Village Medical

Manager

• Develop and build models to help VillageMD analyze reimbursement rates and identify areas of improvement.
• Assist in operational and financial support of implementation of VMD’s Payor Contracting business plan.
• Provide insights to help negotiators utilize various contract methodologies, actuarial approaches, and financial strategies to optimize the value of payor agreements.
• Own the process of monitoring performance in fee-for-service contracts across multiple payers.

Manager, Payor Partnership Analysis

Financial Planning and Analysis

• Support FP&A and regional operations management with the preparation of monthly and quarterly reporting packages, monthly reforecasts of the business, and other ad hoc reporting as needed.
• Partner with IT to improve data integrity and consistently improve reporting.
• Support in the development and compilation of quarterly board meeting presentations.
• Conduct MOM/YOY trend analysis for various operational and productivity metrics and concisely summarize findings to management.
• Assist with revenue cycle management reporting and analysis.
• Help with the implementation of new software systems and initiatives to optimize financial and operational processes.
• Consolidate and prepare regional forecasts, reporting and dashboards.
• Perform deep dive analysis to uncover key trends/insights and transform data into actionable insights.
• Assist in the valuation/modeling of prospective businesses as part of M&A opportunities and present summarization of findings to management.
• Proactively seek opportunities to add value to business performance through process improvement efficiencies; iterate on KPIs and benchmarking indicators.
• Deliver ad hoc reporting requests and coordinate with Operations, Accounting, Analytics and other FP&A team-members.

Junior Financial Analyst

Customer Support

• Answer inbound calls in a centralized access center environment
• Schedule appointments and answer patient questions while providing timely, accurate, and excellent customer service
• Communicate recommendations for appointment times and locations across multi-specialty and multi-location providers
• Obtain, verify and update patient information (demographics, pre-registration, insurance contracts and coverage, EHR and other data fields)
• Achieve minimum call standards and maintain a 95%+ call quality threshold and 90%+ CSAT
• Adhere to call center schedule and follow call quality and scheduling guidelines
• Accurately recommend physicians and schedule into multiple medical specialties with individual scheduling criteria for 500+ providers
• Identify and coordinate required medical tests before physician visits
• Identify WC/MVA insurance cases for referral to a case coordinator
• Perform patient account updates including demographics, health insurance, referring provider, and PCP
• Navigate multiple applications and systems while engaging with patients and clinical office staff

Customer Care Representative

Project Manager

• Ensure patients referred from CityMD or Summit Health locations are scheduled for appropriate follow-up care.
• Lead a team of Supervisors and agents, manage performance, scheduling, coaching, and development.
• Drive conversion rate of referrals and handle escalated patient and site concerns.
• Create action plans, deliver presentations, utilize informatics and metrics to manage labor and KPIs.
• Monitor employee engagement, coordinate with vendor partners, attend clinical meetings, and enforce policies.
• Assist in reporting on department metrics and monitor phone volume and assist with calls when necessary.

Manager, Payor Partnership Analysis

Junior Financial Analyst

Customer Care Representative

Project Manager, Referrals