Manager, Strategic Pricing and Analytics, Health Plan Relations
Location
United States
Posted
5 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Manager, Strategic Pricing and Analytics, Health Plan Relations
AMSURG
Role Description The Manager, Strategic Pricing & Analytics is responsible for overseeing the development of models and financial analyses of proposed contract rates for payer negotiations. The position will report to the Senior Director, Strategic Pricing & Analytics and work closely with the managed care contractors and cross-functional internal departments to model health plan proposals and other contract language. This role may supervise Analyst resource(s). Work Schedule: Remote Essential Responsibilities: - Serve as a strategic partner to the Health Plan Relations (HPR) Contracting team, delivering advanced payer contract modeling and analytical support across all markets and center types. - Lead modeling and analysis of current and proposed payer contract rates, interpreting outputs and price transparency to deliver actionable insights and strategic recommendations that inform HPR leadership decisions and optimize payer negotiation outcomes. - Assess, compile, and synthesize price transparency data to support payer negotiations, including development of clear, executive-ready analyses and presentations as needed. - Establish and enforce quality controls to ensure accuracy, consistency, and integrity of modeling outputs. - Manage the biannual data request process, overseeing end-to-end data collection, validation, and cleanup to ensure accuracy and readiness for analysis. - Proactively identify and resolve data inconsistencies, gaps, and limitations within billing data, working closely with Revenue Cycle Management and Operations to investigate and correct root-cause issues impacting data integrity. - Oversee the execution of ad-hoc reimbursement analyses or other custom analytics as requested by leadership to drive strategic decision making. Qualifications - Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies. - Track record of strong critical thinking and problem-solving ability. - Advanced Excel skills required. - Fluency in Microsoft 365 applications, including Teams, SharePoint, and OneDrive. - Basic, working knowledge of SQL preferred. - Ability to understand, leverage, and audit pre-existing, complex Excel-based financial models, analyze large data sets, and translate insights into targeted, results-driven actions. - Demonstrated ability to effectively communicate with C-suite and executive leadership. Requirements - Bachelor’s degree required, preferably in Finance, Accounting, Healthcare Administration, or a related field. - 4–7 years of progressive experience in healthcare analytics, with a minimum of 2 years payer contract modeling experience. - Demonstrated expertise in healthcare reimbursement methodologies and their application in contract modeling. - Experience working with data from various billing platforms. Benefits - Paid Time Off. - Medical, Dental, Vision, Life, Disability. - Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs. - Matching 401(K) Plan. - 9 observed holidays and paid family leave.
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