Med-Metrix · 1 month ago
Vice President, Contract Management & Pricing - REMOTE
United States
Contract
Remote
Director/Executive
10+ years expMed-Metrix is a company that specializes in healthcare analytics and contract management. The Vice President, Contract Management & Pricing will lead the enterprise contract management and pricing functions, ensuring accuracy and governance while overseeing the contract management analyst team and collaborating with various departments to maintain consistent pricing methodologies.
Health CareInformation TechnologySoftware
Responsibilities
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
Ensure adherence to enterprise-wide pricing QA standards, validation protocols, and documentation requirements
Partner with the CTO, Product Strategy, and Development teams to prioritize pricing-related roadmap items, configurations, data inputs, and merge logic enhancements
Review and validate all pricing logic, merge logic updates, and heatmap pricing outputs to ensure accuracy and compliance
Lead solution development for complex pricing scenarios, custom client requirements, governmental changes, and non-standard contract methodologies
Maintain and improve QA processes for HB and PB pricing across the enterprise
Support the management of Med-Metrix’s 3M partnership, including coordination of updates, technical requirements, and implementation validation
Stay current on 3M regulatory, clinical, and payment model updates and ensure all appropriate changes are reflected within pricing logic
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
Develop KPIs and dashboards to monitor pricing accuracy, load times, and QA compliance
Ensure compliance with state and federal payment regulations, government pricing factors, and payer contract requirements
Other duties as assigned
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
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualification
Required
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
Experience partnering with development/product teams on requirements and product solutions
Proficiency in Microsoft Office Suite, with strong Excel and technical aptitude related to pricing logic and data validation
Ability to thrive in a fast-paced, technology-driven environment
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
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
The employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
The employee must be able to follow directions, collaborate with others, and handle stress
The noise level in the work environment is usually minimal
Preferred
Master's degree preferred
Company
Med-Metrix
Med-Metrix provides Performance Management and Revenue Cycle solutions to the healthcare industry.
1001-5000 employees
H1B Sponsorship
Med-Metrix has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (5)
2023 (2)
2022 (1)
2021 (2)
2020 (4)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Kohlberg Kravis RobertsHarvest Partners
2025-08-08Private Equity
2025-06-24Private Equity
2021-09-27Private Equity
Leadership Team
B
Benjamin Hutchins
Vice President of Patient Intake Technologu
Recent News
2025-08-08
2025-08-08
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