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RA Vendor Perform Analyst II
| Company | Horizon NJ Health |
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| Location | Newark, NJ, USA |
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| Salary | $69500 – $93030 |
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| Type | Full-Time |
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| Degrees | Bachelor’s |
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| Experience Level | Mid Level, Senior |
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Requirements
- High School Diploma/GED required.
- Bachelor degree in Accounting, Finance, Mathematics, Statistics, Economics, Actuarial Science or other analytical field preferred or relevant experience in lieu of degree.
- Requires a minimum of 4 years’ experience in accounting.
Responsibilities
- Develop new approaches and improvements to validate, collect, and organize vendor data using Visual Basic for Applications (VBA).
- Provide complete and accurate information for vendor audits (ex. from Vendor Delegation Oversight).
- Respond to ad-hoc request from business stakeholders.
- Serve as a subject matter expert on vendor analytics (cost, quantity, services, contract (terms, timelines, deliverables) and performance (SLA & Penalties).
- Review and validate all invoice submissions to ensure alignment with contractual agreements.
- Assess the quality, timeliness, and completion of incoming data from risk adjustment vendors and calculate financial penalties based on contractual performance.
- Support vendor contract negotiations through cost analysis, ROI estimation, and budget forecasting.
- Assist with contract negotiation, analyze contractual requirements, identify contract deficiencies and recommend changes.
- Provide detailed analysis for PO requests and/or addendums.
- Perform credit/reimbursement true up analyses at finalization of vendor projects.
Preferred Qualifications
- CPA preferred.
- Experience working in Excel, Visual Basic for Application (VBA) programming is a plus.
- Experience with Enterprise Resource Planning (ERP) systems (Workday).
- Experience with Billing/Purchasing/Procurement.
- Medicare, Medicaid, or commercial risk adjustment experience is a plus.
- Experience programming in SAS/SQL a plus.
