Manager, Revenue Analytics

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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

1. Strong understanding of the hospital based billing cycle and processes.

2. Excellent working knowledge of medical office/hospital systems, medical record management software (Epic), Outlook email and related software applications.

3. 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.

4. Ability to interpret and communicate complex revenue and compliance data to clinical providers.

5. Excellent organizational, analytical, and communication skills. Ability to manage multiple priorities.

Preferred Skills and Abilities

1. Knowledge of Emergency Medicine revenue cycle.

Principal Responsibilities

Required Education and Experience

Bachelor's Degree and four years of experience in the analysis of business needs and development of related business systems or the equivalent combination of education and experience.

Required License(s) or Certification(s)

Use or working knowledge of EPIC or other Practice Management and Electronic Health Record applications.

Physical Requirements

Physical Requirements:

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Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

Salary offers are determined by a candidate’s qualifications, experience, skills, and education in relation to the position requirements, along with the role’s grade profile and current internal and external market conditions.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).

Note

Yale University is a tobacco-free campus.