Revenue Management Business Analyst

Our Mission

At Sohar Health, we're not just a company; we're a movement with a passionate, data-driven approach to make healthcare accessible to all. With investors such as Y-Combinator, Kindred Capital, and Rebel Fund, we are a VC-backed market leader in automating front end Revenue Cycle Management (RCM) tasks, including determination of eligibility and Verification of Benefits (VoB). We're on the lookout for an exceptional business analyst, with experience in the RCM space, to join our innovative team to support us in our mission to become the gold standard in eligibility verification. We aim to provide the most accurate, reliable, and efficient solution in the market.

Role Summary

As the business analyst within our team, you will ensure that Sohar Health maintains the highest level of accuracy of eligibility checks and VoB data, against our benchmarks and targets. The role will involve analyzing eligibility-related and claims-related data to identify areas of improvement and translating these insights into data-driven, actionable tasks for our engineering team. The role will involve creating relationships with payers and maintaining a detailed mapping of the US payer landscape and relationships between entities, such as TPAs and carve-outs.

Responsibilities

Analyzing Data: You will analyze data related to insurance eligibility data (270/271s), claims data, such as Electronic Remittance Advice (835s) and customer feedback to identify patterns, trends, and areas for improvement.

Data Visualization: You will use BI tools and SQL to build and monitor dashboards to report on our KPIs internally and externally, alert of any issues, and support in root cause analysis and process improvement.

Quality Assurance: You will implement quality control measures to maintain a high level of accuracy in eligibility and VoB processes against our internal KPIs.

Payer Relationships: You will create relationships with relevant stakeholders within payer organizations, and maintain a detailed mapping of the US payer landscape and relationships between related entities that may impact eligibility determinations and patients’ benefits data.

Strategic Planning: You will contribute to the development of long-term strategies for Sohar Health, aligning with the evolving needs of providers within the healthcare industry.

Traits & Experience

Minimum requirements

• Significant experience in Revenue Cycle Management (RCM)
• Strong data and analytical skills
• Experience with business insights (BI) tools
• Ownership mindset
• Resourcefulness within a start up setting
• Ability to network and engage with relevant external stakeholders, at a plan / payer level

Desired experiences

• Strong SQL experience
• Established network of contacts within the payer landscape
• Specific experience within the Behavioral Health space
• Experience working at a digital health company

Compensation & benefits

$75,000 p.a. + health insurance coverage (premium plan, inc dental and vision)

This role is 100% remote, based in the US

About Sohar Health

🚀 Join the Sohar Health Team - Revolutionizing Healthcare Access in the US 🚀

Who We Are:

🌟 Driven by Purpose: As co-founders at Sohar Health, we're committed to a cause that transcends the ordinary. We're not just in the business of healthcare; we're in the business of changing lives.

💡 Leading Innovation: Sohar Health (YC23) is the brainchild of Ash and Lucas, who have built an API-based system that's redefining how providers navigate the complex world of insurance claims. We are trailblazers in harnessing the power of technology to streamline eligibility verification, ensuring over 90% accuracy and, most importantly, helping patients access the care they need.

Our WHY:

💚 Access to Care: We believe that healthcare is a fundamental right, and our 'why' is simple - we want to help more people access the care they deserve.

Our VALUES:

🎯 Focus on Data Accuracy: We're unwavering in our commitment to being the most accurate Verification of Benefits solution in the market.

🤗 Empathy in Action: We understand the challenges providers face, and we're here to lend a helping hand.

🔍 Transparency is Key: We take pride in our honesty and transparency when delivering data to our customers.

🌈 Simplicity Rules: In an industry known for its complexities, we take a refreshingly simple and intuitive approach to make our customers' lives easier.

Sohar Health is an equal opportunity employer, and we're proud of it. We celebrate diversity and believe that it's our differences that make us stronger. We don't discriminate on any basis - race, ethnicity, gender, or background. Inclusion and diversity are at the core of our culture, and we embrace every unique perspective that joins our mission.

Ready to be a part of a revolution in healthcare? Join us at Sohar Health, where your career becomes a purpose-driven adventure.

Screening interview (15 - 30 mins):

You will have a phone call with Ash, CEO and founder of Sohar Health. Questions will focus on your last two roles of employment and relate to the outcomes expected from the role that we are recruiting for.

Task exercise (expected time up to 2 hours):

We will set you a task related to the specific outcomes of the role and ask for you to send us a report back on your findings, for each task.

Interviews (3 × 60 mins):

You will meet with three team members at Sohar who will each assess an individual outcome related to this role to ensure that competency. Expect to deep-dive into your skill set. The latter half of the interview will assess cultural and trait-alignment with Sohar.