VRM Deficiency Management Team Lead

HCA Healthcare • Nashville, TN

4d

About The Position

The VRM Deficiency Management Team Lead handles day-to-day deficiency-management queue operations across Horizon Patient Folder (HPF), McKesson Patient Folder (MPF), EPIC, Cerner, and Expanse. The role provides deficiency-management education based on audit outcomes and trends and supports the VRM Operations Manager with vendor oversight, quality monitoring, data analysis, process improvement, issue resolution, and account follow-up.

The Lead coordinates with vendor staff, Parallon HIM back-office staff, technical teams, and other stakeholders to monitor workflows and service quality, address questions and escalations, maintain tracking resources, and communicate trends and process changes. The role also prepares reporting and education materials, supports vendor training, facilitates weekly vendor meetings, and leads projects as requested.

Requirements

• At least 1 year of Health Information Management (HIM) experience is required.
• High school diploma or equivalency preferred.

Nice To Haves

• Experience in deficiency management preferred.
• Prior supervisory experience preferred.

Responsibilities

• Assist in managing vendor daily workflows, including work queues and worklists, turnaround times, dashboards, and quality.
• Participate in reviewing and improving processes and services.
• Update the VRM Operations Manager on work accomplishments, problems, progress in mastering tasks and processes, and individual training needs.
• Support quality-control monitoring and reporting.
• Assist with vendor training on new systems or work queues.
• Communicate workflow and process changes to vendor teams.
• Update daily CAT files or PBIX downloads for internal tracking and review on SharePoint, and assist with month-end processes when directed by the financial analyst or leadership.
• Review vendor unmatched CAT details, report findings, and work with technical teams on resolution as needed.
• Load worked vendor files into PBIX files, refresh them, and troubleshoot errors with technical resources as needed.
• Respond to vendor clarifications on SharePoint or coordinate and escalate them to other teams as necessary.
• Promptly report issues or trends to the Operations Manager.
• Analyze weekly and monthly VRM Error Log data to identify vendor-analyst trends requiring attention.
• Prepare quarterly VRM slide decks using VRM Error Log data for reporting to the field.
• Transfer HSC VRM Error Log data into VRM's Error Log, send accounts to the vendor for RCA/AP responses, and document returned responses in the log.
• Route VRM Error Log appeals and appeal responses among HSC and vendor teams.
• Compile and present quality trends and findings from the VRM Error Log to VRM management, vendor teams, and Parallon stakeholders.
• Monitor vendor staff adherence to guidelines, policies, and Rules and Regulations.
• Perform operational reviews of records as needed.
• Serve as an information liaison between Parallon HIM back-office staff and the vendor regarding error logs, action plans, education, and escalations.
• Assist with maintaining the Analysis SharePoint site.
• Communicate with vendor and Parallon HIM back-office staff to support proper account resolution.
• Answer vendor questions about deficiency-management processes.
• Prepare vendor agendas and facilitate weekly vendor meetings.
• Lead projects as requested and maintain good working relationships with the analysis vendor team.
• Complete required company education and adhere to the Code of Conduct philosophy and Mission and Value Statement.
• Perform other duties as assigned.

Benefits

• Medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits
• Free counseling and referral services
• Paid time off and paid family leave
• Long- and short-term disability coverage and leaves of absence
• 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service
• Employee Stock Purchase Plan
• Flexible spending accounts
• Preferred banking partnerships
• Retirement readiness tools, rollover support, and financial wellbeing counseling
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing
• Fertility and family-building benefits
• Adoption assistance
• Life insurance and supplemental health protection plans
• Auto and home insurance
• Legal counseling
• Identity theft protection and consumer discounts

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED