Manager, Strategic Pricing and Analytics, Health Plan Relations

Remote

POSITION SUMMARY:

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:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• 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 (i.e., packaging and presenting nuanced and detailed information, fielding and responding to questions across the organization, etc.).

Core Competencies and Professional Attributes:

• Highly detail-oriented and organized, with strong follow-through and execution skills.
• Proven ability to manage and prioritize multiple tasks in a fast-paced, dynamic environment.
• Maintains the highest standards of integrity, including strict confidentiality of sensitive information.
• Collaborative, dependable team player with strong interpersonal skills and a positive demeanor.
• Must be able to exercise good judgment and positively influence and lead others.
• Self-directed with a strong sense of ownership and bias toward action.
• Effectively handles conflict in a constructive, respectful, and professional manner.
• Flexible and adaptable; willingness and ability to travel to the AMSURG corporate office as needed.

Education/Experience:

• 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 (e.g., percent of CMS, proprietary fee schedules, groupers, carve-outs, percent of billed charges) and their application in contract modeling.
• Experience working with data from various billing platforms (e.g., HST, gPM, AdvantX, Insight/NextGen, SIS).

Benefits:

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

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