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Price Transparency Healthcare Jobs (NOW HIRING)

$85.90K - $108.40K/yr

Ensure compliance with federal and state price transparency regulations by preparing and ... Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment ...

Director Pre-Services

Chapel Hill, NC · On-site +1

$59.51 - $85.54/hr

... for the Health Care System, including strategic planning, capital and operational budgeting ... price transparency, billing, pre and post claim edits, and denials for hospital and physician ...

$85.90K - $108.40K/yr

Ensure compliance with federal and state price transparency regulations by preparing and ... Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment ...

Sr. Managed Care Contract and Data Analyst

$88K - $111.10K/yr

Ensure compliance with federal and state price transparency regulations by preparing and ... Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment ...

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Price Transparency Healthcare information

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

To thrive as a Price Transparency Healthcare Specialist, you need strong analytical skills, a solid understanding of healthcare regulations, and a background in health administration or finance. Familiarity with healthcare billing software, data analytics tools, and compliance platforms such as CMS price transparency requirements is essential. Excellent attention to detail, problem-solving abilities, and effective communication are standout soft skills in this role. These skills ensure accurate data reporting, regulatory compliance, and clear communication of pricing information to patients and stakeholders.

How does a Price Transparency Healthcare professional collaborate with clinical and administrative teams to ensure accurate cost data is available to patients?

A Price Transparency Healthcare professional works closely with both clinical staff and administrative departments to gather, validate, and communicate the costs of medical procedures and services. This often involves coordinating with billing teams, IT specialists, and care providers to ensure that the pricing information presented to patients is both accurate and up-to-date. Regular meetings and data checks are common to resolve discrepancies and address changes in pricing structures. Effective collaboration helps enhance patient trust and compliance with federal transparency regulations.

What is price transparency in healthcare?

Price transparency in healthcare refers to the practice of making information about the costs of medical services, procedures, and medications easily accessible to patients and consumers. This enables individuals to compare prices across providers before receiving care, helping them make informed decisions and potentially lowering their healthcare costs. Regulations and initiatives are increasingly requiring hospitals and insurers to disclose pricing information to promote fairness and competition in the healthcare market.

What is the difference between Price Transparency Healthcare vs Medical Billing Specialist?

AspectPrice Transparency HealthcareMedical Billing Specialist
Required CredentialsKnowledge of healthcare pricing, billing policiesMedical coding certification, billing training
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Industry UsageFocuses on providing cost info to patientsHandles billing, coding, claims processing

Price Transparency Healthcare professionals focus on providing clear cost information to patients, while Medical Billing Specialists handle coding and billing processes. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

Infographic showing various Price Transparency Healthcare job openings in the United States as of May 2026, with employment types broken down into 70% Full Time, 10% Part Time, and 20% Temporary. Highlights an 70% In-person, and 30% Remote job distribution.
Director, Contract & Pricing

Director, Contract & Pricing

Viona Pharmaceuticals Inc

Cranford, NJ • On-site

Full-time

Posted 17 days ago


Job description

Description:

Viona Pharmaceuticals is a fast-growing generic pharmaceutical company with its headquarters in Cranford, NJ. Viona is a wholly owned subsidiary of Zydus Lifesciences Limited, India, a fully integrated, global healthcare provider. Viona is dedicated to marketing and distribution of high-quality oral solids and topicals. With a growing presence in the industry, we focus on creating a positive work environment where employees are encouraged to develop their skills, contribute ideas and grow professionally.

We are looking for a competent Director of Pricing and Contracts to lead, manage and oversee the Pricing and Contracts functions

RESPONSIBILITIES:

· Responsible for all aspects of commercial contracts and supporting team

o Language, terms, and protection clauses

o Pricing, inventory limits, rebate structure, returns, shelf stock

o Unique structures – off invoice, tiered purchase rebates, etc.

o Addendums and offers

o Discontinuation notices

o Price changes and competitive responses

o Full line bids, retractions, and bid updates

o System load-in, updates, and reporting

o Historical pricing, customer challenges, and manufacturer trends

o Overall contract maintenance and review for compliance

· Full responsibility for all P&Ls and margin management for new and existing business

o Review and assess customer price requests, taking into account product strategies, market dynamics, customer relationships, and profitability

o Review and assess pricing for customer RFP and bids accounting for overall impact on sales and profitability

· Lead for pricing committee when pricing set below a set margin, new best price, or other significant price changes

· Responsible for on-going review of commercial business for profitability

· Responsible for all communications with pricing services and setting our list pricing

· Responsible for State Price Transparency Reporting

· Responsible for retail and institutional generic, animal health, and 505(b)(2) portfolios

· Ensure SOPs related to pricing and contracting are maintained and updated as needed

· Lead and coach direct reports on the pricing and contracts team

· Work with IT to effectively manage the bid management system and ensure data is maintained in the system accurately

· Assist with any other ad hoc projects as needed

Requirements:QUALIFICATIONS – SKILLS & REQUIREMENTS:

· Excellent Excel and Word skills required

· Extensive experience with SAP and Vistex preferred

· Strong communication skills

· Strong analytical and problem-solving abilities

· Analytical with a keen attention to detail

· Ability to work both independently and in a team environment

· Self-starter who can be effective with minimal supervision

· Ability to grasp concepts and ideas quickly and thrive in a fast-paced environment

· Must be legally authorized to work in the United States without restriction

· Must be 18 years of age or older

EDUCATION & EXPERIENCE:

· Bachelor’s degree or equivalent work experience

· Pharmaceutical/generics experience preferred

TRAVEL:

· Limited