Contract Pricing Specialist

Job Posting

We are dedicated to providing exceptional care to every patient, every time.

St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades.

Position Summary:

The Contract Pricing Specialist is responsible for ensuring accurate interpretation, implementation, and maintenance of managed care or government contract terms within St. Luke's Hospital pricing, billing, and reimbursement systems. This role plays a key part in supporting revenue integrity by validating expected reimbursement, analyzing variances and payer trends to optimize payer performance and revenue capture. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.

Education, Experience, & Licensing Requirements:

Education: Bachelor's degree preferred with focus in Healthcare Administration, Business or related field preferred. Equivalent experience may be considered in lieu of degree.

Experience: Experience in healthcare revenue cycle, managed care contracting, reimbursement analysis, or financial analytics required. Proficiency in healthcare billing systems and/or denial management software, including experience with medical and insurance terminology and billing forms. Strong analytical skills and ability to translate data into measurable action and ability to effectively present projects to management for evaluation and prioritization. Strong skills in process improvement, business transformation, customer service, communication, leadership, problem solving and team building. Ability to maintain effectiveness and professionalism when experiencing change in work tasks and/or the work environment

Licensure: Certified Revenue Cycle Representative (CRCR) or similar certification preferred.

Benefits for a Better You:

• Day one benefits package
• Pension Plan & 401K
• Competitive compensation
• FSA & HSA options
• PTO programs available
• Education Assistance

Why You Belong Here:

You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.