Lead Business Analyst

Vizient; Irving (TX); On-site; USD 77,000 - 135,000; Full time

Benefits offered by this job

Incentive eligible

Comprehensive benefits

Job summary

Vizient is seeking a Lead Associate to guide complex healthcare revenue cycle analytics for client engagements, covering chargemaster optimization, pricing, reimbursement, claims, and financial performance.

You will analyze large healthcare datasets, develop analytical solutions, and translate findings into actionable recommendations. The role requires advanced SQL skills and substantial experience in revenue cycle operations, with the ability to present insights to diverse teams.

Qualifications

• 7+ years of relevant experience in healthcare analytics.
• Advanced SQL skills and experience analyzing large, complex healthcare datasets.
• Knowledge of chargemaster, pricing, billing, reimbursement, and claims analysis.
• Strong communication and ability to present findings to clients and teams.
• Ability to manage multiple client engagements and priorities.

Responsibilities

• Analyze client data involving chargemaster structure, revenue codes, CPT/HCPCS codes, modifiers, pricing, reimbursement, and charge accuracy.
• Evaluate pricing methodologies to identify opportunities to improve consistency, transparency, and financial performance.
• Review chargemaster, pricing, claims, remittance, payer contracts, adjustment, denial, underpayment, and payment data for trends.
• Analyze national claims and benchmark data to assess pricing, utilization, reimbursement, and revenue opportunities.
• Develop financial models, dashboards, reports, and recurring analytics to support recommendations.
• Write and optimize complex SQL queries to extract, join, cleanse, and validate data across sources.
• Translate business needs into technical requirements and validate results against source systems and reports.
• Present analytical findings clearly to consulting teams and stakeholders.
• Document business rules, data definitions, methodologies, and reporting processes.
• Collaborate with Finance, Patient Financial Services, Coding, Managed Care, IT, Pharmacy, and others to support revenue cycle initiatives.

Skills

Advanced SQL

Healthcare analytics

Revenue cycle knowledge

Data interpretation

Education

Relevant degree preferred

Tools

SQL

Job description

Excited to grow your career? We value our talented employees and instill an environment where you feel engaged, satisfied and able to contribute your unique skills and talents while living and working as your authentic self. We provide extensive opportunities for personal and professional development, building employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Our people make all the difference in our success.

Summary:

In this role, you will lead complex healthcare revenue cycle analytics supporting client engagements focused on chargemaster optimization, pricing, reimbursement, claims, and financial performance. You will analyze large and complex datasets, develop analytical solutions, and translate findings into actionable recommendations. You will apply expertise in healthcare billing, reimbursement, and revenue cycle operations to identify opportunities, validate results, and deliver insights that support client and business decisions.

Responsibilities:

• 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 that support client recommendations and business decisions.
• Write, troubleshoot, and optimize complex SQL queries to extract, join, cleanse, aggregate, and validate data 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 clearly 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.

Qualifications:

• 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.

Career Framework:

Professional - Lead Associate (P4)

Estimated Hiring Range:

At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $77,400.00 to $135,400.00.

This position is also incentive eligible.

Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers