Manager, Strategic Pricing and Analytics, Health Plan Relations (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

• 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.
• Demonstrated 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

• Hightly detail-oriented and organized, with strong follow-through and execution skills.
• Prioritized 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.
• 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.