Manager, Denials Prevention & Analytics Manager

Denials Prevention and Analytics Manager

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future.

At Huron, we are committed to delivering exceptional care while maintaining strong financial stewardship. The Denials Prevention and Analytics Manager plays a critical role in supporting the health system's financial health by identifying, analyzing, and addressing the root causes of post-billing denials and avoidable write-offs across both hospital and professional claims. This role is responsible for driving enterprise-wide efforts to reduce denials and write-offs by facilitating cross-functional collaboration, delivering actionable analytics, and leading prevention initiatives that result in measurable impact. Reporting to the Vice President of Revenue Cycle, the Manager leads key activities such as denial taskforce coordination, data trend analysis, action planning, and mitigation strategy development. This role is essential in supporting operational improvements and enhancing reimbursement outcomes across the organization.

Key Responsibilities

• Lead and facilitate the Denials Taskforce, engaging stakeholders across clinical, operational, and revenue cycle teams to collaboratively address denials trends and root causes.
• Analyze monthly denial data across hospital and professional services to identify trends, patterns, and systemic issues impacting reimbursement.
• Partner with operational and technical teams to design and implement action plans that address denial root causes and reduce future occurrences.
• Monitor and evaluate avoidable write-off trends, working to understand drivers and implement prevention strategies in collaboration with front-end and back-end revenue cycle teams.
• Collaborate with IT and reporting teams to ensure accurate data capture, integration, and reporting related to denials and write-offs.
• Develop and maintain dashboards and reports that provide visibility into key performance indicators (KPIs), progress on action plans, and bring visibility to areas of emerging concern.
• Deliver regular updates and presentations to Revenue Cycle leadership on denial trends, root cause findings, and outcomes of mitigation efforts.
• Serve as a subject matter expert on denial prevention, contributing to policy development, training programs, and system improvements aimed at improving first-pass claim acceptance and reducing rework.

Core Qualifications