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R1 RCM

Product Support Analyst II

R1 RCM

Support front-end application critical to coverage and eligibility verification in healthcare. Collaborate cross-functionally with teams to manage business rules and troubleshoot issues.

Posted 6/4/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $62,466 - $78,083 per yearWebsite

Tech Stack

Tools & technologies
ServiceNowSQL

About the role

Key responsibilities & impact
  • Read, interpret, and act on automated RTE responses tied to coverage and authorization outcomes
  • Perform root-cause analysis on coverage, eligibility, and business rule issues through resolution
  • Manage business rule configuration, understanding downstream impact on denials and patients
  • Collaborate across product, engineering, operations, coverage/eligibility, payer services, PMT, FCC, and tech deployment
  • Support current book of business and new client implementations
  • Write user stories with clear acceptance criteria
  • Use SQL for data analysis and troubleshooting
  • Create and maintain SOPs and documentation, leveraging AI tools where possible
  • Monitor production environments and coordinate troubleshooting with vendors and internal IT
  • Communicate with customers and stakeholders via ticketing systems, email, and meetings

Requirements

What you’ll need
  • Real-time eligibility (RTE) experience — must be able to interpret automated eligibility responses
  • Medical insurance knowledge — coverage logic, eligibility, and downstream revenue cycle impact
  • SQL — querying, joins, tables, basic functions
  • Ticketing system experience (ServiceNow, ServiceDesk, or comparable)
  • Strong analytical skills and independent problem-solving ability
  • Detail-oriented with a quality-first mindset
  • Effective communicator across technical and non-technical teams

Benefits

Comp & perks
  • competitive benefits package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
SQLroot-cause analysisbusiness rule configurationdata analysisuser storiesSOPstroubleshooting
Soft Skills
analytical skillsproblem-solvingdetail-orientedeffective communication