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Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- Lead anesthesia reimbursement analytics including forecasting, payer trend analysis, variance identification, and strategic pricing recommendations.
- 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
What you’ll need- 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.
- Track record of strong critical thinking and problem-solving ability.
- 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.
Benefits
Comp & perks- 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
- 9 observed holidays
- Paid family leave
ATS Keywords
✓ Tailor your resumeApplicant 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 analysisreportingSQLExcel
Soft Skills
critical thinkingproblem-solvingcommunicationstrategic decision-making
