Manager, Strategic Pricing and Analytics – Health Plan Relations

🕒 3 dias atrás

🎸 Tennessee – Remoto

🎸 Tennessee – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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AMSURG

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🤝 B2B

🏢 Corporativo

B2B • Enterprise

A AMSURG é reconhecida nacionalmente como líder na gestão estratégica e operacional de centros cirúrgicos ambulatoriais (ASCs), oferecendo serviços cirúrgicos de alto valor e qualidade no mesmo dia, além de uma experiência superior para o paciente. A empresa faz parcerias com grupos de médicos e sistemas de saúde para formar joint ventures e gerencia operações de ASC, incluindo serviços de anestesia e centros especializados para procedimentos gastrointestinais, oftalmológicos e ortopédicos. A AMSURG enfatiza a qualidade, gestão consensual com parceiros médicos e expertise operacional escalável em todo os EUA.

Descrição

• Serve as a strategic partner to the Health Plan Relations (HPR) Contracting team • Deliver advanced payer contract modeling and analytical support across all markets and center types • Lead modeling and analysis of current and proposed payer contract rates • Assess, compile, and synthesize price transparency data to support payer negotiations • Establish and enforce quality controls to ensure accuracy, consistency, and integrity of modeling outputs • Manage the biannual data request process • Proactively identify and resolve data inconsistencies, gaps, and limitations within billing data • Oversee the execution of ad-hoc reimbursement analyses or other custom analytics as requested by leadership

🎯 Requisitos

• Bachelor’s degree required, preferably in Finance, Accounting, Healthcare Administration, or a related field • 4–7 years of progressive experience in healthcare analytics • Minimum of 2 years payer contract modeling experience • Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies • 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 • Demonstrated ability to effectively communicate with C-suite and executive leadership

🏖️ Benefícios

• 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 • Paid family leave