AVP Analytics Data Management and Payment Integrity
New
USFull-TimeVp
Salary90,000 - 110,000 USD per year
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Job Details
- Experience
- Minimum of 7 years
- Required Skills
- PythonSQLBusiness IntelligenceMicrosoft ExcelData visualizationData analyticsData managementPowerPoint
Requirements
- Bachelor's degree in Data Science, Data Analytics, Healthcare Administration, Business Analytics, or a related field (Master's degree preferred).
- Minimum of 7 years of experience leading and executing complex analytics, data management, reporting, or business intelligence initiatives.
- At least 7 years of experience working with data analytics, database management, healthcare analytics, or related disciplines.
- Strong understanding of healthcare systems, payer-provider relationships, health insurance operations, reimbursement methodologies, and behavioral healthcare programs.
- Experience developing executive-level reporting, dashboards, performance scorecards, and financial models.
- Proficiency with SQL, Python, or similar programming and data analysis tools.
- Demonstrated experience with data visualization platforms and business intelligence solutions.
- Advanced Microsoft Office skills, including Excel, PowerPoint, and reporting tools.
- Ability to translate operational and clinical business requirements into scalable technical and analytical solutions.
- Strong verbal and written communication skills with the ability to present complex findings to both technical and non-technical stakeholders.
- Exceptional analytical thinking, problem-solving abilities, and attention to detail.
- Ability to manage multiple priorities independently within a fast-paced, evolving environment.
Responsibilities
- Lead the development, enhancement, and maintenance of enterprise analytics and reporting solutions that support operational, clinical, financial, and strategic decision-making across the organization.
- Design and deliver executive-level monthly, quarterly, and ad hoc performance reporting for leadership teams, stakeholders, and board-level audiences.
- Oversee the integrity, maintenance, optimization, and governance of information systems and data platforms to ensure reliable reporting and operational efficiency.
- Develop and implement data management strategies that align technology capabilities with organizational objectives and future growth initiatives.
- Establish and manage payment integrity programs focused on improving collections performance, monitoring reimbursement accuracy, reducing denials, and identifying overpayment or underpayment risks.
- Analyze payment trends, payer performance, utilization patterns, and operational metrics to identify opportunities for process improvements and revenue optimization.
- Build financial models to evaluate reimbursement structures, assess market competitiveness, and support payer contract negotiations.
- Produce standardized reporting and executive summaries that highlight key trends, risks, opportunities, and recommended actions across departments.
- Collaborate with clinical, operational, finance, and payer relations teams to translate business requirements into effective analytics and technology solutions.
- Supervise and mentor analysts, system administrators, interns, and other team members while fostering a culture of accountability and continuous improvement.
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