Manager, Strategic Pricing and Analytics, Health Plan Relations (Remote)
Remote, United States; Nashville, Tennessee, United States
R
USD 73K-122K (estimate) Senior-level Full Time
Tasks
- Analyze ASC chargemaster CPT mappings
- Build dashboards and financial models
- Create strategic pricing recommendations
- Deliver out of network analytics
- Develop routine and custom reporting
- Identify reimbursement variances
- Lead anesthesia reimbursement analytics
- Maintain tracking logs and effective dates
- Manage payer notification and distribution files
- Oversee ad hoc reimbursement analyses
- Perform payer trend analysis
- Prepare chargemaster analysis and proposals
- Prepare recommended charge models
- Review operating agreements and payer notification language
- Set fee parameters
- Support No Surprises Act analytics
- Support independent dispute resolution process
- Track center approvals and compliance workflows
Perks/Benefits
- 401k matching
- Dental insurance
- Dependent care FSA
- Disability insurance
- HSA
- Healthcare FSA
- Life insurance
- Medical insurance
- Paid family leave
- Paid time off
- Vision insurance
Skills/Tech-stack
CPT mapping | Chargemaster management | Dashboarding | Data Analysis | Dispute resolution | Excel | Financial Modeling | Forecasting | Healthcare pricing | Healthcare pricing strategy | Healthcare reimbursement | Independent dispute resolution | Network Analysis | No Surprises Act analytics | Out of network analysis | Payer trend analysis | Pricing Strategy | SQL | Trend analysis
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