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Description

Introduction

Do you want to join an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Sr Contract Pricing Advisor like you to be a part of our team.

Job Summary and Qualifications

Summary:

The Strategic Pricing Services (SPS) Senior Contract Pricing Advisor is responsible for the What-if modeling of the more advanced managed care contracts and performance of advanced ad hoc analyses partnering with Payer Contracting & Alignment in creating payer contracts to ensure HCA’s competitive position in the market. The Sr. Contract Pricing Advisor will use financial modeling tools to evaluate the impact of proposed terms on profitability, trend and other metrics.

Responsibilities:

+ In partnership with PCA contracting, assist in contract pricing in a strategic manner and offer meaningful options during negotiations with a payer.

+ Partner with Payer Contracting & Alignment resources to quantify impact of changes to payer contracts

+ Summarize and explain findings and recommendations to drive decision making

+ Model more advanced managed care contracts through the Alliance for Decision Support system (ADS).

1. Understand and analyze CDM price increases to determine the effect on contract modeling, negotiations, and net revenue projections.

2. Organize and analyzes results data providing summary of findings to Manager and/or Consulting Advisor. Provide information related to how price changes related both CDM and rates could impact net revenue.

+ Provide ad hoc analysis and deep dives into data as appropriate to support negotiation strategy and provide value to our contracting partners.

+ Assist in the design, development and implementation of advanced ad hoc reports.

1. Assist in identifying and documenting reporting requirements.

2. Based on data sources identified, extract and manipulate data from databases.

3. Assist with performing acceptance and QA testing as applicable.

+ Keep management informed as to progress of pricing exercises and proactively identify risk and opportunities for meeting exercise goals (both time and net impact).

+ Work with SSC / Concuity modelers and Contracting partners to oversee modeling corrections and updates to pricing models.

+ As requested works with Consulting Contract Pricing Advisor in completing retrospective review of contracts to analyze negotiated rate of reimbursement compared to actual net revenue results with variance explanation.

+ Uses data mining tools to assist customers effectively with data requests.

+ Assist Financial Analyst & Contract Pricing Advisors with training and education of new staff and as appropriate for PCA.

+ Participate in departmental training and professional development opportunities when available.

+ Adds value to APS by producing accurate results, working efficiently, and continuing to grow in the position.

Education:

+ Bachelor’s degree preferred

Experience:

+ Minimum 2+ years experience preferred.

+ 1+ year(s) of experience in Healthcare / Managed Care preferred

+ Ability to manage project work.

+ Required understanding of gross/net revenue, and managed care payors.

+ Working knowledge of managed care contracting and modeling preferred.

+ Experience working with claim data and familiarity with standard medical coding such as CPT, ICD10, HCPC and/or DRGs preferred

+ Experience with Microsoft Office, Excel, Access, relational databases, and reporting tools preferred.

**HCA Healthcare (Corporate)** , based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled **resources and opportunities** to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and **career advancement opportunities** , every person has a solid foundation for success. Nashville is also home to our **Executive Development Program** , where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sr Contract Pricing Advisor opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.