Sr. BI Developer (Healthcare Domain Mandatory)

Position Overview

Healthcare RCM (Revenue Cycle Management) BI Developer

Key Responsibilities

• BI Development & Reporting

• Design, develop, and maintain interactive dashboards and reports for RCM functions such as charge capture, payment posting, denials management, AR follow-up, and collections.
• Translate business requirements into technical specifications for BI solutions.
• Develop data models and ensure accuracy, scalability, and performance of BI reports.

• Data Management & Integration

• Extract, transform, and load (ETL) data from various healthcare systems such as PMS, EMR/EHR, clearinghouses, and third-party applications.
• Ensure data quality, integrity, and compliance with healthcare regulations (HIPAA).
• Automate data pipelines and standardize reporting across multiple clients and practice groups.

• Analytics & Insights

• Analyze RCM KPIs such as DSO (Days Sales Outstanding), denial rates, collection rates, clean claim rates, and payer performance.
• Provide actionable insights to operations, finance, and client leadership to improve revenue cycle outcomes.
• Support predictive analytics and trend analysis for proactive decision-making.

• Collaboration & Support

• Work with RCM operations teams (charge entry, payment posting, AR calling, denial management) to understand reporting needs.
• Partner with business stakeholders to ensure BI solutions align with organizational goals.
• Provide training and support for end-users of BI tools and dashboards.

Required Skills & Qualifications

• Bachelors degree in Computer Science, Information Systems, Data Analytics, Healthcare Administration, or related field.
• 3–6 years of experience as a BI Developer, Data Analyst, or Data Engineer in a healthcare RCM environment.
• Strong understanding of

  RCM processes

  : charge capture, claim submission, payment posting, denials, AR follow-up, collections, and payer contracting.
• Proficiency in

  SQL

  and database management (MS SQL Server, Oracle, or similar).
• Hands-on experience with BI/reporting tools such as

  Power BI, Tableau, QlikView, or SSRS

  .
• Experience with

  ETL tools and data warehousing

  .
• Strong analytical, problem-solving, and data visualization skills.
• Knowledge of

  HIPAA compliance and healthcare data privacy standards

  .