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At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.

This is a **remote/work from home** opportunity! The associate should:

1) Live + work within the continental United States (required)

2) Be open to working eastern time zone hours (preferred)

Primary Function/General Purpose of Position

The Program Manager of Pricing Strategies is responsible for collecting and monitoring the organization’s pricing, expense, and budget data. This includes, but is not limited to, collaborating with the vendor responsible for the organizational Charge Description Master (CDM), and maintaining Price Transparency and annual updates. This position will also contribute to the development of strategic pricing of retail services through bundling of services offered to the communities we serve.

Essential Job Functions

+ Support Finance and leadership teams in analyzing budgets, revenue changes, and fiscal activities to identify trends, ensure compliance, and recommend improvements for revenue generation and expense reduction.

+ _​_ Manage data modeling and query processes (e.g., SQL, EPIC Clarity) to derive actionable insights supporting strategic pricing, vendor assessments, and other initiatives.

+ Contribute to the development and maintenance of pricing strategies, including strategic bundling of medical services, analysis of payer contracts, and competitive fee reviews.

+ Review and update the chargemaster to ensure accuracy, compliance with billing regulations, and alignment with industry standards.

+ Research and recommend updates to policies and procedures related to charge capture, price estimates, and billing compliance.

+ Collaborate with operational leaders and vendors to manage charge descriptions, cost center assignments, EPIC charge entry, and reimbursement impacts.

+ Oversee CMS and commercial payer updates, ensuring compliance with federal and state guidelines for price transparency and timely communication across the ministry.

+ Research and implement pricing strategies for shoppable services, including surgery pricing schedules and market expansion opportunities.

+ Provide analytical support to leadership, legal, and audit teams to address billing and compliance issues, and communicate updates to affected departments.

+ Perform ad hoc analyses to address questions from leadership, develop relationships with key stakeholders, and maintain knowledge of revenue cycle processes.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education

+ Bachelor’s degree in business, healthcare administration, or related field (required)

Work Experience

+ 4+ years’ experience in healthcare revenue cycle or revenue management (required).

+ 2+ years’ experience using Microsoft Office programs, role-specific software programs, and SQL, especially for the use of performing complex analysis of data and database maintenance (required).

+ Working knowledge of CPT/HCPCS, UB-04 Revenue Coding, modifiers, billing regulations, DRG’s and APCs (required)

+ Previous experience using Epic hospital, physician, and ambulatory resolute models (required).

+ Understanding of the CDM and its relationship to related areas such as the General Ledger, cost Accounting, Productivity, Cost Reporting and Budget (preferred).

+ Knowledge of clinical settings such as Laboratory, Radiology, Physical or Occupational Therapy, Respiratory Therapy, Cardiology, or Oncology (preferred).

Working Conditions

Periods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

General work at home office environment.

Prolonged periods of working alone.

Skills

_Hard/Tech/Clinical Skills_ _:_

+ Budgeting & Financial Acumen _​_

+ Advanced Microsoft Office Suite

+ Analyzing data or information

+ Communication, presentation

+ SQL working with large data sets

+ Build reports in Epic, Slicer Dicer, Revenue Cycle Analytics

+ Meeting deadlines

_Soft/Interpersonal Skills:_

+ Attention to detail

+ Critical thinking

+ Problem Solving

+ Teamwork

+ Active listening

+ Relationship building

+ Organization and planning

+ Prioritization Time management

+ Ability to work independently and collaboratively

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans

Prescription drug coverage

Flexible spending accounts

Life insurance w/AD&D

Employer contributions to retirement savings plan when eligible

Paid time off

Educational Assistance

And much more

*Benefits offerings vary according to employment status

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email [email protected] . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [email protected]