Revenue Cycle Vendor Management Analyst

SUMMARY:

Supports oversight of outsourced revenue cycle services by evaluating vendor performance, service-level results, issue trends, and operational data. Collaborates with Revenue Cycle teams, vendors, and internal stakeholders to develop scorecards and monitor action plans. Facilitates issue resolution and identifies opportunities to improve cash collections, denials, aging, quality, productivity, and turnaround times. Prepares clear performance reporting and communicates findings that support operational decisions. Applies practical revenue cycle knowledge and standardized reporting practices to promote vendor accountability and sustained performance improvement.

ESSENTIAL FUNCTIONS:

• Audits vendor invoices against contractual rates, terms, and supporting documentation; identifies discrepancies; obtains corrected invoices, credits, or refunds; validates adjustments; and maintains an invoice-recovery log.
• Maintains contract renewal dates, notice periods, escalation provisions, and other critical milestones; communicates upcoming decisions and negotiation opportunities to Revenue Cycle leaders.
• Prioritizes invoice audits, contract reviews, and performance-improvement initiatives by evaluating vendor spend, performance, and operational risk.
• Quantifies and reports validated savings, recovered overpayments, avoided costs, and incremental collections attributable to vendor-management initiatives.
• Develops and maintains vendor scorecards, dashboards, and reports that evaluate service-level results, cash collections, denials, aging, quality, productivity, turnaround time, and other applicable performance indicators.
• Reviews vendor data for accuracy, completeness, exceptions, trends, and emerging risks; communicates findings and recommendations to appropriate stakeholders.
• Leads vendor governance and contract-performance reviews; establishes agendas, presents performance findings, documents decisions, assigns action items, and drives service-level commitments and deliverables to completion.
• Partners with vendors and internal Revenue Cycle teams to investigate operational, technical, payer, and workflow issues; identify root causes; implement corrective actions; and monitor improvement plans.
• Maintains organized records of vendor performance, escalations, corrective actions, invoice recoveries, and supporting analyses.
• Identifies opportunities to improve reporting, workflows, controls, and vendor oversight practices.
• Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies, and standards.
• Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, Healthcare Informatics, or a related field required.
• An equivalent combination of education and directly related healthcare revenue cycle, vendor oversight, reporting, or financial analysis experience may be considered in lieu of a degree.

EXPERIENCE:

• Three (3) years of relevant healthcare revenue cycle, vendor management, financial analysis, claims, billing, collections, or related experience required.
• Experience with reporting, data analysis, issue tracking, and vendor performance required.
• Knowledge of revenue cycle operations, service-level expectations, and Microsoft Office required.
• Outsourced vendor management, dashboards, payer analysis, or vendor governance experience preferred.

LICENSURE OR CERTIFICATION:

• Healthcare Financial Management Association (HFMA) certification preferred.
• Lean, Six Sigma, project management, or process improvement certification preferred.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of healthcare revenue cycle operations, including claims, billing, collections, denials, accounts receivable aging, and payer-related workflows.
• Knowledge of outsourced vendor management principles, governance practices, service-level expectations, and performance-monitoring methods.
• Knowledge of key performance indicators used to evaluate revenue cycle quality, productivity, financial outcomes, and turnaround time.
• Knowledge of performance reporting, scorecard development, dashboards, and operational analytics.
• Skill in analyzing operational and financial data, identifying trends, and presenting clear conclusions.
• Skill in preparing accurate reports, meeting materials, action logs, and concise written communications.
• Skill in using Microsoft Office and comparable reporting, dashboard, or analytics tools.
• Ability to collaborate effectively with vendors, Revenue Cycle teams, operational leaders, and other internal stakeholders.
• Ability to manage multiple priorities, track issues and commitments, and follow work through completion.
• Ability to recognize performance risks, support root-cause analysis, and recommend practical process improvements.