AMSURG

Manager, Strategic Pricing and Analytics, Health Plan Relations

AMSURG

full-time

Posted on:

Location Type: Remote

Location: Tennessee • United States

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Tech Stack

SQL

About the role

  • Lead anesthesia reimbursement analytics including forecasting, payer trend analysis, variance identification, and strategic pricing recommendations across commercial, government, and out‑of‑network (OON) payment scenarios
  • Deliver advanced OON and No Surprises Act (NSA) analytics, support the IDR process, and build dashboards and financial models that inform leadership and drive pricing and revenue optimization
  • Support ASC chargemaster development and maintenance by performing detailed analyses, updating CPT mappings, setting fee parameters, and preparing recommended charge models based on contract terms, volume data, and payer requirements
  • Coordinate approvals and compliance workflows by tracking centers, reviewing operating agreements and payer notification language, preparing analysis and proposed chargemasters, and managing approvals
  • Prepare and distribute finalized chargemasters and documentation by creating distribution files, maintaining tracking logs, ensuring effective dates and notification timelines are met, and supporting payer notification and operational implementation
  • Oversee the execution of ad hoc reimbursement analyses and other custom analytics requested by leadership to drive informed strategic decisions

Requirements

  • Bachelor’s degree required, preferably in Finance, Accounting, Healthcare Administration, or a related field
  • 5–7 years of progressive experience in healthcare analytics, pricing, or reimbursement analysis
  • Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies
  • Fluency in Microsoft Office applications with advanced Excel skills required
  • Basic, working knowledge of SQL required
  • Ability to build and audit complex Excel-based financial models, analyze data, and translate analyses into specific, targeted actions to drive results
  • Expertise in working with complex and large volumes of data
  • Demonstrated ability to design, develop, and implement routine and custom reporting
  • Demonstrated ability to effectively communicate with C-suite and executive leadership.
  • Exposure to NSA / IDR analytics is strongly preferred; chargemaster strategy experience is a plus
Benefits
  • Paid Time Off
  • Medical
  • Dental
  • Vision
  • Life
  • Disability
  • Healthcare FSA
  • Dependent Care FSA
  • Limited Healthcare FSA
  • FSAs for Transportation and Parking & HSAs
  • Matching 401(K) Plan
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
healthcare analyticspricing analysisreimbursement analysisfinancial modelingCPT mappingdata analysisSQLExcelreportingvariance identification
Soft Skills
communicationstrategic thinkingleadershipanalytical thinkingcollaborationproblem-solvingattention to detailorganizational skillsadaptabilitydecision-making