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Lead Business Analyst
Vizient, Inc. Analyze client data and issues involving chargemaster structure, revenue codes, CPT and HCPCS codes, modifiers, billing units, pricing, reimbursement, and charge accuracy .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates advanced SQL skills for analyzing large healthcare datasets and a strong understanding of healthcare revenue cycle operations, including chargemaster maintenance, pricing, billing, and reimbursement. Capable of translating business needs into analytical solutions while effectively communicating findings to diverse audiences.
Highest-signal resume keywords
Advanced SQL SkillsHealthcare Revenue Cycle OperationsCPT and HCPCS Codes KnowledgeAnalytical Problem-SolvingClient Engagement Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
SQL Query OptimizationData AnalysisFinancial ModelingHealthcare Data EvaluationRevenue Cycle AnalysisTrend IdentificationReporting ProcessesData DocumentationCharge Accuracy AssessmentPayer Performance Analysis
Soft Skills
Organizational SkillsWritten CommunicationVerbal CommunicationProblem-Solving SkillsIndependence
Tools & Technologies
DashboardsAnalytics SoftwareHealthcare Data Sources
Industry Keywords
Chargemaster StructureRevenue CodesBilling UnitsReimbursement MethodologiesClaims AnalysisCMS PoliciesPharmacy Revenue CycleContractual AdjustmentsDenialsAccounts Receivable
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Analyze client data and issues involving chargemaster structure, revenue codes, CPT and HCPCS codes, modifiers, billing units, pricing, reimbursement, and charge accuracy
- Evaluate healthcare pricing and reimbursement methodologies to identify opportunities to improve consistency, transparency, and financial performance
- Review chargemaster, pricing, claims, remittance, payer contract, adjustment, denial, underpayment, and payment data to identify trends and improvement opportunities
- Analyze national claims and benchmark data to assess client pricing, utilization, reimbursement, billing practices, payer performance, procedure trends, and revenue opportunities
- Develop financial models, dashboards, reports, and recurring analytics supporting client recommendations and business decisions
- Write, troubleshoot, and optimize complex SQL queries across multiple healthcare data sources
- Translate client business needs into technical requirements and analytical solutions, validating results against source systems, financial reports, claims data, and supporting information
- Present analytical findings, insights, and recommendations to consulting teams and other audiences
- Document business rules, data definitions, analytical methodologies, assumptions, and reporting processes
- Partner with client Finance, Patient Financial Services, Coding, Managed Care, Information Technology, Pharmacy, and other departments to support revenue cycle initiatives
Requirements
What you’ll need- Relevant degree preferred
- 7 or more years of relevant experience required
- Advanced SQL skills and experience analyzing large, complex healthcare datasets preferred
- Strong knowledge of healthcare revenue cycle operations, including chargemaster maintenance, pricing, billing, reimbursement, and claims analysis
- Working knowledge of revenue codes, CPT and HCPCS codes, modifiers, billing units, payer reimbursement, contractual adjustments, denials, underpayments, and accounts receivable
- Strong understanding of the pharmacy revenue cycle from order placement through billing, payment, reconciliation, and collections
- Working knowledge of CMS policies and healthcare reimbursement requirements
- Strong analytical, problem-solving, organizational, and written and verbal communication skills
- Ability to manage multiple client engagements, prioritize competing deadlines, and work independently
Benefits
Comp & perks- Comprehensive benefits plan
- Incentive eligible
- Extensive opportunities for personal and professional development