Ventra Health
Website:
ventrahealth.com
Job details:
Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities.
Come Join Our Team!
- As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewards
Help Us Grow Our Dream Team — Join Us, Refer a Friend, and Earn a Referral Bonus!
Job Summary
- The Vendor Performance and Operations Analyst play a critical operational role in the Patient Responsibility Center of Excellence by providing real-time data monitoring, quality assurance, and performance analytics across all self-pay vendors. This position is responsible for continuously validating vendor input and output data, developing and maintaining performance scorecards, identifying trends and anomalies, and delivering actionable insights to support vendor management and operational optimization.
Essential Functions And Tasks
- Monitor and validate all data sent to vendors (demographics, account balance, suppression flags, payer adjudication status) to ensure completeness, accuracy, and format compliance.
- Audit vendor-returned data (coverage findings, engagement metrics, payment files, agency returns, statements) for accuracy and timeliness.
- Design, build, and maintain standardized vendor performance scorecards across all vendor categories, tracking KPIs including eligibility hit rates, clean claim rates, denial rates, and match rates.
- Compile and analyze monthly vendor performance data, identifying trends and variances; perform month-over-month, quarter-over-quarter, and year-over-year performance comparisons.
- Create and maintain automated performance dashboards using BI tools (Power BI, Tableau, or similar) that provide real-time visibility into vendor performance and operational metrics.
- Investigate data discrepancies and quality issues across vendor interfaces, documenting findings and coordinating resolution with appropriate teams.
- Develop and maintain escalation protocols for data quality issues, vendor performance problems, and SLA breaches.
- Provide evidence-based reporting to support vendor management decisions and escalations to executive leadership.
- Document and maintain workflows for all self-pay stages
- Manage client/vendor configurations
- Oversee placement and return file workflows for external collections
- Support client onboarding and implementation of vendor workflows
- Identify and execute on process improvement opportunities
- Handle vendor workflow exception and issue resolution
- Produce documentation and training for internal teams
Education And Experience Requirements
- Bachelor's degree in Healthcare Administration, Finance, Business Administration, Data Analytics, or related field.
- Minimum 3+ years of healthcare revenue cycle management or healthcare operations experience.
- Minimum 2+ years of data analysis, business intelligence, or analytics experience in a healthcare setting.
- Demonstrated experience with vendor performance monitoring or third-party management.
- Experience developing performance dashboards, scorecards, or KPI tracking systems.
Knowledge, Skills, And Abilities
- Strong analytical and problem-solving capabilities with ability to translate data into actionable insights.
- Deep understanding of revenue cycle workflows, particularly self-pay operations.
- Advanced proficiency with Microsoft Excel (pivot tables, VLOOKUP, data analysis, dashboard creation).
- Experience with data analysis and visualization tools (Power BI, Tableau, Google Analytics, or similar).
- Familiarity with SQL and ability to query databases to extract and analyze data.
- Experience with healthcare billing systems or platforms (Epic, Cerner, Athena, or similar).
- Knowledge of healthcare compliance requirements and billing regulations.
- Excellent attention to detail and commitment to data accuracy.
- Strong written and verbal communication skills; ability to present data to non-technical audiences.
- Ability to work independently and manage multiple priorities simultaneously.
- Collaborative team player with strong cross-functional communication skills.
- Proactive approach to identifying and addressing issues before they escalate.
- Ability to learn new systems and tools quickly.
- Customer service orientation with focus on delivering value to internal stakeholders.
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
- Ability to read, understand, and apply state/federal laws, regulations, and policies.
- Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
- Ability to remain flexible and work within a collaborative and fast paced environment.
- Understand and comply with company policies and procedures.
Compensation
- Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons .
- This position is also eligible for a discretionary incentiv e bon us in accordance with company policies .
Ventra Health
Equal Employment Opportunity (Applicable only in the US)
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status. We will provide reasonable accommodations to qualified individuals with disabilities, as needed, to assist them in performing essential job functions.
Recruitment Agencies
Ventra Health does not accept unsolicited agency resumes. Ventra Health is not responsible for any fees related to unsolicited resumes.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement.
Attention Candidates
Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters.
To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you. All legitimate roles are posted on https://ventrahealth.com/careers/.
Statement of Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.
Click on Apply to know more.
