Revenue Cycle Performance Analytics Manager

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

As a Revenue Cycle Performance Analytics Manager, candidate will be responsible for supporting revenue cycle leadership by completing deep data analysis to identify key trends and issues to improve revenue cycle processes within our organization. This role is critical to ensuring data-driven decision-making that supports financial sustainability and enhances the patient financial experience.

Responsibilities

• Lead and manage the analysis of data and trends to identify revenue cycle bottlenecks, issues, and opportunities for improvement.
• Develop and maintain Revenue Cycle Performance metrics, reports, and dashboards to track key performance indicators.
• Conduct thorough analysis of the revenue cycle processes, including financial clearance, billing, coding, collections, denials, etc.
• Summarize information, data, and recommendations, and prepare presentation materials for RCM leadership.
• Identify areas for efficiency and improvement; collaborating and recommend strategies to optimize revenue cycle performance, including but not limited to reducing denials and improving cash flow, to senior leadership.
• Drive implementation of optimized process planning.
• Collaborate with cross-functional teams, including financial clearance, finance, billing, coding, and compliance, to ensure accurate and timely revenue cycle operations.
• Provide training and mentorship to revenue cycle staff on data tools and best practices.

Qualifications:

• High proficiency in Excel (advanced formulas, pivot tables, lookups)
• Experience working with RCM data elements and a general understanding of RCM functions and/or workflows
• Experience working with Denials Data, understanding of CARC/RARC category assignments
• Strong analytical skills: ability to interpret transaction, claims, and denial data and identify trends
• Familiarity with data visualization/reporting tools such as Tableau, PowerBI, etc.
• Familiarity with SQL, Snowflake, or other data warehousing tools
• Effective communication skills for collaborating with cross-functional departments and presenting findings to executive and clinical leadership
• Ability to synthesize data to escalate trends, issues, or opportunities to leadership
• Detail-oriented with the ability to manage multiple priorities and drive initiatives forward
• Athenahealth or other EMR systems experience (preferred)

Education:

• Bachelor’s degree in Health Administration, Finance, Business, Data Analytics, or related field
• 5+ years of experience in healthcare revenue cycle, data analysis, or a related role
• Knowledge of healthcare revenue cycle operations and payer reimbursement models

This is an exempt position. The base compensation range for this role is $95,000 - $125,000.  At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc.  The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.  Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.