Director, Strategic Pricing – Health Plan Relations

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

D'où vient cette offre

Publiée sur la page carrières de AMSURG, pas via un site d'emploi

Repérée par Remote Rocketship il y a 1 mois

Toujours ouverte sur le site de AMSURG. Vérifiée il y a 2 heures.

Logo of AMSURG

AMSURG

1001 - 5000 employés

🏥 Santé

🤝 B2B

🏢 Entreprise

Healthcare • B2B • Enterprise

AMSURG est le leader nationalement reconnu dans la gestion stratégique et opérationnelle des centres de chirurgie ambulatoire (ASC), fournissant des services chirurgicaux de jour de haute qualité et à forte valeur ajoutée, ainsi qu'une expérience patient supérieure. L'entreprise s'associe à des groupes de médecins et à des systèmes de santé pour former des coentreprises et gère les opérations des ASC, y compris les services d'anesthésie et les centres spécialisés pour les procédures gastro-intestinales, d'ophtalmologie et orthopédiques. AMSURG met l'accent sur la qualité, la gestion par consensus avec les partenaires médecins et une expertise opérationnelle évolutive à travers les États-Unis.

Description

• Lead payer contract modeling activities and govern reimbursement models across markets and service lines • Perform complex reimbursement modeling, financial analysis, and payer negotiation support • Mentor and develop team members in modeling methodologies and analytical best practices • Direct chargemaster development, maintenance, and pricing governance • Partner with departmental leadership on price transparency reporting, dashboards, and market intelligence • Oversee aggregation, validation, and interpretation of pricing and reimbursement data • Lead analytics staff to support department and organizational goals • Establish standards, controls, and governance processes for payer modeling, reimbursement analytics, chargemaster management, and price transparency reporting • Represent Health Plan Relations on integration committees for acquisitions, de novo centers, mergers, and center consolidations • Lead ad hoc reimbursement analyses and analytical projects for business planning and operational initiatives • Drive continuous improvement through talent development, process optimization, reporting enhancements, and analytical tools and technologies • Serve as a business partner to Health Plan Relations, Revenue Cycle Management, Operations, Finance, and Executive Leadership

🎯 Exigences

• Bachelor's degree required, preferably in Finance, Accounting, Healthcare Administration, Business Administration, or a related discipline • Minimum 7 years of experience in health care or health plan analytics • Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies • Ability to build and audit sophisticated financial models • Ability to analyze large healthcare datasets • Ability to develop reporting solutions and translate findings into actionable business recommendations • Strong critical thinking, analytical, and problem-solving skills • Fluency in Microsoft Office applications, with advanced Excel skills required • Strong Microsoft Office, Access, relational databases, and reporting tools are a plus • Ability to design, develop, and implement routine and custom reporting • Ability to communicate effectively with C-suite and executive leadership • Project management abilities, including time, team, and work-stream management • Working knowledge of ambulatory surgery payer contract methodologies • Expertise in Excel-based modeling, analysis, financial reporting, or data analytics • Experience leading a team to achieve business objectives

🏖️ Avantages

• Paid Time Off • 9 observed holidays • Paid family leave • Medical insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Healthcare FSA • Dependent Care FSA • Limited Healthcare FSA • Transportation and parking FSAs • Health Savings Accounts (HSAs) • Matching 401(k) plan • Training and professional growth opportunities • Recognition opportunities

Postuler Maintenant

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Emplois Similaires

🕒 il y a 1 mois

Elite Technology

501 - 1000

⚖️ Juridique

💼 Conseil

🏥 Santé

Global Client Director growing strategic law-firm accounts for Elite’s cloud-native operations SaaS platform. Driving renewals, expansion, cloud migrations, and executive client relationships.

🇺🇸 États-Unis – Télétravail

💵 $160 110 - $177 900 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 1 mois

Crump Roofing

1 - 10

🏗️ Construction

👥 B2C

Regional Director driving life insurance sales and producer growth for Crump. Managing producers, strategic sales plans, quotas, and policy placement across Southern California.

🇺🇸 États-Unis – Télétravail

💵 $150 000 - $250 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 1 mois

AmeriLife

1001 - 5000

🏥 Santé

💼 Conseil

💸 Finance

Regional Director driving producer recruitment, insurance sales, and book-of-business growth for AmeriLife. Managing life, annuity, long-term care, and disability product distribution.

🇺🇸 États-Unis – Télétravail

💵 $150 000 - $250 000 / an

💰 Secondary Market en 2022-06

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 1 mois

Neara

51 - 200

💼 Conseil

📦 Logistique

🏭 Fabrication

Director of ABM scaling account-based marketing for Neara’s machine-learning digital twins of electricity grids. Leading strategic account campaigns, playbooks, measurement, and regional ABM coaching.

🇺🇸 États-Unis – Télétravail

💵 $180 000 - $220 000 / an

💰 Series B en 2022-05

⏰ Temps Plein

🔴 Expert

👔 Directeur

🗣️🇺🇸🇬🇧 Anglais requis

🕒 il y a 1 mois

RxSense

201 - 500

💼 Conseil

📦 Logistique

🏥 Santé

Director owning RxSense’s end-to-end data architecture, DevOps, and AI platform infrastructure. Leading a hands-on engineering team powering pharmacy-benefits technology.

🇺🇸 États-Unis – Télétravail

💵 $220 000 - $260 000 / an

💰 Private Equity Round en 2020-05

⏰ Temps Plein

🔴 Expert

👔 Directeur

🦅 Parrain de Visa H1B

infoinfo

🗣️🇺🇸🇬🇧 Anglais requis

Développé par Lior Neu-ner. J'aimerais beaucoup recevoir vos retours — contactez-moi en DM ou par e-mail support@remoterocketship.com
Follow Remote Rocketship on LinkedInFollow Remote Rocketship on InstagramFollow Remote Rocketship on FacebookFollow Remote Rocketship on TikTok