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Vendor Performance and Operations Analyst

Ventra Health

2 - 5 years

Chennai

Posted:10 hours ago

Job Description

Overview
  • 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.
Responsibilities
  • 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
Qualifications
  • 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.

Skills Required

Healthcare Revenue Analytics Power Bi Data analysis Healthcare Operations SLA Analysis

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