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An established industry player is seeking a Program Manager of Pricing Strategies to join their remote team. This role involves analyzing budgets, managing data modeling processes, and developing strategic pricing for retail services. You will collaborate with finance and operational leaders to enhance revenue generation and ensure compliance with billing regulations. If you are passionate about making a difference in healthcare and possess strong analytical skills, this opportunity is perfect for you. Join a compassionate organization dedicated to providing exceptional care and make a meaningful impact in the communities served.
With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of 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
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 recruitment@mercy.com. 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 recruitment@mercy.com