Sr. Director - Strategic Pricing and Price Transparency

Stanford Health Care; United States; Remote; USD 150,000 - 200,000; Full time

Job summary

A leading healthcare organization in the United States is seeking a Sr. Director to oversee pricing strategy and transparency initiatives. The ideal candidate will have over ten years of experience in healthcare pricing, possess strong analytical skills, and be adept in leading cross-functional projects. This role involves direct engagement with senior leadership and regulatory bodies to ensure compliance with pricing regulations.

Qualifications

• Minimum of ten years of progressively responsible work experience, including supervisory experience.
• Direct experience owning and developing pricing strategy.

Responsibilities

• Develop guiding principles for enterprise pricing transparency.
• Oversee strategic council for pricing transparency readiness.
• Ensure compliance with price transparency regulations.
• Lead engagements with key stakeholders across multiple projects.

Skills

Strong understanding of pricing transparency regulations

In-depth knowledge of hospital pricing

Leadership of cross-functional projects

Outstanding quantitative and analytical skills

Very strong problem-solving skills

Education

Bachelor's degree in a work-related field

Master's degree in relevant field preferred

Job description

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.

Stanford Health Care is seeking a results-oriented senior executive with in-depth knowledge and experience in hospital and provider pricing and pricing transparency to join our Finance team.

The Sr. Director will align pricing structure and strategy across the system with organizational efforts around pricing transparency. Works closely with colleagues in Decision Support, Financial Planning and Analysis, Strategic Finance, Managed Care Contracting, Revenue Cycle, Technology and Digital Solutions, Operations, Patient Experience and Marketing to ensure the strategy and intent of our approach is understood across the organization.

Price Transparency – The Sr. Director will lead response to regulator and payer requirements for price transparency and lead organizational response to media relations inquiries. Develops and oversees the organization's response to requirements such as CMS Machine-Readable File, Shoppable Items & Services, No Surprises Act and other transparency regulations for hospitals and providers.

Strategic Pricing – The Sr. Director is responsible for leading the organization in development of a principled system-wide strategy and approach to defensible pricing/charging across the enterprise. To effectively develop this strategy, the Sr. Director must understand Stanford Health Care's value proposition and strategic positioning, and work closely with teams across Operations, Strategy, and Finance to understand how to thoughtfully implement pricing changes.

What you will do

• Works with C-suite and executive leadership from across Stanford Medicine to develop a set of guiding principles that govern the enterprise approach to pricing transparency.
• Considers regulatory requirements, patient experience and satisfaction, ensuring viability of Stanford Medicine and ongoing ability to meet the health system’s tripartite mission of clinical excellence, research, and teaching.
• Oversees a strategic council of executive leaders in the development and communication of our broad enterprise approach to pricing transparency readiness and defensible strategic pricing/charging.
• Maintains the Pricing Transparency Organizational website to ensure content meets the regulatory requirements.
• Provides executive leadership in price development and transparency, ensuring compliance with regulatory and payer requirements.
• Leads Executive Council and coordinate across enterprise for pricing/charging and price transparency requirements.
• Develops and maintains timely publishing and submission of federal and state pricing transparency regulatory reporting requirements.
• Engages with key stakeholders across multiple projects and work streams.
• Works closely with and communicates findings directly to senior SHC and SOM management.

Education Qualifications

• Bachelor's degree in a work-related discipline/field from an accredited college or university
• Master’s Degree in relevant field preferred

Experience Qualifications

• Minimum of ten (10) years of progressively responsible and directly related work experience, including supervisory experience.

Required Knowledge, Skills and Abilities

• Strong understanding of pricing transparency regulatory and legislative pressures impacting health care systems and providers.
• In-depth knowledge of hospital and professional pricing, managed care contracting, chargemaster structure, including revenue codes, CPT codes, HCPCs codes, and charge codes along with healthcare reimbursement models.
• Direct experience owning and developing analytically rigorous pricing strategy for hospital and professional fee.
• Coaching, management of direct reports.
• Leadership of cross-functional initiatives and projects.
• Presentation of findings to key SOM, SHC, TV and SMP executives and leadership.
• Ability to foster effective working relationships and build consensus.
• Very strong problem-solving skills.
• Outstanding quantitative and analytical skills, with ability to think conceptually.

Equal Opportunity Employer

Stanford Health Care strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment.