Revenue Consulting & Analytics Analyst

To be considered for this position, please send a resume and cover email to Ashley Pugh at ashley.pugh@vmghealth.com.

Overview

VMG Health is currently seeking a Reimbursement Consulting Analyst to join our Reimbursement Analytics/Transaction Advisory Services team. Qualified candidates will have superior leadership and technical skills, strong attention to detail, excellent project management and communication skills, as well as a sense of urgency and drive to help the company service its clients.

Position Summary

Reimbursement Consulting Analysts support their internal team members on a variety of healthcare engagements. Primary responsibilities include data collection and analysis, payor contract modeling, due diligence, report writing, and supporting senior team members. The environment at VMG Health is very team-based with a strong corporate culture. The position requires an ability to work efficiently, take on a great deal of responsibility quickly and manage multiple tasks at once. Each employee at VMG Health is expected to help grow the business and collaborate in a team-based environment; creativity and new ideas are strongly encouraged.

Day-to-Day Work Includes/Requires:

  • Review, test, and analyze large utilization data sets from healthcare facilities.
  • Read and interpret managed care contract terms, payment logic, and hierarchies.
  • Oversee and prepare complex financial models utilizing Microsoft Excel, Alteryx, and other database software systems.
  • Clearly summarize implications and results of contract provisions, rate structures, and payer policies to management.
  • Development of exhibits and narrative reports outlining our analysis process, the analysis results, and implications on the transaction.
  • Daily verbal and written communication with managed care and business intelligence personnel.
  • Research and develop work papers outlining reimbursement updates and changes from the Centers for Medicare and Medicaid Services.

Position Requirements (External):

  • Healthcare, insurance or related industry experience preferred. Strong background in healthcare reimbursement analysis, including an understanding of diagnosis and procedure coding, billing practices, and payment methodologies. Managed care knowledge preferred. Must be able to lead and coordinate projects through various complex and challenging situations to completion under time-sensitive deadlines.
  • This person must take accountability for designated reimbursement modules and systems and must be proficient in readying, interpreting, and formulating complex payment logic and rules
    Skills (Internal & External):
    · Understanding of contract language and managed care contract modeling preferred.

Skills (Internal & External):

  • Understanding of contract language and managed care contract modeling preferred.
  • Strong analytical skills; exceptional attention to detail and demonstrated ability to prioritize tasks to ensure accuracy and timely completion.
  • Investigational and analytical skills with a proven ability to communicate effectively in both written and verbal format with internal and external clients.
  • Ability to anticipate obstacles to a goal and initiates appropriate resolution. Takes initiative to identify barriers and opportunities and provides solutions through process and operational improvements.
  • Ability to work collaboratively in a team environment or independently, as applicable.
  • Strong organization and documentation skills.
  • Advanced skills in MS Excel, PowerPoint, Word, Alteryx, and various database programs.

Education:

  • Bachelor’s Degree in Business Administration, Finance, Data Analytics, Management Information Systems, or related field required.

About the Firm

Formed in 1995, VMG Health is a full-service healthcare transaction advisory and valuation firm focused exclusively on meeting the unique needs of the healthcare services industry.  Over its 25-year history, VMG Health has performed over 35,000 valuation engagements and has grown to over 200 professionals, specializing in specific disciplines to assist clients with their healthcare-related business transaction needs, including:

  • Business Valuation & Transaction Advisory Services
  • Strategic Decision Support
  • Litigation & Dispute Resolution
  • Capital Asset Appraisals
  • Financial Due Diligence/Quality of Earnings
  • Compensation & Value-Based Arrangements
  • Management & Other Service Agreements
  • Real Estate Appraisals
  • Coding, Compliance, & Reimbursement Services
  • Operational Excellence