Job Description
Manager, Strategic Pricing and Analytics, Health Plan Relations 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 Manager, Strategic Pricing & Analytics will lead analytics and reporting for AMSURG’s Independent Dispute Resolution (IDR) initiative and will support chargemaster analytics for surgery centers aligned with the Health Plan Relations team. The role will report to the Senior Director, Strategic Pricing & Analytics and will partner closely with the Director of Strategic Initiatives and cross‑functional stakeholders. Work Schedule: Remote Essential Responsibilities Lead anesthesia reimbursement analytics including forecasting, payer trend analysis, variance identification, and strategic pricing recommendations across commercial, government, and out‑of‑network (OON) payment scenarios. 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. 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. 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 (i.e., packaging and presenting nuanced and detailed information, fielding and responding to questions across the organization, etc.). Core Competencies And Professional Attributes Demonstrated excellence in verbal and written communication. Highly detail-oriented and organized, with strong follow-through and execution skills. Proven ability to manage and prioritize multiple tasks in a fast-paced, dynamic environment. Maintains the highest standards of integrity, including strict confidentiality of sensitive information. Collaborative, dependable team player with strong interpersonal skills and a positive demeanor. Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency. Self-directed with a strong sense of ownership and bias toward action. Effectively handles conflict in a constructive, respectful, and professional manner. Flexible and adaptable; willingness and ability to travel to the AMSURG corporate office as needed. Education/Experience 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. Demonstrated experience in an ASC or similar provider environment