What are the responsibilities and job description for the Physician Contracting Business Analyst (Hybrid) *Healthcare experience preferred! position at VIRTUA?
Job Summary:
Gathers information from operations for contract arrangements, maintains accuracy and tracks the VMG/Virtua contract matrix, ensures all fair market value reports are obtained and maintained. Ensures all contracts have checklists for approvals and fully executed agreements are maintained. Requests, coordinates the intake of, and analyzes due diligence data for potential business acquisitions and leases. Reviews due diligence thoroughly to find any outliers to accounting and compliance guidelines.
Position Responsibilities:
Prepares requested data by running reports from the various systems and answers standard intake questionnaires for the outside valuation firm who determines the Fair Market Value and commercial reasonableness of payments both to internal and external clinicians, including contracting with physicians for professional services, medical directorships, on-call coverage and office space and/or equipment leases in accordance with the Office of Inspector General Workplan.
Documents the necessary information in the agreement to provide to Legal. Documents and tracks the arrangement on the contract matrix system. Will work with the VMG operations management team to identify arrangements to ensure the process map and checklists are followed and completed.
Maintains checklists and documentation to ensure compensation arrangements are within applicable FMV standards, are approved, and write ups for compensation arrangements are documented and maintained as necessary. Maintains matrix system to ensure all clinician payment arrangements are properly vetted and back up documentation exists for the payments for all clinician arrangements.
Identifies where checklists are missing and develops the checklists to ensure back up documentation of compensation arrangements are maintained. Identifies where policies and procedures are needed and develops policy for review and approval to ensure internal control processes are met. Maintains checklists, policies, and procedures when process changes or updates are made.
Ensures open encounters are communicated and closed to ensure revenue integrity and that billing is in compliance with CMS guidelines.
Analyzes due diligence data to identify outlier scenarios, performs flux analysis of the financial data and gathers all clinician arrangements and vendor contracts for review. Develops the contract matrix of services and equipment. Analyzes multiple year’s financial statement, including but not limited to the operating budget, net patient revenue, other income and expenses, cash flow analysis and balance sheet. Completes a flux analysis and identifies areas where additional information as needed.
Initiate data request process to complete due diligence. Provides necessary confidentiality agreements, letters of intent, due diligence requests, and monitors the timeline for acquisition/leases to ensure all parties internal and external are meeting deadlines.
Participate in team meetings and report out on status of acquisitions/leases/checklists/policies and procedures.
Position Qualifications Required:
Required Experience:
1 to 3 years’ experience in auditing, compliance and/or related healthcare experience.
Background in any of the following is a plus: finance, clinician practice operations, compliance, contracting or clinician compensation.
Good organizational and communication skills. Strong Analytical skills
Advanced Excel and Word
Required Education:
Bachelor’s Degree in Business or Healthcare Administration or other business-related field.
