Director, Strategic Pricing – Health Plan Relations

🕒 September 23

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 34%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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AMSURG

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

🏢 Enterprise

Healthcare • 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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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

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