Pricing Manager

Our Company:

Start your next chapter at Revecore! For over 25 years, we’ve been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further. 

As part of our team, you’ll be rewarded with:

• Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment
• 12 paid holidays and flexible paid time off
• 401(k) contributions
• Employee Resource Groups that build community
• Career growth opportunities
• An excellent work/life balance
  
  
  

Location: Remote – USA

As Revecore’s Pricing Manager, you will:

Be responsible for overseeing and leading the team of contract modeling specialists. This role will help direct the day-to-day work of the team, understand blockers and help resolve any issues. There is a heavy emphasis on data analysis in this role to understand volumes across clients and payers as well as understanding data integrity issues. This position will also report upwards and cross-functionally to other departments on progress, issues, goals, requests, etc.

The Role: 

• Oversight of pricing team – leading a team of 6+ direct reports with the ability to grow and expand the team as our pricing services grow and expand within Revecore
• Communicate and distill top-down goals and business decisions that will impact the team, with the ability to plan for growth and scaling of the pricing team
• Coordinate cross-functionally with other departments, including client operations and client success to understand pricing needs and blockers as well as client expectations and needs
• Provide frequent communication to other departments on progress and status of outstanding requests, pricing builds, etc.
• Report review and creation to analyze pricing data - understanding volumes, data integrity issues, potential claims mapping issues, and other data errors that occur
• Oversight of all pricing team reporting, including upward and downward reporting to the team to allow for frequent updates and collaboration with the pricing team and other cross-functional departments, including goal setting for team and individuals
• Develop new tools and reports to aid in decision making for the team as well as aiding in the ability to communicate pricing needs and issues with other departments.
• Work with product and engineering resources to make improvements to the pricing tool and reporting capabilities
• Collaborate with other departments, such as Medicare and Medicaid to understand how the pricing team can aid in their business goals and continued improvement as we work to expand pricing services
  
  
  

You’ll be successful if you have:

• 5+ years in revenue a integrity related field
• 3+ years managing a team of direct reports
• Expert knowledge of managed care agreements, healthcare payers, and underpayments
• Expert analytical skills with the ability to create reports using Excel, PowerBI, and Tableau
• Intermediate level SQL skills
• Knowledge of patient accounting files and 837 claim files
• Excellent communication skills with proven ability to lead and grow a team
• Experience working cross-functionally with other departments (IT, Product, Client Success, Client Ops, etc.)
• Bachelor’s Degree
  
  
  

Work at Home Requirements:

• A quiet, distraction-free environment to work from in your home.  
• A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.
• The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.  
  
  
  

Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check.

Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

Must reside in the United States within one of the states listed below:

Alabama, Arkansas, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts Michigan, Minnesota, Mississippi Missouri, Nebraska, New Hampshire North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia and Wisconsin