Enterprise Pricing Architect

MultiCare Health System
2d

About The Position

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: M-F, 7AM - 4PM Position Summary The Enterprise Pricing Architect leads the development, maintenance, and optimization of enterprise pricing strategies for $20B+ of hospital and professional services gross revenue. This role analyzes charge structures, reimbursement methodologies, and market competitiveness to advance organizational financial objectives. By collaborating closely with senior Revenue Integrity, Payer Contracting, Finance, and Operational leadership, the Architect ensures pricing decisions optimize reimbursement and support strategic objectives. The Architect also ensures that system algorithms and fee schedules are accurately configured, and regulatory compliance is maintained. The ideal candidate combines advanced analytical skills with strong business acumen and the ability to translate complex financial data into actionable recommendations for executive audiences.

Requirements

  • Bachelor’s degree in Healthcare or Business Administration required, with a concentration in accounting, finance or other related field highly preferred.
  • Minimum five (5) years of experience in healthcare financial analysis, revenue integrity, pricing, reimbursement, or related analytical roles in a healthcare setting required.
  • Systems experience and proficiency with Epic, SQL, Microsoft Outlook, PowerPoint, Word, and advanced Excel techniques.

Nice To Haves

  • Hands-on experience with hospital/physician pricing, CDM management, or reimbursement modeling strongly preferred.

Responsibilities

  • Develop, maintain, and implement a comprehensive pricing strategy for hospital and professional services that aligns with organizational goals, industry benchmarks, and payer reimbursement methodologies.
  • Lead annual pricing reviews, recurring rate updates, and charge structure evaluations, ensuring pricing decisions support financial sustainability, competitive market positioning, and margin integrity.
  • Utilizing SQL, Epic Clarity, and advanced Excel techniques, build complex analytical models to extract, analyze, and interpret gross and net revenue impacts on pricing, factoring in specific payer reimbursement rates, pricing elasticity, competitor pricing, and cost, as necessary.
  • Conduct benchmarking using state databases, commercial pricing tools, and peer comparisons to evaluate market competitiveness; identify pricing outliers, inconsistencies, or opportunities for strategic adjustment; and recommend pricing refinements that balance competitiveness, reimbursement, and patient affordability.
  • Develop executive-level reports for each business unit to guide strategic decision-making and partner with Finance teams to incorporate future price changes into the budgeting process.
  • Support compliance with CMS and state-level price transparency requirements by provisioning data and overseeing pricing data accuracy for public-facing tools; collaborate with internal and external audit teams; and monitor regulatory changes impacting pricing, reimbursement, and charge strategy.
  • Collaborate with clinical and operational stakeholders on new service evaluations, program expansions, and budget variance assessments.
  • Partner with Revenue Integrity to ensure Epic fee schedules and algorithms result in expected pricing, auditing performance and facilitating changes as needed.

Benefits

  • Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future
  • Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life
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