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VMG Health · 1 day ago

Reimbursement Consulting Analyst

Dallas, TX

Full-time

Hybrid

Entry Level

1+ years exp

VMG Health is a company that supports a nationwide network of clients in the healthcare industry. They are seeking a Reimbursement Consulting Analyst to assist with data collection and analysis, payor contract modeling, and report writing while collaborating in a team-based environment.

Financial ServicesHealth CareProfessional Services

Growth Opportunities

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

Qualification

Payor contract modelingData analysisMicrosoft ExcelStatistical languagesLow-code workflow toolsAnalytical skillsCommunication skillsOrganizational skills

Required

At least 1 year of payor contract modeling experience

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.)

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