Healthcare / Dental RCM Analytics & Solutions Consultant (Hybrid day one)

Role Summary

Own the bridge between data and revenue for healthcare and dental clients. Mine client claims and RCM data to surface measurable opportunities, map those gaps to our solutions portfolio, build concise Power BI visuals, and drive customer conversations that convert to projects and ARR. You combine payer-domain fluency, hands-on analytics, and consultative sales.

What You'll Do

• Opportunity discovery : Profile client datasets (837 / 835, claim status, AR aging, denial codes, write-offs, fee schedules) to quantify leakage, denial drivers, and throughput constraints.
• Analytics & visualization : Build Power BI models and dashboards; define measures (DAX) for KPIs like first-pass yield, denial rate, days in AR, net collection rate, clean-claim rate, no-response aging, and payment variance.
• Data engineering light : Use Databricks for ingest, wrangling, and reproducible notebooks; join EDI, PMS, and clearinghouse feeds; write performant SQL / PySpark.
• Solution mapping : Translate findings into solution architectures and proposals using our portfolio (e.g., eligibility / coverage detection, coding / charge capture, denial prevention, work queue automation, underpayment analytics).
• Client-facing delivery : Run executive readouts and working sessions; articulate problem, quantified impact, recommended solution, and ROI.
• Commercial support : Partner with Sales on scoping, SoWs, success criteria, pricing inputs, and timelines; contribute to RFPs and POVs.
• Closed-loop impact : Define baselines, track post-deployment results, and iterate dashboards to show realized savings and lift.
• Enablement : Create reusable templates, metrics definitions, and playbooks for common payer or procedure patterns in dental and medical.
• Governance & compliance : Handle PHI securely; follow HIPAA and internal data-access controls.

Required Qualifications

SQL and PySpark notebooks, Delta tables, job scheduling, basic optimization.

Nice to Have

Success Metrics (first 6–12 months)