SphereGen · 2 days ago
Healthcare Business Analyst - Revenue Cycle Management and Bi-Lingual Spanish/ English
New Haven, CT
Full-time
Onsite
Director/Executive
10+ years expSphereGen is an innovative software development and consulting company specializing in healthcare solutions. They are seeking an RCM Subject Matter Expert to assist in business development and educate potential customers about RCM solutions, leveraging AI and Automation technologies.
Business IntelligenceSoftwareVirtual Reality
Responsibilities
Deep-Dive into Hospital RCM Workflows:
Leverage your expertise across the entire Revenue Cycle spectrum—Patient Access, Eligibility & Benefits Verification, Prior Authorization, Claims Management, Denial Management, Appeals, Payment Posting, and AR Follow-up—to identify automation opportunities
Payor-Provider Process Expertise:
Bring a strong understanding of payer portals, clearinghouses, and provider-side RCM workflows. Help design automation use cases around tasks like claims status checks, authorization status retrieval, EOB/ERA posting, underpayment reviews, and denials follow-up
Sales Model Development for RCM Automation:
Build RCM-specific sales models and solution frameworks that clearly outline:
Target RCM processes for automation
Expected business impact (e.g., cash flow improvement, FTE savings, reduction in days in AR, lower denial rates)
Effort vs. benefit mapping for each RPA opportunity
Phased roadmaps for large hospital RCM departments
Develop and present automation business cases, TCO (Total Cost of Ownership) models, and ROI projections that will resonate with CFOs, Revenue Cycle VPs, and Hospital Operations leaders
Client-Specific Value Proposition Creation:
Tailor value propositions and sales messaging based on each hospital’s RCM KPIs (e.g., denial rates, clean claim ratios, aging AR buckets, first pass resolution rate). Use your domain expertise to build credible, metric-driven narratives that connect AI and Automation solutions to revenue cycle performance goals
Active Role in Sales & Pre-Sales Conversations:
Participate in sales discovery sessions, client workshops, and proposal defences. Present RCM automation use cases in a way that aligns with hospital executives’ business drivers
Process Assessments & Automation Road mapping:
Conduct RCM process maturity assessments and help hospitals visualize a multi-phase automation roadmap, moving from quick wins (e.g., claims status automation) to enterprise-level transformations (e.g., end-to-end denial management automation)
Thought Leadership in Healthcare Revenue Cycle Automation:
Author whitepapers, contribute to webinars, and represent the company at healthcare RCM industry forums to position us as a leader in healthcare automation
Market & Competitive Intelligence:
Monitor healthcare payment trends, regulatory changes, and RCM outsourcing/automation market movements. Use this intelligence to refine our solution packaging and pricing strategies for RCM automation offerings
Qualification
Required
10+ years of leadership experience in Hospital Revenue Cycle Management (RCM), with roles such as Director, VP, or Chief Revenue Cycle Officer preferred
Strong expertise in US healthcare payer-provider workflows, hospital billing, collections, and revenue cycle operations
Proven experience engaging with hospital C-level executives, revenue cycle leaders, and operational teams
Exposure to process improvement, technology adoption, or automation initiatives in RCM
Excellent communication and presentation skills
Comfort working with both technical teams and client leadership to shape solution offerings
Experience in the US healthcare market is mandatory
English and Spanish language skills are mandatory
Experience working with diverse teams would be advantage
Preferred
Experience with or exposure to Automation tools like UiPath, Power Automate, Blue Prism, etc
Background in consulting, business development, or solutioning for healthcare automation projects
Prior involvement in vendor-side sales support or client-facing solution roles in healthcare IT
Company
SphereGen
SphereGen specializes in offering custom applications on multiple platforms including, web, mobile, iOS, virtual reality headset & HoloLens.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Anirudha Vengurlekar
CEO
Company data provided by crunchbase