Senior Manager, Process Engineering
Role Overview
Own the design, documentation, and optimization of healthcare revenue cycle workflows across payer-provider systems.
Translate complex operational workflows into clear, testable requirements for engineering teams building AI-enabled solutions.
This is a workflow ownership and product translation role, not a reporting or data analyst role.
Key Skills for This Role
Full Job Posting
Role overview
Own the design, documentation, and optimization of healthcare revenue cycle workflows across payer-provider systems.
Translate complex operational workflows into clear, testable requirements for engineering teams building AI-enabled solutions.
This is a workflow ownership and product translation role, not a reporting or data analyst role.
Key responsibilities
- Use operational and performance data to identify opportunities, prioritize use cases, and inform solution expansion.
- Analyze solution performance and trends; identify root causes, risks, and improvement opportunities and recommend actions.
- Coordinate initiatives across leadership, operations, product, engineering, vendors, and external stakeholders.
- Lead discovery using user interviews, process maps, and gap analysis.
- Analyze processes, standards, and operational, financial, and quality metrics to identify automation and efficiency opportunities.
- Create product requirements documents, user stories with acceptance criteria, process maps, and decision trees.
- Work with product and engineering to refine backlog items, clarify scope, and ensure requirements are testable, traceable, and outcome-aligned.
- Support implementation and adoption through change management, documentation, and coordination with training, quality, and performance management teams.
- Troubleshoot operational and product issues, coordinate resolution, and communicate workflow logic across technical and non-technical teams.
Required qualifications
- 5+ years as a Business Analyst, Process Analyst, or Product Business Analyst in healthcare.
- Strong healthcare revenue cycle knowledge, including back-end operations, payer rules, claims workflows, denials management, and reimbursement methodologies.
- Experience in healthcare process analysis, process improvement, or operational analytics.
- Advanced analytical skills and ability to turn large datasets into actionable recommendations.
- Hands-on experience with Excel, Power BI, or similar reporting and visualization tools.
- Ability to document workflows, business requirements, and process standards clearly.
- Strong communication and presentation skills for technical and non-technical audiences.
- Must be willing to travel up to 25%.
Work arrangement
- The posting identifies the role as remote in the United States.
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