Reimbursement Consulting Analyst

VMG Health • Dallas, TX

127d

About The Position

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

• 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.

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.

What This Job Offers

• Education Level: Bachelor's degree