Vice President, Contract Management

Job PurposeThe Vice President, Contract Management & Pricing will lead Med-Metrix’s enterprise contract management and pricing functions. This executive owns the accuracy, governance, maintenance, and QA of all hospital and physician pricing logic, oversees the contract management analyst team, and serves as the primary liaison between Contract Management, Product Strategy, and Software Development. This leader ensures consistent pricing methodologies across hospital and physician billing, oversees pricing QA, guides complex pricing solutioning, and supports Med-Metrix’s Pricing Vendor partnership.Duties & Responsibilities Leadership & Operational OversightLead the Contract Management & Pricing organization, providing direction, coaching, and performance management to contract management analystsOwn the loading, validation, and maintenance of all payer contracts, fee schedules, and pricing configurations for both hospital and physician billingEnsure adherence to enterprise-wide pricing QA standards, validation protocols, and documentation requirementsPricing Strategy, QA, and Development PartnershipPartner with the CTO, Product Strategy, and Development teams to prioritize pricing-related roadmap items, configurations, data inputs, and merge logic enhancementsReview and validate all pricing logic, merge logic updates, and heatmap pricing outputs to ensure accuracy and complianceLead solution development for complex pricing scenarios, custom client requirements, governmental changes, and non-standard contract methodologiesMaintain and improve QA processes for hospital and physician billing pricing across the enterprisePricing Vendor Partnership SupportSupport the management of Med-Metrix’s pricing vendor partnership, including coordination of updates, technical requirements, and implementation validationStay current on pricing vendor regulatory, clinical, and payment model updates and ensure all appropriate changes are reflected within pricing logicClient Implementation & Cross-Functional CollaborationOversee pricing validation during new client implementations, ensuring clean data loads, accurate pricing, and appropriate contract mappingCollaborate with AR Valuation, AR Services, Underpayment Recovery, and Managed Care teams to ensure pricing alignment and respond to escalated contract/pricing inquiriesCommunicate contract updates, methodology changes, and pricing impacts to internal stakeholdersGovernance, Reporting, & ComplianceMaintain enterprise contract repositories, pricing documentation, and version controlDevelop KPIs and dashboards to monitor pricing accuracy, load times, and QA complianceEnsure compliance with state and federal payment regulations, government pricing factors, and payer contract requirementsOther duties as assignedUse, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesQualificationsBachelor’s degree required; Master’s degree preferred10+ years of experience in managed care contract management, hospital/physician pricing, or revenue cycle analytics, with 5+ years in leadership rolesDeep knowledge of payer contract structures, pricing methodologies, government reimbursement, and contract interpretationExperience partnering with development/product teams on requirements and product solutionsProficiency in Microsoft Office Suite, with strong Excel and technical aptitude related to pricing logic and data validationAbility to thrive in a fast-paced, technology-driven environmentStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills requiredGracious and welcoming personality for customer service interactionWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.Work Environment: The noise level in the work environment is usually minimal.Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.