What are the responsibilities and job description for the Healthcare Leadership Role - Network Pricing Expert position at Amerihealth Caritas?
At Amerihealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs.
The Director Network Pricing will lead change by implementing a new data-driven approach to payment and contract modeling for provider negotiations. This role will standardize and leverage best practices across the company to propel an informed and responsive approach to relationships with integrated delivery systems, hospital systems, physician groups, and other provider types.
Key Responsibilities:
- Contract modeling and analytics-driven provider negotiation experience, including Value-Based
- Innovate, implement, and govern standard best-practices on provider payment term management
- Financial impact analysis and reconciliation
Required Skills and Qualifications:
- Must have a Master's degree in a related field such as Business Administration, Business Analytics, or Public Health
- Five (5) years of project management experience - driving major organizational change, coordinating stakeholders in highly matrixed environments, and ensuring on-target delivery
- Seven (7) years of analytics experience - strategic applications & business intelligence tools
- Optimize, enhance, and leverage large databases, in coordination with IT
- Candidates will preferably have experience with: provider payment determinants, provider network optimization, Medicaid
Diversity, Equity, and Inclusion:
Amerihealth Caritas values diversity, equity, and inclusion. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect.
Comprehensive Benefits Package:
- Flexible work solutions, including remote options and hybrid work schedules
- Competitive pay
- Paid time off, including holidays and volunteer events
- Health insurance coverage for you and your dependents on Day 1
- 401(k)
- Tuition reimbursement
