Pricing Analysts - Texas Health Resources

76015 Southlake, Texas Texas Health Resources

Posted 14 days ago

Job Viewed

Tap Again To Close

Job Description

Pricing Analysts - Texas Health Resources
_Bring your passion to Texas Health so we are Better + Together_
Work Location: Texas Health Corporate, 612 E. Lamar Blvd., Arlington, TX 76011
Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)
Department Highlights:
+ Hybrid Position
+ Gain a sense of accomplishment by contributing to a teamwork environment.
+ Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
+ Contribute and work on a cross functional team
+ Opportunity to work with leaders across THR/THPG
What You Will Do:
Strategic Pricing and Modeling:
Analyze pricing for hospitals, behavioral health, long term acute care hospital, ambulatory surgery centers, imaging centers, urgent care, home infusion, virtual care, physicians, and other provider types to develop pricing strategies.
Analyze market trends, competitor pricing, industry benchmarks, payor contracts, financial performance, profitability of service lines, and cost of care to drive pricing decisions and identify opportunities for price optimization and competitive advantage.
Develop and maintain databases and data management systems to support business needs, strategic pricing, price transparency and market analysis initiatives.
Utilize contract management and pricing tools to create scenario-based frameworks and models to simulate pricing scenarios, forecast reimbursement trends and forecast financial impact.
Collaborate with payor operations, finance, revenue cycle, chargemaster, managed care, and entities to align pricing models with financial, operational, and strategic objectives.
Prepare dashboards and reports to deliver actionable insights to support executive decision-making, including payor performance, service line, variance analysis, reimbursement trends, and pricing performance metrics.
Conduct market research to understand industry trends, competitor pricing, and payor payment policies.
Provide analytical support for payor contract negotiations and renewals to execute pricing strategies aligned with Texas Health. Strategic growth objectives.
Model commercial and government reimbursement proposals.
Receive, validate, and distribute payor fee schedule updates in a timely manner.
Risk Contract Analysis:
Assist with analysis related to innovative pricing models, including value-based care arrangements, bundled payments, tiered pricing, risk-sharing arrangements, alternative payment methodologies, and package pricing, where appropriate.
Audit contract management tools and systems that use contracted rates to ensure rates and expected net revenue are accurate.
Transparency and Compliance:
Support generation of machine readable files (MRF) or collaborate closely with a vendor partner.
Continuous education on government reimbursement methodology, calculations, and reimbursement.
Validate compliance with federal and state regulations related to pricing transparency (e.g. CMS Hospital Price Transparency Rule, machine readable files, shoppable services, No Surprises Act).
Support internal audits and compliance reviews related to pricing and reimbursement.
Other Projects:
Assist special projects related to reimbursement strategy, service line pricing, margin optimization and price transparency.
Provide data-driven insights to support pricing decisions for new services, bundled payments, value based care, and alternative payment models.
Provide analysis and recommendations for service line pricing and margins using market research.
Other projects and duties as assigned
What You Need:
Education
Bachelor's Degree Business, Accounting, Finance, Data Science, or related field Req
Experience
3 Years Decision support, financial analysis, healthcare pricing, managed care analytics, or revenue cycle to include experience with Microsoft Excel and Access or relational database experience and/or reimbursement methodologies. Req
Strong analytical and critical thinking skills, Proficiency in Microsoft Excel and Access, Experience with SQL, Familiarity with Healthcare coding (CPT, ICD-10), knowledge of managed care methodologies and their impact across different provider types, Experience with healthcare claims (Facility and Professional), knowledge of physician reimbursement. Pref
Education
Bachelor's Degree Business, Accounting, Finance, Data Science, or related field Req
Experience
3 Years Decision support, financial analysis, healthcare pricing, managed care analytics, or revenue cycle to include experience with Microsoft Excel and Access or relational database experience and/or reimbursement methodologies. Req
Strong analytical and critical thinking skills, Proficiency in Microsoft Excel and Access, Experience with SQL, Familiarity with Healthcare coding (CPT, ICD-10), knowledge of managed care methodologies and their impact across different provider types, Experience with healthcare claims (Facility and Professional), knowledge of physician reimbursement. Pref
Skills
Ability to conduct in-depth quantitative research, build and maintain complex pricing models, and translate data into actionable insights.
Experience with pricing, database, and modeling platforms such as SQL, PMMC, EPSI, Tableau, Power BI, Alteryx, Excel, Access, or other healthcare pricing and claim systems is a plus.
Excellent communication and people skills, with the ability to collaborate with cross-functional teams.
Knowledge of industry regulations and compliance requirements related to managed care pricing.
Critical thinking skills, strong math and computer aptitudes, presentation skills
Ability to manage multiple priorities in a fast-paced environment.
Knowledge of hospital, ancillary and physician reimbursement methodologies.
Supervision
Individual Contributor
ADA Requirements
Working Indoors 67% or more
Physical Demands
Sedentary
Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
View Now
Be The First To Know

About the latest Texas health resources Jobs in Fort Worth !

 

Nearby Locations

Other Jobs Near Me

Industry

  1. request_quote Accounting
  2. work Administrative
  3. eco Agriculture Forestry
  4. smart_toy AI & Emerging Technologies
  5. school Apprenticeships & Trainee
  6. apartment Architecture
  7. palette Arts & Entertainment
  8. directions_car Automotive
  9. flight_takeoff Aviation
  10. account_balance Banking & Finance
  11. local_florist Beauty & Wellness
  12. restaurant Catering
  13. volunteer_activism Charity & Voluntary
  14. science Chemical Engineering
  15. child_friendly Childcare
  16. foundation Civil Engineering
  17. clean_hands Cleaning & Sanitation
  18. diversity_3 Community & Social Care
  19. construction Construction
  20. brush Creative & Digital
  21. currency_bitcoin Crypto & Blockchain
  22. support_agent Customer Service & Helpdesk
  23. medical_services Dental
  24. medical_services Driving & Transport
  25. medical_services E Commerce & Social Media
  26. school Education & Teaching
  27. electrical_services Electrical Engineering
  28. bolt Energy
  29. local_mall Fmcg
  30. gavel Government & Non Profit
  31. emoji_events Graduate
  32. health_and_safety Healthcare
  33. beach_access Hospitality & Tourism
  34. groups Human Resources
  35. precision_manufacturing Industrial Engineering
  36. security Information Security
  37. handyman Installation & Maintenance
  38. policy Insurance
  39. code IT & Software
  40. gavel Legal
  41. sports_soccer Leisure & Sports
  42. inventory_2 Logistics & Warehousing
  43. supervisor_account Management
  44. supervisor_account Management Consultancy
  45. supervisor_account Manufacturing & Production
  46. campaign Marketing
  47. build Mechanical Engineering
  48. perm_media Media & PR
  49. local_hospital Medical
  50. local_hospital Military & Public Safety
  51. local_hospital Mining
  52. medical_services Nursing
  53. local_gas_station Oil & Gas
  54. biotech Pharmaceutical
  55. checklist_rtl Project Management
  56. shopping_bag Purchasing
  57. home_work Real Estate
  58. person_search Recruitment Consultancy
  59. store Retail
  60. point_of_sale Sales
  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
View All Texas Health Resources Jobs View All Jobs in Fort Worth