**Department Name:** Rev Cycle Cont Imprvmnt-Corp **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $32.09 - $53.48 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Great options and opportunities. We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care. Apply today! As a Denial Optimization Consultant, you will leverage your expertise in healthcare reimbursement, claim adjudication, denial management, and payer relations to drive measurable improvements across the revenue cycle. You will analyze denial data to identify actionable trends, lead strategic initiatives, and implement process enhancements that reduce administrative waste and optimize payer collaboration. Your attention to detail and strong communication skills will be critical in preventing claim denials, improving stakeholder engagement, and executing continuous improvement strategies that enhance financial performance. **Key Responsibilities:** + Analyze denial trends and root causes to develop targeted mitigation strategies. + Collaborate with payers to resolve systemic issues and improve adjudication outcomes. + Lead cross-functional initiatives to streamline revenue cycle processes. + Develop and present actionable insights to stakeholders across clinical and operational teams. + Monitor KPIs and drive continuous improvement in denial prevention and resolution. **Work Environment:** + 100% remote position. + Standard work hours are Monday through Friday, aligned with the Arizona Time Zone. If this role sounds like the one for you, **apply today** and help us transform the future of healthcare reimbursement! Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position enhances revenue cycle performance by leveraging data to identify trends and to develop and execute strategies that prevent claim denials, improve payer collaboration, reduce administrative waste, and optimize revenue cycle processes. This position requires a deep understanding of healthcare reimbursement, claim adjudication, and denial management, with a focus on data-driven decision-making and cross-functional collaboration to achieve results. CORE FUNCTIONS 1. Leads strategic initiatives to improve operational efficiency and revenue outcomes across the healthcare revenue cycle (acute and ambulatory). 2. Collaborates with business analysts and payer representatives to identify and resolve systemic issues in claim processing and reimbursement. Identify creative strategies to reduce administrative waste with the payer. 3. Analyzes denial trends and payer performance to develop targeted prevention strategies. 4. Drives continuous improvement through data modeling, process redesign, and performance monitoring. 5. Collaborates with system and/or entity level stakeholders on the development, planning, training and implementation of initiatives in support of system goals. 6. Identifies and implements operating improvements and efficiencies by recognizing important trends and variances through management reports and operational analysis. MINIMUM QUALIFICATIONS Required knowledge, skills and abilities as normally obtained through the completion of a Bachelor’s degree. Requires 5-7 years of experience in healthcare optimization, revenue cycle management, or healthcare consulting. Requires strong understanding of healthcare claim adjudication and reimbursement processes. Must have excellent communication, coordination, and stakeholder engagement skills for all audience levels. Proven ability to analyze complex data sets and identify actionable trends. Must possess experience influencing without authority to achieve improvements in denial prevention and develop strategies. Proficiency level in relevant software tools (e.g., Excel, Tableau, Power Bi, Epic, Cerner, or other EHR systems). PREFERRED QUALIFICATIONS Background in data modeling, process improvement, denial prevention, and business case development. Familiarity with payer contract management and revenue cycle processes Additional related education and/or experience preferred. **EEO Statement:** EEO/Disabled/Veterans (https://www.bannerhealth.com/careers/eeo) Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability