Sr. Pricing Infrastructure Manager

Job Description

Pay Range: $120,000 - $160,000 / year

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:

We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:

· Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours

· Best-in-class well-being programs

· Annual, no-cost health assessment program Blueprint for Wellness®

· healthyMINDS mental health program

· Vacation and Health/Flex Time

· 6 Holidays plus 1 "MyDay" off

· FinFit financial coaching and services

· 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service

· Employee stock purchase plan

· Life and disability insurance, plus buy-up option

· Flexible Spending Accounts

· Annual incentive plans

· Matching gifts program

· Education assistance through MyQuest for Education

· Career advancement opportunities

· and so much more!

Responsible for ongoing development, management, implementation and execution of a portfolio of infrastructure initiatives supporting the Pricing Plan of Record.  The role will be the primary lead for all QBS systems implementation and supported decentralized systems, regardless of reporting relationship of said systems.  Responsibilities will also include coordination and communications with other areas of Strategic Pricing and Finance.

Responsibilities:

• Develop plans to execute across the Quest infrastructure from The Pricing Plan of Record

• Partner with field finance to obtain VOC on proposed pricing initiatives

• Work with IT partners to understand current systems capabilities.  Execute systems changes as needed to support The Pricing Plan of Record

• Collaborates with strategic pricing, clinical franchise, business development and field finance to formulate and drive strategic pricing initiatives  

• Keeps abreast of Medical Regulatory Affairs changes and implications on pricing

• Collects and analyzes data to evaluate and prioritize existing and potential opportunities

• Utilizes market and competitive intelligence in price planning and decision making

Additional Duties (dependent on area of focus)

QBS Systems Execution:

• Manage the daily responsibilities related to QBS systems maintenance to include SOP’s, process, QBS systems files, fee schedules, load files, mailboxes and audit documentation
• Work with decentralized systems to execute corporate driven pricing initiatives
• Identify and execute process improvements within area of responsibility, incorporate AI and automation when possible
• Partner with strategic pricing and the clinical franchise teams to understand requirements and build systems and plans to ensure a successful execution

Batch Process Tool and BOT:

• Manage the regular maintenance 
• Document and manage all SOP’s related to changes to the business rules 
• Complete training of tools for new users.  Identify areas where retraining will help finance and commercial.  Execute those training sessions and measure improvement
• Continue automation and AI integrations

Pre-Conversions and Conversions:

• Manage the entire pre-conversion process for QBS locations in partnership with the EPIC conversion team
• Manage changes needed to the pricing tool to improve process, functionality or performance
• Document status of conversion and hand off items for either the conversion team or commercial.  i.e. mapping, problems, etc.

Project Execution:

• Execute revenue generating projects companywide in support of the Pricing Plan of Record
• Coordinate communication of price changes as needed with commercial partners
• Identify and execute process improvements on annual projects 
• Support pricing leadership with adhoc analytical request 

Qualifications:

 Job Experience:

• 7+ years in a combination of pricing, managed care, financial analysis, billing, product management, business development or operations roles in medium to large-size companies

• Intermediate level - MS Office Suite with a demonstrated proficiency in Access and Excel 

Education:

• BS degree in finance, accounting or business  

Skills and Behaviors Critical for Success in the Role:

• Financial Acumen – exhibits in-depth knowledge of financial terminology, standards, principles and practices and how they interrelate.  Applies a broad understanding of financial management framework to ensure sound decision-making

• Critical Thinking – understands the issues related to the decision-making process; ability to analyze situations fully and accurately – from multiple points of view – to reach productive decisions.  Demonstrates intellectual curiosity and ability to analyze, synthesize, and identify insights to drive timely action

• Framing & Influencing– the ability to gain others’ support for ideas, proposals, projects and solutions through logical argument, appeal to others’ interests, and a variety of other indirect strategies

• Preferred - Knowledge of healthcare or laboratory specific industry complexities (third party payers, government payers,  CPT coding, reimbursement, denials and billing environment)

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Quest Diagnostics honors our service members and encourages veterans to apply.

While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume.

Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.