Envision Healthcare

  • STRATEGIC PRICING ANALYST

    Job Locations US-TN-Nashville
    Company Enterprise
    Requisition ID
    2019-20146
    Category
    Managed Care
  • Overview

    Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates joined forces to form Envision Physician Services.  As one organization, we provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. 

     

    If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

    Responsibilities

    We have an opportunity available for an experienced Analyst, Strategic Pricing & Analytics.  This Analyst will support analytical and reporting activities for the Managed Care Department, coordinating activity with Managed Care, Business Development, Clinical leaders, Provider Enrollment, Finance, and Revenue Cycle Management.  The role reports to the Senior Manager, Strategic Pricing & Analytics with primary responsibility for building expected reimbursement models, forecasting rate guidance for new business, and analyzing utilization data in support of managed care strategy development.

     

    RESPONSIBILITIES:

    • Prepare extensive financial analyses and build forecast impact models of proposed contracted rates for payer negotiations using variety of business intelligence tools and platforms including MS Excel, SQL, Power BI, and Tableau reporting.
    • Coordinate efforts with Business Intelligence and Data Integration teams to ensure consistent, comprehensive enterprise-wide data sets for use in contract negotiation analysis.
    • Compile documents for contract negotiations and final approval, i.e. spreadsheets, payment policies, and fee schedules.
    • Analyze business development pro-forma expectations and overlay managed care assumptions reflective of market specific factors in conjunction with the Managed Care Contracting team.
    • Respond to requests for information related to managed care contracts.
    • Independently conduct research, collect and analyze market trends, and prepare reports for presentation and inclusion in ongoing negotiation activities for the Managed Care department.
    • May be required to travel up to 10% when requested throughout the Northeast Region (ME – VA).
    • Will perform other duties as assigned.

    Qualifications

    Education and Experience:

    • Bachelor’s Degree from a four year College or University highly preferred.
    • Equivalent experience as described above will be considered.
    • 2-3 years’ experience in managed care, preferably with in-depth expertise in contract analysis, revenue cycle, or business office environments.

    Knowledge and Skills:

    • Experience building financial and statistical models and analyzing complex and large volumes of data in the healthcare space, with depth in medical economics, or revenue cycle, or healthcare billing highly preferred.
    • Utilize data mining tools to effectively assist stakeholders with their data requests.
    • Able to design, develop, and implement routine and custom reporting per stakeholder requirements.
    • Perform acceptance and QA testing on various data models as requested.
    • Knowledge of the Managed Care environment and familiarity with Physician and ASC payor contract language.
    • Advanced skills in MS Excel, Access, SQL, and other relational databases and reporting tools.
    • Expertise working with business intelligence tools and platforms including Power BI and Tableau reporting highly desired.

    Other Qualifications:

    • Strong problem-solving skills.
    • Able to manage to deadlines and work in a fast paced and changing environment.
    • Exceptional organizational, written, and oral communication skills.
    • Able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.
    • High level of integrity, including maintenance of confidential information.
    • Exercise good judgment while positively influencing and leading others, including handling confrontations with poise and efficiency.
    • Must be able to travel up to 10% throughout the region.
    • Based on business need must have the ability to work a flexible schedule, including some evenings and weekends.

    Envision Physician Services is an Equal Opportunity Employer.

     

    We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

     

    We will provide reasonable accommodation to complete the online application consistent with applicable law. If you require an accommodation, please contact Human Resources.

     

    We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment, a company matching 401(k), tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays.

     

    If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

     

    Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify.

     

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