Manager, Revenue Analytics

Yale University; New Haven (CT); On-site; USD 110,000 - 170,000; Full time

Job summary

Yale University is seeking a Revenue Analytics Manager for Emergency Medicine to oversee billing revenue performance, engage providers, and ensure compliant revenue capture across departments. The role coordinates with Yale Medicine and an external coding vendor to optimize reporting, reconciliation, and education.

The position focuses on identifying revenue risks, resolving documentation gaps, and driving continuous improvement in revenue integrity through regular reporting and cross-functional

Qualifications

• Strong understanding of the hospital-based billing cycle.
• Excellent organizational, analytical, and communication skills.
• Ability to interpret and communicate complex revenue and compliance data to clinical providers.

Responsibilities

• Review charge work queues to identify missing or non-compliant documentation.
• Review hospital deficiencies and outstanding charges weekly for timely resolution.
• Collaborate with Yale New Haven Health System to improve workflows affecting charge capture and denials.
• Maintain communication with leadership to address documentation issues and chart compliance for billing.
• Prepare and distribute monthly revenue reports to department leadership.

Skills

Billing knowledge

Leadership

Analytical thinking

Communication skills

Problem solving

Tools

Epic

Outlook

Job description

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!

Overview

The Revenue Analytics Manager for Emergency Medicine is responsible for overseeing, monitoring, and improving professional billing revenue performance through proactive charge review, provider engagement, compliance collaboration, and cross-organizational coordination. This role serves as a key liaison between the Emergency Medicine department, hospital financial leadership, Yale Medicine, and an external coding vendor to ensure accurate, timely, and compliant billing and revenue capture.

The position plays a critical role in identifying revenue risks, resolving documentation deficiencies, and driving continuous improvement in revenue integrity through reporting, reconciliation, and provider education.

(Focus on the Overview above, not the Principal responsibilities listed below).

Responsibilities

• Perform regular review of charge work queues to identify missing, incomplete, or non-compliant documentation impacting billing.
• Conduct weekly review of hospital deficiencies and outstanding charges, ensuring timely resolution and escalation when needed.
• Collaborate with Yale New Haven Health System to improve clinical workflows that may affect charge capture or result in denials, and perform reconciliation of professional and facility charges, identifying discrepancies and optimizing revenue opportunities.
• Maintain regular communication with department leadership and faculty to address documentation issues and chart compliance for billing.
• Distribute weekly reconciled chart reports to providers highlighting outstanding issues and required follow-up.
• Meet regularly with providers to review individual and group-level revenue performance, documentation trends, and opportunities for improvement.
• Prepare and distribute monthly revenue reports to department leadership.
• Identify trends, risks, and opportunities within financial subdivisions, escalating concerns as needed.
• Analyze revenue data to detect potential lost revenue, workflow inefficiencies, or documentation gaps.
• Serve as subject matter expert for the department and is responsible for staying abreast of all federal, state, and payer/carrier guidelines and regulations.
• Lead monthly meetings with the external coding vendor to review performance, discuss potential lost revenue, and address coding trends.
• Collaborate closely with Yale Medicine on revenue integrity initiatives, reporting alignment, and follow-up actions.
• Schedule and facilitate meetings with Yale Medicine, ensuring reports are presented to Medical Directors and departmental leadership.
• Work in partnership with Compliance on risk audits, internal audit findings, and corrective action plans.
• Support implementation of audit recommendations and monitor ongoing compliance with regulatory and institutional standards.
• Identify workflow gaps, documentation risks, and process inefficiencies; recommend and implement solutions.
• Serve as a resource for ad-hoc requests from the department.
• Perform additional duties and projects as assigned in support of departmental and institutional goals.

Required Skills And Abilities

• Strong understanding of the hospital based billing cycle and processes.
• Excellent working knowledge of medical office/hospital systems, medical record management software (Epic), Outlook email and related software applications.
• Well-developed managerial, decision-making, planning, organizational, problem-resolution and leadership skills with the demonstrated ability to influence and manage people on a day-to-day basis.
• Ability to interpret and communicate complex revenue and compliance data to clinical providers.
• Excellent organizational, analytical, and communication skills. Ability to manage multiple priorities.

Preferred Skills And Abilities

• Knowledge of Emergency Medicine revenue cycle.

Principal Responsibilities

• In collaboration with Epic Project Team, ensure the integrity of EPIC data that is critical to producing accurate Professional Revenue Cycle processes and reporting such as professional billing codes, pricing, work RVU, provider, department, bill areas, report groupers, etc. Manage the process to monitor and resolve charges held in Epic work queues related to pricing. Establish consistent process to ensure timeliness of code and price activation. Maintain reliable storage of carrier fee schedules. Understand the Epic infrastructure and logic for charging, claim production and payment or denial posting. 2. Establish schedules, set timeframes, deadlines and assign Professional Revenue Cycle Specialists and/or Analysts that perform work on pricing, code management, payment variances, claims scrubber maintenance and contract management. 3. Manage staff including work assessment, development, hiring, training and evaluation of ongoing needs. 4. Manage the payment variance process for all carriers. Evaluate software, establish processes and ensure systems are in place to identify and track all incorrect payments and appeals. 5. Manage and maintain the claims scrubbing system to minimize claim denials and payment delays. Ensure timely review of edit requests. Establish an annual review of existing edits. Run analyses on current charges to determine impact of changes. 6. Manage relations with all third party contracted payers. Coordinate communications; establish regular meetings in person, by phone or internet to discuss outstanding \