.
• Decision Support System report writing knowledge.
• Familiarity with Epic.

Benefits

• Medical, dental, and vision coverage starting the first of the month after hire for employees working 24+ hours/week with flexible plan options and coverage tiers.
• Discounted childcare through Bright Horizons.
• Voluntary benefits including pet insurance, legal services, and identity theft protection.
• Paid Time Off accrues from day one.
• 403(b) retirement plan with company match.
• Flexible spending accounts and access to financial advisors.
• Up to $400/year in wellness rewards.
• 24/7 Employee Assistance Program counseling and virtual mental health support.
• Food pantry and PTO donation program.
• Professional attire through the Classy Closet.
• Access to 100,000+ online courses, leadership programs, tuition reimbursement, clinical ladders, and internal mobility.