Senior Data and Operations Analyst, Revenue Cycle

Visiting Nurse Service of New York d/b/a VNS Health • New York, NY

1d • $85,000 - $106,300

About The Position

Applies advanced data, analytics, and technical skills to support, stabilize, and modernize operational processes across the Revenue Cycle Department (RCD), including health plan premium billing and spenddown (surplus) billing. While the role includes hands-on responsibility for current-state billing execution and reconciliation, its primary purpose is to use technology, automation, and data-driven design to reduce manual effort, strengthen controls, and enable scalable operating models across RCD.Serves as a cross-functional technical and analytical resource, translating complex operational workflows into efficient, repeatable, and increasingly automated processes. Over time, the role is expected to help transition repetitive, rules-based work to technology-enabled solutions and contracted staffing, while maintaining appropriate oversight and accountability.

Requirements

• Bachelor's Degree in Computer Science, Mathematics, Statistics, Economics, Finance, Health Administration, or related discipline, or equivalent experience required
• Minimum 4 years of experience in data analytics, reporting, automation, or technical roles supporting financial or operational processes required
• Demonstrated experience working with large datasets and designing data-driven solutions to improve workflows required
• Experience building reconciliations, validations, or analytical controls required
• Advanced proficiency in SQL for data extraction, manipulation, and validation required
• Advanced Excel skills, including complex formulas, pivot tables, and data comparison techniques required

Nice To Haves

• Experience in healthcare, revenue cycle, insurance, or regulated environments preferred
• Prior experience with premium or spenddown billing preferred
• Experience with business intelligence or data visualization tools preferred
• Familiarity with automation or scripting tools (e.g., Python, R) preferred

Responsibilities

• Extracts, analyzes, and validates large, complex datasets across RCD functions using SQL and related tools.
• Designs, builds, and maintains automated reconciliations, validation checks, and exception reporting to reduce manual effort and improve reliability.
• Produces ad hoc analyses, dashboards, and operational reports to support decision-making, performance monitoring, and cash flow visibility.
• Translates operational workflows into clear data logic, control structures, and repeatable processes that can be systematized and scaled.
• Documents data logic, workflows, and operational assumptions to support continuity, transparency, and knowledge transfer.
• Executes and supports monthly health plan premium and spenddown billing cycles, including preparation, validation, submission, and follow-up activities.
• Validates enrollment and billing data by comparing current and prior periods to identify changes requiring action.
• Monitors billing outcomes, investigate discrepancies, and coordinate corrective actions as needed.
• Performs and oversees exception handling, retroactive adjustments, and cleanup of prior-period impacts.
• Supports supplemental or mid-cycle billing activity as required, while actively working to reduce reliance on manual intervention through automation and process redesign.
• Performs and designs reconciliations across enrollment, billing, payment, and other revenue cycle data domains.
• Develops reconciliation outputs and exception workflows that can be efficiently reviewed or executed by contracted or offshore resources with appropriate controls.
• Oversees the quality and completeness of repetitive operational work performed by vendors or contracted staff.
• Operates within established internal control and segregation-of-duties frameworks and help strengthen those controls through data-driven solutions.
• Applies technical and analytical expertise to support additional RCD functions beyond billing, such as cash reconciliation, denial analysis, or operational reporting.
• Partners with RCD stakeholders to identify opportunities where data, automation, or improved reporting can eliminate manual steps and improve efficiency.
• Supports operational continuity during system, vendor, or process changes by validating data outputs and ensuring readiness for transition.
• Participates in testing, validation, and stabilization activities during periods of change.
• Participates in special projects and performs other duties as assigned.

Benefits

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level