Manager, Hospital Price Transparency

Role Overview

• Lead, coach, and develop a team of Hospital Price Transparency Analysts.
• Drive program‑level planning, prioritization, and capacity alignment across teams.
• Manage Analyst workload distribution, prioritization, and capacity planning across clients and projects to ensure SLA adherence.
• Establish and maintain standard operating procedures (SOPs), playbooks, and documentation to support consistency and scalability.
• Establish QA standards and peer-review processes and oversee adherence through the team to ensure accuracy and data integrity.
• Identify and manage program risks, issues, and decisions with clear mitigation paths.
• Drive hiring, onboarding, and structured training plans to develop team expertise in regulations, rule engine logic, and data workflows.
• Monitor team performance metrics, remove blockers, and ensure predictable delivery.
• Serve as an escalation point for internal teams and clients; resolve issues proactively and diplomatically.
• Support cross‑functional alignment with Implementation, Product, Dev, and Client Success through clear communication and coordination.
• Audit HPI outputs after data parsing, investigate irregularities, and work directly with the development team to resolve data integrity issues.
• Perform hands‑on testing of system enhancements, bug fixes, and rule updates to validate accuracy against acceptance criteria.
• Prepare and deliver client‑friendly reports; clearly explain findings, data logic, and regulatory‐based decisions.
• Participate in client meetings to review submissions, answer data questions, and gather nuances about their specific datasets.
• Translate evolving regulatory changes into operational updates, rule modifications, training materials, and client guidance.
• Provide subject‑matter expertise to support product roadmap discussions, enhancement definition, and cross‑functional initiatives.
• Serve as both a leader and an active contributor by stepping into analyst work as needed to ensure timely, high‑quality delivery.

Requirements

• Demonstrated success managing or leading analytical/operations teams in healthcare revenue cycle, chargemaster, coding, billing, or related domains.
• Advanced awareness of government regulations and resources impacting hospital price transparency; able to consistently interpret and apply guidance to real‑world scenarios.
• Practical knowledge of healthcare provider business processes including, but not limited to the following: clinical coding, chargemaster management, charge capture, billing and charge reconciliation.
• Strong customer service and communication skills; adept at handling questions and objections diplomatically and professionally.
• Proven ability to design SOPs, QA frameworks, and measurable processes that scale across multiple clients.
• Strong analytical skills; expert in Microsoft Excel (lookups, pivots, complex formulas); familiarity with SQL and data validation preferred.
• Comfortable partnering with Product/Engineering to define acceptance criteria, test changes, and validate data integrity.
• Organized and detail‑oriented; able to thrive in a fast‑paced, ever‑changing environment.
• Bachelor’s degree in a relevant field (or equivalent experience).
• 2+ years of people leadership (lead, supervisor, or manager) with a track record of coaching and performance management.
• 5+ years inpatient/outpatient combined coding and/or billing experience in a healthcare environment.
• Active AHIMA or AAPC coding certification (e.g., RHIA, RHIT, CCS, CPC) preferred.
• Experience with work‑management and analytics tools (e.g., Azure DevOps, Smartsheet, Power BI) a plus.

Tech Stack

• Azure
• SQL

Benefits

• Flexible PTO
• Professional development stipend
• Meaningful opportunities for career growth and development