Program Manager, Strategic Pricing - Revenue Management

Mercy Health Partners; Paducah (KY); Remote; USD 60,000 - 100,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Program Manager of Pricing Strategies, where you will play a vital role in analyzing pricing and budget data to enhance revenue generation and expense management. This remote opportunity offers a chance to collaborate with finance and operational teams, ensuring compliance and strategic pricing for the services offered. If you have a knack for data analysis and a passion for healthcare, this position is perfect for you. Enjoy a supportive work environment that values your contributions and offers comprehensive benefits.

Benefits

Comprehensive medical, dental, and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance

Employer contributions to retirement savings plan

Paid time off

Educational Assistance

Qualifications

• Bachelor’s degree in business or healthcare administration required.
• 2+ years’ experience with SQL and Microsoft Office programs.

Responsibilities

• Analyze budgets and revenue changes to identify trends.
• Manage data modeling processes to support pricing strategies.

Skills

Budgeting & Financial Acumen

Advanced Microsoft Office Suite

Data Analysis

Communication

SQL

Report Building in Epic

Meeting Deadlines

Attention to Detail

Critical Thinking

Problem Solving

Teamwork

Active Listening

Relationship Building

Organization and Planning

Prioritization Time Management

Ability to Work Independently

Education

Bachelor’s degree in business, healthcare administration, or related field

Tools

SQL

Epic

Job description

Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.

This is a remote/work from home opportunity! The associate should:

1) Live + work within the continental United States (required)

2) Be open to working eastern time zone hours (preferred)

Primary Function/General Purpose of Position

The Program Manager of Pricing Strategies is responsible for collecting and monitoring the organization’s pricing, expense, and budget data. This includes, but is not limited to, collaborating with the vendor responsible for the organizational Charge Description Master (CDM), and maintaining Price Transparency and annual updates. This position will also contribute to the development of strategic pricing of retail services through bundling of services offered to the communities we serve.

Essential Job Functions

• Support Finance and leadership teams in analyzing budgets, revenue changes, and fiscal activities to identify trends, ensure compliance, and recommend improvements for revenue generation and expense reduction.

• Manage data modeling and query processes (e.g., SQL, EPIC Clarity) to derive actionable insights supporting strategic pricing, vendor assessments, and other initiatives.

• Contribute to the development and maintenance of pricing strategies, including strategic bundling of medical services, analysis of payer contracts, and competitive fee reviews.

• Review and update the chargemaster to ensure accuracy, compliance with billing regulations, and alignment with industry standards.

• Research and recommend updates to policies and procedures related to charge capture, price estimates, and billing compliance.

• Collaborate with operational leaders and vendors to manage charge descriptions, cost center assignments, EPIC charge entry, and reimbursement impacts.

• Oversee CMS and commercial payer updates, ensuring compliance with federal and state guidelines for price transparency and timely communication across the ministry.

• Research and implement pricing strategies for shoppable services, including surgery pricing schedules and market expansion opportunities.

• Provide analytical support to leadership, legal, and audit teams to address billing and compliance issues, and communicate updates to affected departments.

• Perform ad hoc analyses to address questions from leadership, develop relationships with key stakeholders, and maintain knowledge of revenue cycle processes.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education

• Bachelor’s degree in business, healthcare administration, or related field (required)

Work Experience

• 2+ years’ experience using Microsoft Office programs, role-specific software programs, and SQL, especially for the use of performing complex analysis of data and database maintenance (required).

• Previous experience using Epic hospital, physician, and ambulatory resolute models (required).

• 4+ years’ experience in healthcare revenue cycle or revenue management (preferred).

• Working knowledge of CPT/HCPCS, UB-04 Revenue Coding, modifiers, billing regulations, DRG’s and APCs (preferred)

• Understanding of the CDM and its relationship to related areas such as the General Ledger, cost Accounting, Productivity, Cost Reporting and Budget (preferred).

• Knowledge of clinical settings such as Laboratory, Radiology, Physical or Occupational Therapy, Respiratory Therapy, Cardiology, or Oncology (preferred).

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

General work at home office environment.

Prolonged periods of working alone.

Skills

Hard/Tech/Clinical Skills:

• Budgeting & Financial Acumen

• Advanced Microsoft Office Suite

• Analyzing data or information

• Communication, presentation

• SQL working with large data sets

• Build reports in Epic, Slicer Dicer, Revenue Cycle Analytics

• Meeting deadlines

Soft/Interpersonal Skills:

• Attention to detail

• Critical thinking

• Problem Solving

• Teamwork

• Active listening

• Relationship building

• Organization and planning

• Prioritization Time management

• Ability to work independently and collaboratively

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [e-mail]. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail]