Director-Payor Provider Payments Analytics - Revo Health

This is a strategic and hands-on leadership role overseeing payment analytics, reconciliation, and financial performance reporting across all payor contracts for a growing independent physician group. The Director will combine technical expertise (SQL, data modeling), operational leadership, and the ability to translate complex financial data into clear, actionable insights for physicians and executive stakeholders. This role is critical to unlocking financial performance and transparency, directly influencing reimbursement optimization, provider satisfaction, and long-term sustainability in an evolving healthcare landscape.

Responsibilities

• Lead and develop a high-performing team responsible for payor analytics, provider compensation support, payment integrity, and credentialing.
• Serve as a strategic partner to executive leadership and physicians on financial performance, reimbursement trends, and contract optimization.
• Define and execute analytics strategy aligned with organizational growth, value-based care initiatives, and contracting priorities.
• Establish best practices, controls, and scalable processes for data governance and reporting.
• Oversee analysis of payor reimbursement, contract performance, and payment variance (expected vs. actual).
• Lead initiatives to improve revenue capture, identify leakage, and enhance payment accuracy.
• Partner with revenue cycle and contracting teams to evaluate payor agreements and model financial impact.
• Support provider compensation models with accurate, transparent data and insights.
• Serve as a hands-on leader in data extraction, transformation, and analysis using SQL and related tools.
• Design and oversee data models, reporting frameworks, and dashboards (e.g., Power BI, Tableau, or equivalent).
• Ensure data integrity across multiple systems (EHR, billing, payor feeds, financial systems).
• Translate business questions into data requirements and analytical outputs.
• Present complex financial and operational data to physicians in a clear, concise, and compelling manner.
• Develop intuitive dashboards and visualizations that enable physician leaders to understand key drivers of performance.
• Act as a bridge between technical teams and clinical stakeholders, ensuring insights are actionable and relevant.
• Facilitate discussions with physician leadership on productivity, reimbursement trends, and improvement opportunities.
• Work independently with minimal supervision.

Requirements

• Bachelor’s degree in Healthcare Administration, Data Analytics, Finance, or related field.
• 8–12+ years of experience in healthcare analytics, finance, or revenue cycle, with at least 3–5 years in a leadership role.
• Advanced SQL skills (data extraction, joins, aggregations, performance tuning).
• Experience analyzing healthcare claims, reimbursement methodologies, and provider compensation.
• Demonstrated ability to lead teams while remaining hands-on technically.
• Strong communication and presentation skills, with experience working directly with physicians or clinical leaders.

Preferred Qualifications

• Experience in an independent physician group, MSO, or multi-specialty practice.
• Familiarity with value-based care models, risk arrangements, and population health analytics.
• Experience with BI tools (Power BI, Tableau) and data warehousing concepts.
• Knowledge of CPT/HCPCS coding, fee schedules, and payor contract structures.
• MBA, MHA, or related advanced degree.

Skills

• Strategic thinker with operational execution.
• Strong data storyteller—able to simplify complex analytics for non-technical audiences.
• Technical depth—credible and capable in SQL and data architecture discussions.
• Physician partnership mindset—collaborative, credible, and solution-oriented.
• Continuous improvement focus—drives efficiency, accuracy, and scalability.

Benefits

• Comprehensive medical (with Maternity Bundle), dental, and vision plans for employees working 30+ hours per week.
• Tuition Reimbursement.
• 401(k) Profit Sharing for all employees, regardless of hours.
• Employee Assistance Program.
• Lifetime Fitness Subsidy.
• Car Rental discounts.
• Home, Auto, & Pet insurance savings programs.

Pay

Actual starting pay will vary based on education, skills, and experience.

Schedule

Full-time role working normal business hours. Hybrid opportunity based out of Bloomington.

Working Conditions

• Ability to sit for extended periods (up to 8 or more hours per day).
• Frequent use of hands and fingers for typing, writing, and handling documents.
• Occasional standing, walking, bending, or reaching within the office environment.
• Ability to lift and carry office supplies or files weighing up to 20 pounds.
• Visual acuity to read electronic and paper documents.
• Auditory ability to participate in phone or video calls clearly.
• Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).