Sr Contract Pricing Advisor

Sr Contract Pricing Advisor

Join HCA Healthcare as a Senior Contract Pricing Advisor. HCA Healthcare invests up to $300 million over three years to support our team members.

Job Summary

The Strategic Pricing Services (SPS) Senior Contract Pricing Advisor performs advanced what-if modeling of managed care contracts, partners with Payer Contracting & Alignment to ensure competitive contracts, and uses financial modeling tools to evaluate profitability and trends.

Responsibilities

• In partnership with PCA contracting, assist in contract pricing strategically and offer meaningful options during payer negotiations.
• Partner with Payer Contracting & Alignment resources to quantify impact of changes to payer contracts.
• Summarize and explain findings and recommendations to drive decision making.
• Model more advanced managed care contracts through the Alliance for Decision Support system (ADS).
• Understand and analyze CDM price increases to determine the effect on contract modeling, negotiations, and net revenue projections.
• Organize and analyze results data providing summary of findings to Manager and / or Consulting Advisor; provide information related to how price changes related both CDM and rates could impact net revenue.
• Provide ad hoc analysis and deep dives into data as appropriate to support negotiation strategy.
• Assist in the design, development and implementation of advanced ad hoc reports.
• Assist in identifying and documenting reporting requirements.
• Based on data sources identified, extract and manipulate data from databases.
• Assist with performing acceptance and QA testing as applicable.
• Keep management informed of progress of pricing exercises and proactively identify risk and opportunities for meeting exercise goals (both time and net impact).
• Work with SSC / Concuuity modelers and Contracting partners to oversee modeling corrections and updates to pricing models.
• As requested, work with Consulting Contract Pricing Advisor in completing retrospective review of contracts to analyze negotiated rate of reimbursement compared to actual net revenue results with variance explanation.
• Use data mining tools to assist customers effectively with data requests.
• Assist Financial Analyst & Contract Pricing Advisors with training and education of new staff and as appropriate for PCA.
• Participate in departmental training and professional development opportunities when available.
• Add value to APS by producing accurate results, working efficiently, and continuing to grow in the position.

Qualifications

Benefits

Equal Opportunity Employer

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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