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Healthcare Price Transparency Analytics Jobs (NOW HIRING)

FOCUSPOINT

Senior Business Analyst

Nashville, TN · On-site

$89K - $115K/yr

FOCUSPOINT FOCUSPOINT is proud to partner with a leading healthcare organization in search of a ... Build pricing transparency reports and perform QA testing on output data * Design and implement ad ...

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Healthcare Price Transparency Analytics information

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$35K

$75.6K

$132K

How much do healthcare price transparency analytics jobs pay per year?

As of Jun 14, 2026, the average yearly pay for healthcare price transparency analytics in the United States is $75,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $91,500.00 per year, depending on experience, location, and employer.

What is the difference between Healthcare Price Transparency Analytics vs Healthcare Data Analyst?

AspectHealthcare Price Transparency AnalyticsHealthcare Data Analyst
Required CredentialsOften requires healthcare administration, health informatics, or data analysis certificationsTypically requires degrees in data science, statistics, or related fields
Work EnvironmentHealthcare organizations, insurance companies, or consulting firms focusing on cost dataHospitals, clinics, or healthcare IT departments analyzing various health data
Employer & Industry UsageUsed to improve pricing strategies and transparency initiativesUsed for broad data analysis, reporting, and decision support across healthcare settings

Healthcare Price Transparency Analytics focuses specifically on analyzing and improving pricing transparency within healthcare, often emphasizing cost data and pricing strategies. Healthcare Data Analysts have a broader scope, working with various healthcare data types to support operational and clinical decisions. While both roles require data analysis skills, their focus areas and industry applications differ.

What are the key skills and qualifications needed to thrive as a Healthcare Price Transparency Analytics professional, and why are they important?

To thrive in Healthcare Price Transparency Analytics, you need strong analytical abilities, a background in healthcare data, and often a degree in health informatics, statistics, or a related field. Familiarity with data visualization tools (such as Tableau or Power BI), claims databases, and regulatory compliance systems is typically required. Attention to detail, problem-solving, and effective communication are vital soft skills for interpreting complex pricing data and presenting findings to diverse stakeholders. These skills are crucial for ensuring accurate analysis, supporting compliance, and driving informed decision-making in the evolving landscape of healthcare pricing.

What is healthcare price transparency analytics?

Healthcare price transparency analytics involves collecting, analyzing, and interpreting data related to the costs of medical services and procedures. Professionals in this field help organizations understand pricing structures, identify cost-saving opportunities, and ensure compliance with regulations requiring hospitals and insurers to disclose prices. Their work aids patients, providers, and payers in making more informed decisions about healthcare spending and resource allocation.

What are some common challenges faced by professionals in Healthcare Price Transparency Analytics, and how can they be addressed?

Professionals in Healthcare Price Transparency Analytics often encounter challenges such as integrating data from disparate sources, keeping up with evolving regulatory requirements, and ensuring data accuracy for meaningful insights. Addressing these challenges involves collaborating closely with IT teams, staying informed about industry regulations, and implementing robust data validation processes. Building strong relationships with clinical, financial, and compliance teams can also help ensure that analytics projects align with organizational goals and deliver actionable results.
Manager of Revenue Integrity Compliance

Manager of Revenue Integrity Compliance

Prime Healthcare Management Inc

Ontario, CA

$97K - $141K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 25 days ago

Prime Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 270 frontline employees who took The Breakroom Quiz

666th of 872 rated healthcare providers

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

#LI-JV1

Responsibilities

The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role leads and oversees the organization's Revenue Integrity and Charge Description Master (CDM) compliance initiatives. This role is pivotal in ensuring adherence to the CMS Price Transparency Rule and other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills and a collaborative mindset.

Key Responsibilities:

  • Develop, implement, and manage the Revenue Integrity & CDM Compliance Plan.
  • Ensure compliance with CMS Price Transparency Rule and other applicable federal and state financial reporting regulations.
  • Collaborate with cross-functional teams including Health Plan Operations, Patient Access, Marketing, IT, and Legal to streamline compliance processes.
  • Design and execute weekly/monthly audit plans for compliance-related reporting activities.
  • Coordinate with hospital end users and offshore teams to ensure accurate and timely deliverables.
  • Lead the development and implementation of process automation tools to enhance compliance efficiency.
  • Generate and distribute weekly/monthly compliance reports to stakeholders.
  • Monitor regulatory changes and update internal policies and procedures accordingly.
Qualifications

Required Qualifications:

  • Bachelor's degree in Healthcare Administration, Finance, or a related field of study is required (Combination of education and experience is also acceptable)
  • Minimum seven (7) years of experience in healthcare revenue cycle operations is required
  • Minimum three (3) years of experience in leading a revenue cycle function is required
  • Prior experience in interpreting different claim forms and remittances is required
  • Understanding of patient insurance benefit is required
  • Experience working with payers including Medicare, Medicaid, and commercial insurance is required
  • Understanding of CPT's, HCPCs, Diagnosis code, DRG code, EAPG, revenue code, etc. is required
  • Understanding of payor payment methods viz. Fee Schedule, RCC, Case rate is required

    • Preferred Qualifications:

  • Experience working with Contract Management and Patient Access is preferred
  • Prior experience working with EPIC and Meditech preferred
    • Pay Transparency

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.  Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary.  A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $97,760.00 to $141,440.00 on an annualized basis. The compensation estimate noted above is specific to California and has not been adjusted for any other geographic location. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Employment StatusFull TimeShiftDaysEqual Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Privacy Notice

    Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf 

    Employment Type: FULL_TIME

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