Manager, Network Pricing And Code Management - Remote - Remote Eligible

Manager - Network Pricing And Code Management

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing Together.

The Manager - Network Pricing and Code Management is responsible for overseeing the implementation of service/CPT codes and leading the development of network pricing analytics and strategic initiatives. This role plays a critical part in ensuring accurate code management and optimizing pricing strategies to support network operations.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Maintain ownership of medical and dental coding changes and implementations across network programs
• Ensure accurate service code data structure construction and completion of pre- and post-release acceptance testing to support successful service code implementation through cross-departmental collaboration
• Collaborate with internal departments to identify and mitigate the impact of annual ADA/AMA coding changes
• Identify appropriate procedure codes and pricing for new business opportunities
• Collaborate with Finance to develop and maintain contracting rate guidance
• Influence network pricing strategies and decisions using a data-driven approach
• Conduct financial and network pricing modeling, analysis, and reporting
• Review data trends, visualizations, and patterns to uncover issues and communicate findings to leadership

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Undergraduate degree in Business, Data Analytics, Statistics, Finance, or a healthcare-related field (commensurate experience will be considered)
• 4+ years of related experience (e.g., project management, network management, data analytics, or a related field)
• Intermediate knowledge of medical and dental claims, coding, and billing practices
• Advanced proficiency in Microsoft Excel
• Proven ability to research and solve problems independently with minimal oversight
• Proven excellent verbal and written communication skills
• Proven solid analytical thinking, multitasking, organizational, and time management skills
• Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
• Proven ability to work in a fast-paced environment; flexible and adaptable to changing situations
• Proven high attention to detail and accuracy
• Proven solid impact analysis and data manipulation skills
• Driver's License and access to reliable transportation

Preferred Qualifications:

• Medical coding certification (e.g., through AAPC or AHIMA)
• Experience in network pricing
• Experience with relational databases (e.g., MedNet)

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.