Revenue Management Risk Analyst

Role Overview

• Compile, analyze, and distribute risk analysis reviews for group accounts and ported member populations
• Perform quality reviews of audits completed by billing analysts to ensure accuracy, completeness, and adherence to established standards
• Create, maintain, and enhance reporting to identify and monitor risk trends, barriers, process gaps, and audit outcomes that may contribute to or indicate potential financial exposure
• Partners with supervisors and cross-functional teams, including reporting, inventory, and project teams, to understand risk and execute plans to achieve goals
• Represent client-facing functions on calls to communicate potential risks or barriers related to account management or client structure
• Provide feedback, coaching, and guidance to billing analysts based on audit findings and risk observations
• Support the client teams in meeting or exceeding key performance metrics
• Identify process improvement opportunities and work with peers, supervisors, and matrix partners to execute on these opportunities
• Provide oversight and coordination of all sales compensation-related tasks to ensure accuracy and timeliness
• Assist with team support activities and operational tasks as needed to ensure coverage and continuity

Requirements

• High school diploma or GED, required; associate or bachelor’s degree, preferred
• 2+ years of experience in revenue management, billing operations, financial operations, or a related field, required
• Advanced proficiency in Microsoft (Excel, word, SharePoint, PowerPoint, Outlook) including complex data analysis, reporting, and process optimization; working knowledge of Microsoft Access preferred
• Strong business acumen with the ability to manage multiple priorities in a fast-paced environment, required
• Ability to develop and document clear, effective process flows and Standard Operating Procedures (SOPs), preferred
• Self-motivated and detail-oriented, with the ability to adapt quickly to change and shift priorities as business needs evolve, required
• Strong interpersonal and influencing skills, with ability to provide direction, identify barriers, and escalate issues appropriately, required
• Collaborative team player who works effectively with leadership, demonstrates openness to feedback, and actively contributes ideas and solutions, preferred
• Ability to support operations between 7:00 AM–6:00 PM, with a typical schedule of 8:30 AM–5:00 PM EST and demonstrates flexibility to meet business needs, required

Benefits

• medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• minimum of 18 days of paid time off per year
• paid holidays