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Revenue Cycle Operations Analyst

Clarvida -
Fullerton, CA

Quick Apply

Job Details

Full-time
$85,000 - $95,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
Employee assistance program
Vision insurance
Pet insurance

Qualifications

Performance dashboard reports
Health insurance authorizations
Dashboard development
Business intelligence report generation
Dashboard creation support
Metrics Reporting
Clinical information systems
Healthcare performance metrics analysis
Financial data analysis tools
Healthcare data reporting
Data analytics technologies
Financial dashboard metrics

Full Job Description

Description

Job Title: Revenue Cycle Operations Analyst
Location: California (Remote/Hybrid)
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

How to Apply
If you are passionate about revenue cycle operations, healthcare analytics, process improvement, and driving operational excellence, click "Apply Now" to join Clarvida as a Revenue Cycle Operations Analyst.

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.

Fraud Alert
Clarvida never charges fees to apply. Official communication regarding job opportunities will only come from authorized @clarvida.com email addresses, [email protected], or verified LinkedIn profiles associated with Clarvida email accounts.

Keywords
Revenue Cycle Operations Analyst, Revenue Cycle Analyst, Healthcare Operations, Billing Operations, Financial Clearance, Eligibility Verification, Medi-Cal, Revenue Integrity, Healthcare Analytics, Business Intelligence, Healthcare Administration, Behavioral Health Operations, Clarvida Careers

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