144 applicants

Company

Original Job Post

Vituity · 2 days ago

Senior BI Revenue Cycle Analyst

Sacramento, CA

Full-time

Onsite

Senior Level

$96K/yr - $122K/yr

5+ years exp

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Responsibilities

Responsible for oversight, coordination, and performance of payer contract modeling and reporting activities, including analysis of the financial impact of proposed payer contracts on revenue streams.

Assess payer contract performance, considering numerous variables such as changes in Medicare/Medicaid allowable, acuity distributions, collections, changes in contract rates, and/or changes in line of business distribution.

Represent Vituity in meetings with other organizations, associations, providers, and payors regarding all payer contract modeling and ad hoc reporting aspects.

Establish benchmarks on market rates and quantify reimbursement trends.

Assist Contract Managers with the development and oversight of quality incentive payments tied to payer contracts.

Identify opportunities to improve financial performance and communicate the status of payer performance to appropriate stakeholders.

Extract and integrate data from disparate sources to review the financial health of payer contracts.

Identify reporting deficiencies and assists in the resolution of data issues.

Apply knowledge of healthcare billing practices, contract operations, billing systems, data fields, and fee schedules to identify opportunities to increase revenue and collections.

Proactively understand, monitor, and report critical revenue cycle operations metrics including market trends, KPIs, and benchmarks.

Create interactive, dynamic models that can be used to measure financial impacts.

Develop business intelligence solutions using Business Objects, and Tableau technologies.

Assist in the development of an enterprise analytical and self-service/ ad-hoc reporting environment.

Architect, design, develop, and test complex business intelligence solutions, infrastructure and tools, visualization, analytic and database dashboards.

Lead and perform complex data mining and deep analysis of data sets to provide recommendations and solutions based on payer contract requirements.

Serve as subject matter expert for business intelligence solutions, infrastructure and tools, best practices, and content delivery via business intelligence dashboards, visualizations, and reporting systems.

Guide and make recommendations and propose solutions for improving processes in reporting systems.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

BI solutions TableauBI solutions Power BISQL queriesPerformance tuningBI developmentSnowflake data warehouseFinancial analysisPayer entitiesHealthcare providersHealthcare financial/management consultingData synthesisBusiness Intelligence toolsIssue prioritizationData managementData programmingHealthcare claimsBilling dataBusiness ObjectsSASProblem-solvingAnalyticalInterpersonalCommunicationDetail-orientedOrganizedFlexible

Required

5+ years of experience in a healthcare environment required.

3+ years of experience with BI solutions (Tableau preferred, Power BI) required.

3+ years of experience writing SQL queries, performance tuning of BI queries, and BI development working with Snowflake data warehouse required.

Demonstrated financial analysis skills required.

Experience with payer entities, other healthcare providers, or with a healthcare financial/management consulting firm is required.

Bachelor's Degree in Business, Finance, Math/Statistics or a related field of study is required.

Strong analytical skills with the demonstrated ability to research and make decisions based on the day-to-day and complex problems required.

Strong interpersonal skills required. Understands the client's best interests are served through smooth, seamless service delivery.

Excellent communication (verbal and written) skills are required.

Ability to synthesize complex data into easy-to-understand and simple reports utilizing Business Intelligence tools.

Ability to analyze ambiguous technical and customer situations and determine appropriate solutions.

Ability to manage multiple initiatives, identify and prioritize issues to meet deadlines and organizational goals.

Ability to develop and maintain performance goals.

Knowledge of basic data management and data programming principles.

Advanced knowledge of healthcare claims and billing data.

Knowledge of Business Intelligence tools (i.e., Business Objects, Tableau, SAS).

Demonstrated financial analysis skills.

Detail-oriented, resourceful, organized, and flexible individual able to perform multiple tasks with varying priorities under conditions requiring speed and accuracy.

Preferred

Master's Degree in Business, Finance, Math/Statistics or a related field preferred.

Benefits

Superior health plan options

Dental, Vision, HSA/FSA, Life and AD&D coverage, and more

Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%

Outstanding Paid Time Off: Four weeks' vacation, Paid holidays, Sabbatical

Student Loan Repayment Program

Professional and Career Development Program

EAP, travel assistance and identify theft included

Wellness program

Commuter Benefits Program

Diversity, Equity and Inclusion (DEI) initiatives including LGBTQ+ History, Dia de los Muertos Celebration, Money Management/Money Relationship, and more.

Purpose-driven culture focused on improving the lives of our patients, communities, and employees.