Director, Strategic Pricing & Analytics - Health Plan Relations

AmSurg Corp; Northern (KY); Hybrid; USD 150,000 - 190,000; Full time

Job summary

AMSURG is seeking a Director of Strategic Pricing & Analytics for Health Plan Relations to serve as a key partner to Health Plan Relations, Revenue Cycle Management, Operations, Finance, and Executive Leadership. This remote-first role leads payer contract modeling, pricing governance, and price transparency analytics while guiding a team and influencing strategic negotiations.

The position emphasizes analytics excellence, data integrity, and cross-functional collaboration with senior leaders to

Qualifications

• Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies.
• Demonstrated ability to build and audit sophisticated financial models, analyze large healthcare datasets, develop reporting solutions, and translate findings into actionable business recommendations.
• Strong critical thinking, analytical, and problem-solving skills with the ability to assess reimbursement, pricing, and contracting scenarios and provide sound business recommendations.
• Fluency in Microsoft Office applications with advanced Excel skills required; strong Microsoft Office, Access, relational databases, and reporting tools a plus.
• Demonstrated ability to design, develop, and implement routine and custom reporting.
• 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.).
• Excellence in delivering projects on time and with the desired results through a structured project management (e.g., time, team, work-stream management) approach.

Responsibilities

• Lead payer contract modeling activities, directing the development, maintenance, and governance of reimbursement models while ensuring consistency, accuracy, scalability, and actionable insights across all markets and service lines.
• Serve as a player-coach by remaining actively engaged in complex reimbursement modeling, financial analysis, and payer negotiation support while mentoring and developing team members in modeling methodologies and analytical best practices.
• Direct chargemaster development, maintenance, and pricing governance to support revenue integrity, compliance, and reimbursement optimization.
• Partner with departmental leadership to develop and enhance price transparency reporting, dashboards, and market intelligence capabilities.
• Oversee the aggregation, validation, and interpretation of pricing and reimbursement data to support payer negotiations, market assessments, and executive decision-making.
• Lead and direct analytics staff to meet business needs that support achieving department and organizational goals and objectives.
• Establish and maintain standards, controls, and governance processes that ensure the accuracy, consistency, and integrity of payer modeling, reimbursement analytics, chargemaster management, and price transparency reporting.
• Represent HPR on integration committees associated with acquisitions, de novo centers, mergers, and center consolidations, providing reimbursement, pricing, chargemaster, and payer contract expertise to support successful integrations.
• Lead ad hoc reimbursement analyses and other analytical projects requested by leadership to support business planning and operational initiatives.
• Drive continuous improvement through talent development, process optimization, reporting enhancements, and advancement of analytical tools and technologies.

Skills

Healthcare pricing analytics

Financial modeling

Executive communication

Advanced Excel

Project management

Team leadership

Education

Bachelor's degree in Finance/Accounting/Healthcare Administration

MBA or MHA preferred

Tools

Access

Relational databases

Reporting tools

Payer contract modeling software

Job description

Director, Strategic Pricing & Analytics - Health Plan Relations

Job Category: Corporate

Requisition Number: DIREC009057

• Full-Time
• Remote

Locations

Showing 1 location

Remote, USA

Description

Director, Strategic Pricing & Analytics

Remote

Company Overview: AMSURG is an independent leader in ambulatory surgery center services, operating a network of more than 250 surgery centers nationwide. In partnership with physicians and health systems, the organization delivers high-quality care for patients across a diverse spectrum of medical specialties, including gastroenterology, ophthalmology and orthopedics. To learn more about AMSURG, visit www.amsurg.com.

POSITION SUMMARY:

The Director, Strategic Pricing & Analytics serves as a key business partner to Health Plan Relations (HPR), Revenue Cycle Management, Operations, Finance, and Executive Leadership, leading the organization’s payer contract modeling, chargemaster governance, and price transparency analytics functions. This role provides financial and operational insights that support payer negotiations, pricing decisions, reimbursement optimization, and integration activities. The Director is responsible for establishing analytical standards, ensuring data integrity, developing team capabilities, and advancing the organization’s pricing and reimbursement analytics programs.

Work Schedule: Remote First

ESSENTIAL RESPONSIBILITIES:

• Lead payer contract modeling activities, directing the development, maintenance, and governance of reimbursement models while ensuring consistency, accuracy, scalability, and actionable insights across all markets and service lines.
• Serve as a player-coach by remaining actively engaged in complex reimbursement modeling, financial analysis, and payer negotiation support while mentoring and developing team members in modeling methodologies and analytical best practices.
• Direct chargemaster development, maintenance, and pricing governance to support revenue integrity, compliance, and reimbursement optimization.
• Partner with departmental leadership to develop and enhance price transparency reporting, dashboards, and market intelligence capabilities.
• Oversee the aggregation, validation, and interpretation of pricing and reimbursement data to support payer negotiations, market assessments, and executive decision-making.
• Lead and direct analytics staff to meet business needs that support achieving department and organizational goals and objectives.
• Establish and maintain standards, controls, and governance processes that ensure the accuracy, consistency, and integrity of payer modeling, reimbursement analytics, chargemaster management, and price transparency reporting.
• Represent HPR on integration committees associated with acquisitions, de novo centers, mergers, and center consolidations, providing reimbursement, pricing, chargemaster, and payer contract expertise to support successful integrations.
• Lead ad hoc reimbursement analyses and other analytical projects requested by leadership to support business planning and operational initiatives.
• Drive continuous improvement through talent development, process optimization, reporting enhancements, and advancement of analytical tools and technologies.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.

• Expertise in healthcare industry, managed care contracts, reimbursement methodologies, and pricing strategies.
• Demonstrated ability to build and audit sophisticated financial models, analyze large healthcare datasets, develop reporting solutions, and translate findings into actionable business recommendations.
• Strong critical thinking, analytical, and problem-solving skills with the ability to assess reimbursement, pricing, and contracting scenarios and provide sound business recommendations.
• Fluency in Microsoft Office applications with advanced Excel skills required; strong Microsoft Office, Access, relational databases, and reporting tools a plus.
• Demonstrated ability to design, develop, and implement routine and custom reporting.
• 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.).
• Excellence in delivering projects on time and with the desired results through a structured project management (e.g., time, team, work-stream management) approach.

Education/Experience:

• Bachelor's degree required, preferably in Finance, Accounting, Healthcare Administration, Business Administration, or a related discipline. Advanced degree (MBA, MHA, or equivalent) preferred.
• Minimum 7 years of experience in health care or health plan analytics.
• Working knowledge of ambulatory surgery payer contract methodologies.
• Expertise in Excel-based modeling, analysis, financial reporting or data analytics required.
• Experience leading a team to achieve business objectives.

Employment at AMSURG: Living Our Values Every Day
At AMSURG, our values define who we are and how we serve our patients, partners, and each other. As a national leader in ambulatory surgery, we are committed to a culture of excellence, integrity, teamwork and caring deeply. Our values guide every decision, ensuring we continue to elevate healthcare and provide the highest quality care.
These guiding principles are the foundation of our culture and a guide to how we collaborate, innovate, and make a difference every day.

• Care Deeply for those around us.
• Cultivate Integrity to build trust.
• Champion Excellence for continuous improvement
• Celebrate Teamwork every step to the way.

To ensure we retain and invest in great people, AMSURG provides its employees with the benefits, recognition, training, and opportunities needed for professional growth. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Paid Time Off, Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.

Paid Time Off:

AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

EOE Statement:

AMSURG is an Equal Opportunity Employer (EOE). Qualified applicants are considered for employment without regard to age (40 or older), race, color, religion, gender, sex, national origin, pregnancy, sexual orientation, disability, genetic information or any other status protected under applicable federal, state, or local laws. We strive to also provide a disability inclusive application and interview process. If you are a candidate with a disability and require reasonable accommodation in order to submit an application, please contact us at: [e-mail]. Please include your full name, the role you’re applying for and the accommodation necessary to assist you with the recruiting process.

#LI-CH1

#LI-REMOTE

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.