Vice President, Contract Management
1 week ago
Job Purpose The 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.
Lead the Contract Management & Pricing organization, providing direction, coaching, and performance management to contract management analysts
Own the loading, validation, and maintenance of all payer contracts, fee schedules, and pricing configurations for both hospital and physician billing
Pricing Strategy, QA, and Development Partnership
Partner with the CTO, Product Strategy, and Development teams to prioritize pricing-related roadmap items, configurations, data inputs, and merge logic enhancements
Lead solution development for complex pricing scenarios, custom client requirements, governmental changes, and non-standard contract methodologies
Maintain and improve QA processes for hospital and physician billing pricing across the enterprise
Pricing Vendor Partnership Support
Support the management of Med-Metrix’s pricing vendor partnership, including coordination of updates, technical requirements, and implementation validation
Stay current on pricing vendor regulatory, clinical, and payment model updates and ensure all appropriate changes are reflected within pricing logic
Client Implementation & Cross-Functional Collaboration
Oversee pricing validation during new client implementations, ensuring clean data loads, accurate pricing, and appropriate contract mapping
Collaborate with AR Valuation, AR Services, Underpayment Recovery, and Managed Care teams to ensure pricing alignment and respond to escalated contract/pricing inquiries
Communicate contract updates, methodology changes, and pricing impacts to internal stakeholders
Maintain enterprise contract repositories, pricing documentation, and version control
Ensure compliance with state and federal payment regulations, government pricing factors, and payer contract requirements
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Bachelor’s degree required; 10+ years of experience in managed care contract management, hospital/physician pricing, or revenue cycle analytics, with 5+ years in leadership roles
~ Deep knowledge of payer contract structures, pricing methodologies, government reimbursement, and contract interpretation
~ Proficiency in Microsoft Office Suite, with strong Excel and technical aptitude related to pricing logic and data validation
~ Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
~ Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
operate tools and other office equipment such as computer, computer peripherals and telephones; 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.
Remote working/work at home options are available for this role.
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