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Managed Care Pricing & Contract Specialist - Market Relations

Remote / Online - Candidates ideally in
Pittston, Luzerne County, Pennsylvania, 18640, USA
Listing for: Southwestern Health Resources
Full Time, Remote/Work from Home position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Administration
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Managed Care Pricing & Contract Specialist I - Market Relations - Southwestern Health Resources

Managed Care Pricing & Contract Specialist I – Market Relations – Southwestern Health Resources

Managed Care Pricing & Contract Specialist – Market Relations – Southwestern Health Resources

Work Hours:
Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion)

Department Highlights:

  • Hybrid Position
  • Gain a sense of accomplishment by contributing to a teamwork environment.
  • Receive excellent mentorship, comprehensive training, and dedicated leadership resources.
  • Contribute and work on a cross functional team
What You Will Do
  • Support the analytics of assigned commercial payers for ambulatory surgery centers, imaging centers, urgent care, and home health. (30%)
  • Work with CBO on payment issues and attend JOC meetings. (25%)
  • Assist parent companies with projects as it relates to reimbursement. (15%)
  • Provide analysis and recommendations around service line pricing and margins using market research. Assist with Power Point presentations. (30%)
What You Need:

Education

  • Bachelor's Degree in Business, Math, Finance or related field (Req)

Experience

  • 1 Year experience with Microsoft Access, SQL, Excel, or modeling tools (Pref)
  • 1 Year relevant work experience (Pref)

Skills

  • Strong math and computer aptitudes needed to understand and model complex structures and relationships.
  • Microsoft Access or SQL
  • Microsoft Excel

Supervision

  • Individual Contributor

ADA Requirements

  • Working indoors 67% or more

Physical Demands

  • Sedentary

Additional Information

  • Job Field:
    Support Services
  • Shift: Day Job
  • Schedule:

    Full-time
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