Revenue Cycle Operations Analyst

Pathways; Anaheim (CA); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Paid vacation days

Sick leave

Paid holidays

Medical insurance

Dental insurance

Vision insurance

401(k)

EAP

Pet insurance

Perks@ Clarvida

Job summary

Clarvida is seeking a Revenue Cycle Operations Analyst in California to analyze front-end revenue cycle workflows, verify eligibility, manage authorizations, and support billing readiness across programs.

You will develop procedures, monitor KPIs, present findings to leadership, and train staff on payer requirements and financial clearance. Travel up to 30% may be required; remote/hybrid work available for CA residents.

Qualifications

• Bachelor\'s degree or equivalent in healthcare administration, business, finance, accounting, analytics, public health, or related field.
• Minimum three years of revenue cycle, billing operations, financial clearance, or related analytics experience.
• Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost, and claim readiness requirements.
• Advanced proficiency in Microsoft Excel and reporting tools.

Responsibilities

• Analyze front-end revenue cycle workflows, eligibility verification, financial clearance, and billing readiness across programs.
• Interpret payer requirements and provide operational guidance.
• Develop and maintain revenue cycle procedures, controls, and best practices for compliant operations.
• Prioritize issues, identify risks, and coordinate corrective actions with leadership.
• Review billing errors and trends to identify root causes and improvements.
• Develop and monitor KPIs, dashboards, and operational reports.
• Present findings and recommendations to leadership and stakeholders.
• Train staff on payer requirements, eligibility, financial clearance, and billing readiness standards.

Skills

Analytical thinking

Critical thinking

Independent judgment

Communication

Education

BA/BS in related field

Tools

IRIS

Avatar

Excel

Job description

Job Title: Revenue Cycle Operations Analyst

Location: California (Remote/Hybrid) Must live in CA in proximity of Locations being served.

Employment Type: Full-time

Salary: $85,000 - $95,000 per year (dependent on experience, education, and market factors)

Date Posted: 07-02-2026

About The Role

The Revenue Cycle Operations Analyst supports California Operations by analyzing and improving front-end revenue cycle performance across multiple programs. This role serves as a subject matter expert in eligibility verification, payer requirements, authorization management, financial clearance, and billing readiness processes. Working closely with operational, clinical, and revenue cycle leadership, the Revenue Cycle Operations Analyst identifies opportunities for process improvement, reduces billing and compliance risks, and supports organizational performance through data-driven decision-making and operational excellence.

Responsibilities

• Analyze front-end revenue cycle workflows, eligibility verification processes, financial clearance activities, and billing readiness across multiple programs
• Interpret Medi-Cal, Medi-Medi, commercial payer, authorization, Share of Cost, and eligibility requirements and provide operational guidance
• Develop, implement, and maintain revenue cycle procedures, controls, and best practices that support compliant and efficient operations
• Prioritize revenue cycle issues, identify risks, and coordinate corrective actions with operational and revenue cycle leadership
• Review billing errors, financial clearance trends, and workflow exceptions to identify root causes and improvement opportunities
• Recommend and monitor corrective action plans to improve claim readiness and reduce denial risks
• Develop and maintain key performance indicators (KPIs), dashboards, scorecards, and operational reports
• Analyze operational and financial data to identify trends, forecast risks, and support performance improvement initiatives
• Present findings, recommendations, and action plans to leadership and stakeholders
• Design and deliver training related to payer requirements, eligibility processes, financial clearance, and billing readiness standards
• Provide subject matter expertise on EHR and billing platforms, including IRIS, Avatar, or similar systems
• Collaborate with clinical, operational, billing, and leadership teams to improve workflows and support organizational goals
• Participate in county, operational, revenue cycle, and cross-functional meetings as needed
• Support contract compliance, reporting requirements, audits, and operational initiatives
• Perform additional duties as assigned

Required Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Analytics, Public Health, or a related field, or an equivalent combination of education and directly related experience
• Minimum three years of revenue cycle, billing operations, financial clearance, healthcare operations, payer operations, or related analytical experience
• Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost, and claim readiness requirements
• Experience analyzing operational data and developing reports, dashboards, and performance metrics
• Experience with EHR and billing platforms such as IRIS, Avatar, or similar systems
• Advanced proficiency in Microsoft Excel and reporting tools
• Strong analytical, critical thinking, and problem-solving skills
• Ability to exercise independent judgment and make recommendations regarding complex operational issues

Preferred Qualifications

• Experience supporting multiple programs, regions, or business units
• Experience with healthcare KPI reporting, dashboard development, business intelligence, or data visualization tools
• Knowledge of County behavioral health systems, public behavioral health funding structures, and payer contracts
• Experience leading process improvement initiatives, workflow redesign, or cross-functional projects
• CRCR, CHAA, HFMA, Lean Six Sigma, or related certification preferred

Compensation & Benefits

Full-time Employees:

• Paid vacation days (increase with tenure)
• Separate sick leave that rolls over annually
• Paid holidays
• Medical, dental, and vision insurance options
• DailyPay – access your earnings without waiting for payday
• Training, development, and professional growth opportunities

All Employees:

• 401(k)
• Employee Assistance Program (EAP)
• Pet insurance
• Perks @ Clarvida – national discounts on shopping, travel, Verizon, and entertainment

(Benefits may vary by state or county)

Work Location

California – Remote/Hybrid

Travel required up to approximately 30% for meetings, training, program support, and operational initiatives

Employment Type

Full-time

About Clarvida

Clarvida is a leader in behavioral health care, providing community-based mental health and human services. The organization is committed to delivering innovative care while fostering a supportive and growth-oriented environment for employees.

Learn more: http://www.clarvida.com/mission-vision-and-values/

See other opportunities: https://www.clarvida.com/working-at-clarvida

Equal Opportunity Employer

Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic.