Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Position Summary:
The Denials Optimization Associate will be responsible for driving service stability by enhancing work delivery structures, enhancing vendor performance, and removing barriers to service performance.
Essential Functions (Duties and Responsibilities):
45% Work Delivery Administration and Infrastructure Development
Configure and implement CBO worklists for efficient claim movementMonitor inflow/ outflow patterns for risks to MSC and effective inventory managementAnalyze vendor forecast accuracy to inform changes in delivery patternsDevelop delivery, monitoring, and action taking infrastructures and methodologies to ensure the accurate and timely completion of claim denialsCreate and inform disaster recovery protocolsWeigh in on deviations/ risks to budget obtainmentOptimize performance30% Stakeholder Collaboration
Collaborate with internal stakeholders to identify and remediate risks to the businessCommunicate and lead conversations with BPO/ vendors regarding delivery priorities and requirementsHold BPO/ vendor partners accountable for poor performance and provide coaching/ insight to prevent recurrence15% Miscellaneous Projects
Handle additional projects and tasks as assignedProvide flexibility to support emerging business needs and operational priorities10% Knowledge Sharing and Mentorship
Train and mentor new hires and colleagues on Denials Management best practicesDevelop educational materials and artifacts to document internal processesFoster a collaborative team environment that encourages continuous learning and improvementEducation & Experience Required:
Bachelor's Degree (or equivalent professional experience)3-5 years of experience in denial management, revenue cycle, or related operational rolesDenials and/or work delivery/ performance monitoring experience preferredStrong ability to work cross-functionally and engage stakeholders at various levelsDemonstrated ability to lead projects independently and deliver impactful resultsKnowledge & Skills:
Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Outlook)Command of pivot tables preferredBasic data analysis skillsStrong communication and collaboration skillsFamiliarity with project management concepts preferredSQL experience a plus
Expected Compensation
$50,000 - $86,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here:
Read Less
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Senior Associate, BPO Forecasting
Role Overview
We are looking for a Senior Associate to join athenahealth's BPO Forecasting team. You will lead the monthly forecasting process across multiple business lines, providing insight into staffing, work-allocation, and vendor performance. In addition, you will reinforce accountability by driving accurate and timely invoice reconciliations.
Your work will be essential to improving the predictability and accountability of our vendor operations. The ideal candidate brings strong analytical skills, advanced Excel proficiency, and the ability to quickly grasp quantitative concepts and build upon them. Experience in forecasting or workforce management, combined with the ability to translate data into actionable insights, will help you thrive in this role. You will gain exposure to senior leaders while improving repeatable processes that drive measurable business outcomes.
Join us in our mission to advance healthcare by strengthening the operational backbone that enables our services to scale.
This position can be based out of our Belfast, ME or Boston, MA offices.
Team Overview
Our BPO Forecasting team ensures that outsourced operations meet the highest standards of accuracy, timeliness, and accountability. By connecting forecasting with service delivery and vendor performance, we enable faster, more reliable outcomes for our clients and the patients they serve. Join us in driving impactful change across the healthcare industry.
Responsibilities
Deliver monthly vendor forecast locks and rolling guidance aligned to Statement of Work (SOW) terms and accuracy thresholds.Operate within lock policies by vendor and workflow, communicating workforce plan impacts to leaders to support data-driven decisions.Provide analytics to inform work-allocation decisions across business process outsourcing (BPO) partners.Publish forecast accuracy results, lead root-cause reviews, and drive continuous improvement.Connect forecasts to Service Level Agreement (SLA) monitoring, in-month calculators, and invoice reconciliation.Participate in cross-functional cadences and projects with Analytics, Partner Management, business lines, and Vendor Management.Partner with analytics partners to expand the use of Sigma (and other BI tools) for SLA and operational metrics.Support vendor and SOW evolution with forecast and performance scenarios.Reconcile monthly vendor invoices and process for timely payment.Qualifications
Must-haves
4+ years of experience in forecasting, workforce management, finance, or operations analytics in a high-volume environment Business Process Outsourcing (BPO) or Revenue Cycle Management (RCM) preferred.Advanced Excel proficiencyProven ability to work cross-functionally and convert data into actionable decisions.Ability to collaborate with team members in-office one day per week and attend three in-person release meetings per year.Nice-to-haves
Familiarity with Sigma (or Power BI/Tableau) for SLA dashboards.Experience with SLA-based contracting and how forecast accuracy influences staffing, overtime, and credits.
Expected Compensation
$66,000 - $112,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here:
Read Less
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Senior Associate, BPO Forecasting
Role Overview
We are looking for a Senior Associate to join athenahealth's BPO Forecasting team. You will lead the monthly forecasting process across multiple business lines, providing insight into staffing, work-allocation, and vendor performance. In addition, you will reinforce accountability by driving accurate and timely invoice reconciliations.
Your work will be essential to improving the predictability and accountability of our vendor operations. The ideal candidate brings strong analytical skills, advanced Excel proficiency, and the ability to quickly grasp quantitative concepts and build upon them. Experience in forecasting or workforce management, combined with the ability to translate data into actionable insights, will help you thrive in this role. You will gain exposure to senior leaders while improving repeatable processes that drive measurable business outcomes.
Join us in our mission to advance healthcare by strengthening the operational backbone that enables our services to scale.
This position can be based out of our Belfast, ME or Boston, MA offices.
Team Overview
Our BPO Forecasting team ensures that outsourced operations meet the highest standards of accuracy, timeliness, and accountability. By connecting forecasting with service delivery and vendor performance, we enable faster, more reliable outcomes for our clients and the patients they serve. Join us in driving impactful change across the healthcare industry.
Responsibilities
Deliver monthly vendor forecast locks and rolling guidance aligned to Statement of Work (SOW) terms and accuracy thresholds.Operate within lock policies by vendor and workflow, communicating workforce plan impacts to leaders to support data-driven decisions.Provide analytics to inform work-allocation decisions across business process outsourcing (BPO) partners.Publish forecast accuracy results, lead root-cause reviews, and drive continuous improvement.Connect forecasts to Service Level Agreement (SLA) monitoring, in-month calculators, and invoice reconciliation.Participate in cross-functional cadences and projects with Analytics, Partner Management, business lines, and Vendor Management.Partner with analytics partners to expand the use of Sigma (and other BI tools) for SLA and operational metrics.Support vendor and SOW evolution with forecast and performance scenarios.Reconcile monthly vendor invoices and process for timely payment.Qualifications
Must-haves
4+ years of experience in forecasting, workforce management, finance, or operations analytics in a high-volume environment Business Process Outsourcing (BPO) or Revenue Cycle Management (RCM) preferred.Advanced Excel proficiencyProven ability to work cross-functionally and convert data into actionable decisions.Ability to collaborate with team members in-office one day per week and attend three in-person release meetings per year.Nice-to-haves
Familiarity with Sigma (or Power BI/Tableau) for SLA dashboards.Experience with SLA-based contracting and how forecast accuracy influences staffing, overtime, and credits.
Expected Compensation
$66,000 - $112,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here:
Read Less
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Job Title: Associate, Revenue Cycle Case & Escalation Management - Claim Resolution
Travel: Approximate 5% of time traveling
Position Summary:
Join our dynamic Revenue Cycle Case and Escalation Management (RCCEM) team, where you will play a pivotal role in tackling our most complex and sensitive client issues. As the final escalation point, our team is dedicated to researching and resolving challenges that require a keen eye for detail and a commitment to excellence.
In this role, you will be at the forefront of driving actionable insights across Product and Revenue Cycle Management, ensuring that our product and services not only meet but exceed athenahealth's value proposition and the expectations of our clients. Your contributions will be essential in creating visibility into case performance, fostering consistency in terminology and measurement, and championing initiatives that enhance case resolution performance.
At athenahealth, we pride ourselves on our innovative spirit and solution-oriented mindset. We thrive in a collaborative environment that embraces continual change and improvement, fueled by our rapid growth. If you are a naturally curious individual with a strong desire to learn and grow, this is the perfect opportunity for you to make a significant impact while collaborating with passionate colleagues. Join us in shaping the future of healthcare solutions!
Essential Functions (Duties and Responsibilities):
Customer Focus
Follows team expectations and methodology to manage complex issues and escalations to resolution using the CRM platform (Salesforce).Maintains consistent communication with internal and external stakeholders including direct customer communication.Provides feedback to improve service delivery, service offerings, and/or product.Analytical Thinking
Leverages wide breadth of existing tools and resources efficiently and effectively to troubleshoot issues.Suggests workflow and quality improvements to reduce case inflow and improve client sentiment.Plans and Aligns (Project Management)
Develops a plan identifying tasks and reasonable timelinesDetermines appropriate prioritization for completing work.Assigns tasks appropriately across teams.Identifies potential obstacles or challengesSupport Others
Contributes to continuous learning by actively participating in team operating mechanisms, such as teams channels, meetings, office hours, and working sessions.Shares content knowledge and best practices to assist your peers.Education & Experience Required:
An ideal candidate will have medical billing/US healthcare experience or have demonstrated the ability to rapidly learn the foundational concepts of US healthcare and medical billing.Bachelor's degree or equivalent experienceKnowledge & Skills:
Customer-centric mindset characterized by empathy, collaboration, and advocacy.Strong written and verbal communication skills, enabling effective interaction with all organization level and stakeholders.Expertise in problem-solving, with the ability to analyze large data sets to identify root causes and trends.Proven capability to analyze data, surface trends and insights, and provide actionable recommendations.Ability to work independently and as part of a team, knowing when to involve others for effective problem-solving.Strong project management skills, including planning and aligning tasks, resources, and timelines.Tenacious and accountable, able to navigate complexity and overcome obstacles.Knowledgeable in coding systems (ICD-10, CPT, HCPCS), medical terminology, anatomy, and physiology.Proficient in Excel and other business tools (Smartsheets, Google tools, SharePoint, etc.)
Expected Compensation
$58,000 - $98,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here:
Read Less
Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Job Title: Associate, Revenue Cycle Case & Escalation Management - Posting
Position Summary:
Join our dynamic Revenue Cycle Case and Escalation Management (RCCEM) team, where you will play a pivotal role in tackling our most complex and sensitive client issues. As the final escalation point, our team is dedicated to researching and resolving challenges that require a keen eye for detail and a commitment to excellence.
In this role, you will be at the forefront of driving actionable insights across Product and Revenue Cycle Management, ensuring that our product and services not only meet but exceed athenahealth's value proposition and the expectations of our clients. Your contributions will be essential in creating visibility into case performance, fostering consistency in terminology and measurement, and championing initiatives that enhance case resolution performance.
At athenahealth, we pride ourselves on our innovative spirit and solution-oriented mindset. We thrive in a collaborative environment that embraces continual change and improvement, fueled by our rapid growth. If you are a naturally curious individual with a strong desire to learn and grow, this is the perfect opportunity for you to make a significant impact while collaborating with passionate colleagues. Join us in shaping the future of healthcare solutions!
Essential Functions (Duties and Responsibilities):
Customer Focus
Follows team expectations and methodology to manage complex issues and escalations to resolution using the CRM platform (Salesforce).Maintains consistent communication with internal and external stakeholders including direct customer communication.Provides feedback to improve service delivery, service offerings, and/or product.Analytical Thinking
Leverages wide breadth of existing tools and resources efficiently and effectively to troubleshoot issues.Suggests workflow and quality improvements to reduce case inflow and improve client sentiment.Plans and Aligns (Project Management)
Develops a plan identifying tasks and reasonable timelinesDetermines appropriate prioritization for completing work.Assigns tasks appropriately across teams.Identifies potential obstacles or challengesSupport Others
Contributes to continuous learning by actively participating in team operating mechanisms, such as teams channels, meetings, office hours, and working sessions.Shares content knowledge and best practices to assist your peers.Education & Experience Required:
An ideal candidate will have medical billing/US healthcare experience or have demonstrated the ability to rapidly learn the foundational concepts of US healthcare and medical billing.Bachelor's degree or equivalent experienceKnowledge & Skills:
Customer-centric mindset characterized by empathy, collaboration, and advocacy.Strong written and verbal communication skills, enabling effective interaction with all organization level and stakeholders.Expertise in problem-solving, with the ability to analyze large data sets to identify root causes and trends.Proven capability to analyze data, surface trends and insights, and provide actionable recommendations.Ability to work independently and as part of a team, knowing when to involve others for effective problem-solving.Strong project management skills, including planning and aligning tasks, resources, and timelines.Tenacious and accountable, able to navigate complexity and overcome obstacles.Knowledgeable in coding systems (ICD-10, CPT, HCPCS), medical terminology, anatomy, and physiology.Proficient in Excel and other business tools (Smartsheets, Google tools, SharePoint, etc.)
Expected Compensation
$58,000 - $98,000The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates. Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.
About athenahealth
Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Our company culture: Our talented employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.
Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.
What we can do for you:
Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative workspaces - some offices even welcome dogs.
We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment, full-time. With consistent communication and digital collaboration tools, athenahealth enables employees to find a balance that feels fulfilling and productive for each individual situation.
In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.
Learn more about our culture and benefits here:
Read Less
