Reimbursement Consulting Analyst

1 day ago

Dallas, Texas, United States VMG Health Full time $60,000 - $120,000 per year

Job Type

Full-time

Description

  • VMG Health supports a nationwide network of clients with over 70,000 engagements, exclusively in the healthcare industry. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. VMG Health provides a solutions-oriented approach to client needs through our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients' valuation, strategic, and compliance needs.

Requirements
Reimbursement Consulting Analysts support their internal team members on a variety of healthcare engagements. Primary responsibilities include data collection and analysis, payor contract modeling, due diligence, report writing, and supporting senior team members. The environment at VMG Health is very team-based with a strong corporate culture. The position requires an ability to work efficiently, take on a great deal of responsibility quickly and manage multiple tasks at once. Each employee at VMG Health is expected to help grow the business and collaborate in a team-based environment; creativity and new ideas are strongly encouraged.

Key Responsibilities

  • Oversee and prepare complex modeling of payor contract rates and reimbursement logic utilizing Alteryx and Microsoft Excel.
  • Review, test, and analyze large sets of billing/ utilization data from healthcare service clients.
  • Read and interpret managed care contract terms, payment logic, and hierarchies.
  • Development of exhibits and summary reports in Excel, outlining the analysis process, results, and conclusions.
  • Clearly summarize implications and results of contract provisions, rate structures, and payer policies to management.
  • Research and develop resources related to reimbursement updates and changes from the Centers for Medicare and Medicaid Services.

Qualifications

  • At least 1 year of payor contract modeling experience.
  • At least 1 year of experience in a finance/professional services environment preferred.
  • Bachelor's Degree in Data Analytics, Management Information Systems, Finance, Accounting or related field required.
  • Strong analytical skills; exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion.
  • Advanced skills in Microsoft suite (Excel, Word, PowerPoint, Outlook, Teams, etc.).
  • Knowledge of statistical languages such as R, Python, and Stata.
  • Prior Experience with or knowledge of low-code workflow tools (i.e., Alteryx, KNIME, Altair, etc.).
  • Understanding of contract language and managed care contract modeling a plus but not required.
  • Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format with internal and external clients.
  • Demonstrates intellectual curiosity and openness, continuously seeking innovative ways to enhance team processes.
  • Ability to anticipate obstacles to a goal and initiates appropriate resolution.
  • Ability to work collaboratively in a team environment or independently, as applicable.
  • Strong organization and documentation skills.

Travel

  • 10% travel

Office

  • Hybrid - 4 days in office

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