Manager, Strategic Pricing and Analytics – Health Plan Relations

🔥 2 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🤝 B2B

🏢 Enterprise

B2B • Enterprise

AMSURG is the nationally recognized leader in the strategic and operational management of ambulatory surgery centers (ASCs), providing high-quality, high-value same-day surgical services and a superior patient experience. The company partners with physician groups and health systems to form joint ventures and manages ASC operations, including anesthesia services and specialty centers for gastrointestinal, ophthalmology and orthopedic procedures. AMSURG emphasizes quality, consensus management with physician partners, and scalable operational expertise across the U. S.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ 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 • Paid family leave