Senior Business Analyst – Pharmacy, RCM, Billing & Financial Reconciliation

Inovalon

Senior Business Analyst supporting healthcare SaaS implementations with expertise in pharmacy billing and financial reconciliation. Driving successful delivery of RCM solutions and client engagement in healthcare industry.

Posted 6/10/2026full-timeFlorida, Maryland, Pennsylvania • 🇺🇸 United StatesSenior💰 $109,000 - $143,600 per yearWebsite

About the role

Key responsibilities & impact

Lead complex and enterprise-wide implementations with multiple integrated workstreams
Own RCM functional track deliverables, ensuring alignment across stakeholders
Define governance standards, implementation plans, and risk mitigation strategies
Drive future-state workflow design across pharmacy operations and revenue cycle processes
Manage release coordination, dependencies, and cross-functional execution
Serve as Subject Matter Expert (SME) in medical and pharmacy billing (specialty and infusion)
Optimize workflows to improve clean claim rate and first-pass yield
Analyze and resolve billing discrepancies including underpayments, overpayments, and unapplied cash
Ensure alignment between pharmacy systems, billing platforms, clearinghouses, and financial systems

Requirements

What you’ll need

Bachelor’s Degree in Healthcare, IT, Business, or related field (or equivalent experience)
5+ years of Business Analysis experience in healthcare or SaaS
2+ years of experience in medical billing and financial reconciliation
Experience in specialty or infusion pharmacy environments preferred
Strong background in Revenue Cycle Management (RCM)

Benefits

Comp & perks

Health insurance
Life insurance
Company-paid disability
401k
18+ days of paid time off

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Business AnalysisRevenue Cycle Managementmedical billingfinancial reconciliationworkflow designrisk mitigationdata analysisclaim optimizationbilling discrepancy resolutionstakeholder alignment

Soft Skills

leadershipcommunicationorganizationalproblem-solvingcollaborationstrategic thinkingadaptabilityattention to detailcritical thinkingproject management

Certifications

Bachelor’s Degree in HealthcareBachelor’s Degree in ITBachelor’s Degree in Business