Role & responsibilities

Platform Discovery & Product Definition

• Own the discovery cycle for new capabilities across our RCM platform suite from user research through signed-off functional specs.

• Conduct deep-dive sessions with AR Analysts and Medical Coders to uncover workflow inefficiencies and automation opportunities.

• Define and own the Functional Requirements Specification (FRS) for each sprint, feature set, and integration milestone.

• Design end-to-end workflow maps that span operations platform payer back to operations; flag gaps for engineering and leadership.

• Represent the product in backlog refinement and sprint planning not just as a note-taker, but as the functional decision-maker.

• Document AI explainability requirements in a manner that satisfies audit, quality, and end-user trust considerations.

Agile Delivery Ownership

• Serve as the primary BA-side interface with the Scrum Master and Program Manager across active sprints.

• Own and groom the product backlog in Azure DevOps authoring well-formed user stories, epics, acceptance criteria, and definition of done. • Lead UAT planning, coordinate testers from the operations team, and sign off on features before they go to production.

• Drive release planning notes, change communication, and go-live readiness checklists.

• Mentor the Junior BA on requirements quality, backlog hygiene, and operational engagement.

Data-Driven Analysis & RCM Performance

• Write and interpret intermediate-to-complex SQL queries across the platform's data layer AR aging views, production output tables, coding accuracy aggregates, denial pattern analysis.

• Build reporting logic for AR management dashboards and payment integrity trend reports aligned to operational and leadership needs.

• Identify automation candidates through data payer-level patterns, procedure code frequency, claim value bands and surface them as structured business cases.

• Participate in data validation exercises when new payer EDI files, ERA feeds, or client datasets are loaded.

Client & Stakeholder Engagement

• Support presales and demo preparation help craft platform narratives, demo scripts, and walkthroughs for prospective clients.

• Participate in client onboarding discovery sessions to map client RCM workflows onto RevHC's platform capabilities.

• Prepare executive-level summaries of feature roadmaps, delivery milestones, and transformation outcomes for leadership and clients.

• Act as the functional point of contact for client-raised issues that require product investigation and response.

Preferred candidate profile

9+ years of BA experience in US Healthcare RCM billing, claims, AR, denials, and/or coding environments.

• Deep functional understanding of EDI X12 transaction sets: 837P/I, 835, 270/271, 276/277.

• Demonstrated ability to write production-grade user stories, FRS documents, and acceptance criteria not templates, actual output.

• Working knowledge of HIPAA compliance requirements in the context of PHI data flows and claim processing.

• Strong SQL proficiency must be comfortable writing queries independently, not just running provided scripts.

• Agile delivery experience — has owned a backlog, has run UAT cycles, has participated in sprint ceremonies as the product-side voice.

• Excellent written English — specifications, status updates, and client-facing documents must be client-ready without heavy revision.

• Prior experience in a healthcare IT product company (not just services) — you understand release cycles, product debt, and roadmap tradeoffs.

• Hands-on exposure to Clearinghouse integrations — Stedi, Change Healthcare, Availity, or equivalent.

• Experience defining AI/ML-assisted product features — you have thought through confidence scores, human overrides, feedback loops, and audit trails.

• Familiarity with ICD-10, CPT, and medical coding quality review workflows in a technology-enabled environment.

• Any experience with payment integrity auditing, underpayment detection, or contract variance analysis.

For more details Kindly reach out:

HR Keerthi

Contact:8639447794

Email: keerthi.kasoji2datamarshall.com