Director, Strategic Pricing – Analytics

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee payer contract modeling initiatives across various markets and service lines

• Create, maintain, and regulate reimbursement models

• Provide support in reimbursement modeling, financial analysis, and payer negotiation

• Mentor team members in modeling techniques and analytical best practices

• Direct the development, maintenance, and pricing governance of the chargemaster

• Collaborate with leadership on price transparency reporting, dashboards, and market insights

• Manage the aggregation, validation, and interpretation of pricing and reimbursement data

• Lead analytics personnel to achieve departmental and organizational objectives

• Establish standards, controls, and governance processes for modeling, analytics, chargemaster management, and reporting

• Represent Health Plan Relations on integration committees for acquisitions, new centers, mergers, and consolidations

• Direct ad hoc reimbursement analyses and analytical initiatives

• Foster continuous improvement through talent development, process optimization, reporting enhancements, and the advancement of analytical tools and technologies

⛳️ Requirements

• A Bachelor's degree is required, ideally in Finance, Accounting, Healthcare Administration, Business Administration, or a related field

• At least 7 years of experience in healthcare or health plan analytics

• In-depth knowledge of the healthcare sector, managed care contracts, reimbursement methods, and pricing strategies

• Proven capability to build and audit complex financial models

• Proficient in analyzing large healthcare datasets

• Skilled in developing reporting solutions and converting findings into actionable business recommendations

• Strong critical thinking, analytical, and problem-solving abilities

• Proficiency in Microsoft Office applications

• Advanced Excel skills are essential

• Familiarity with Microsoft Access, relational databases, and reporting tools is advantageous

• Proven ability to design, develop, and implement both routine and custom reporting

• Effective communication skills with C-suite and executive leadership

• Excellence in delivering projects punctually using a structured project management methodology

• Working knowledge of ambulatory surgery payer contract methodologies

• Expertise in Excel-based modeling, analysis, financial reporting, or data analytics

• Experience in leading a team to meet business objectives

• An advanced degree (MBA, MHA, or equivalent) is preferred

🏝️ 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 Account (HSA)

• Matching 401(k) plan

• Training and professional growth opportunities

• Recognition and development opportunities