Senior Pricing/Reimbursement Analyst

Research and analyze complex fee-related issues in support of strategic goals; make recommendations to improve systems and processes and influence business decisions

Complete periodic fee review and analysis, using complex applications and a variety of data sources: recommend adjustments to doctor fees in accordance with established fee methodologies; make recommendations to overall fee strategy & methodology as appropriate

Maintain an in-depth knowledge of doctor and reimbursement systems, both automated and manual, as well as dependencies; participate in corporate & divisional project teams dealing with changes that primarily affect doctor reimbursement

Prepare detailed specifications, design, code, and test statistical and reporting programs, maintain and document programs

Provide consulting and research support to business partners to meet quality improvement needs

Maintain fee data and supporting information in corporate systems to ensure accurate doctor reimbursement

Communicate with doctors’ staff regarding fee concerns, clarification, or exceptions

Identify opportunities for improvement and develop/recommend solutions to streamline systems and processes ensuring maximum efficiency and appropriate utilization of resources

Stay informed of company strategic plans and long-term objectives, and maintain industry knowledge

Job Specifications

Typically has the following skills or abilities:

Bachelor’s Degree in Business Administration or related field or equivalent experience

4+ years of experience with various types of business analysis, data modeling, and statistical analysis

4+ years of experience with financial analysis, making recommendations, and preparing business cases including cost-benefit analysis

Demonstrated ability to document, propose, negotiate, and present approaches and solutions

Ability to visualize and create plans for future business outcomes and changes

Thorough understanding of business implications and interdependencies

Proven ability to effectively communicate information to a wide variety of technical and non-technical individuals or groups at all levels of the organization and management

Proficient with word processing, spreadsheets, and SAS or other reporting applications

Ability to organize multiple projects and meet specific timelines

Critical thinking skills; ability to analyze details while maintaining 'big picture' perspective

Regularly exercises discretion and independent judgment in the performance of his/her job duties

Compensation range for the role is listed below. Applicable salary ranges may differ across markets.Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here.

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.

Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information.

We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities.

As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees.  VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.

Originally posted on Himalayas