The Opportunity
This is not a traditional pricing role. As Head – Commercial Pricing & Revenue Integrity, you will lead the enterprise's pricing strategy, contract governance, and revenue protection initiatives to ensure sustainable growth and profitability.
You will sit at the intersection of Strategic Accounts, Finance, Business Development, Clinical Operations, and Revenue Cycle Management—ensuring the organization not only negotiates profitable agreements but also captures every dollar of revenue it has earned. From commercial pricing and contract compliance to deal modeling and revenue leakage prevention, you will play a critical role in optimizing financial performance across the enterprise.
This role is ideal for a commercially minded leader who combines financial rigor, strategic thinking, and strong stakeholder influence.
What You'll Actually Do
Lead Commercial Pricing Strategy
- Develop and execute enterprise-wide pricing strategies for corporate, HMO, insurance, and institutional accounts.
- Design pricing architectures, packages, bundles, capitation arrangements, and value-based pricing models that balance competitiveness and profitability.
- Anticipate market challenges and opportunities while ensuring alignment with broader organizational strategy.
Drive Revenue Integrity
- Identify and eliminate revenue leakage, including underpayments, incorrect billing configurations, missing charges, unauthorized discounts, and pricing variances.
- Establish controls and audit mechanisms that ensure contract terms are consistently reflected in actual billing.
- Ensure agreements translate accurately into charge master and billing structures across hospitals and clinics.
Lead Commercial Analysis & Deal Evaluation
- Conduct profitability reviews, business case development, NPV analysis, financial modeling, and valuation analysis.
- Support strategic deal negotiations through financial insights, scenario planning, and pricing recommendations.
- Develop pricing guardrails that support profitable commercial decisions.
Manage Strategic Contracts
- Lead delivery and oversight of the organization's contract management program.
- Personally manage mission-critical agreements and strategic commercial relationships.
- Ensure pricing, commercial terms, and compliance obligations remain aligned with business objectives.
Support Business Planning & Growth
- Develop annual business plans, budgets, revenue targets, and key performance indicators.
- Partner with Strategic Account Managers and Business Development teams to support growth initiatives.
- Utilize competitive and market intelligence to optimize commercial yield and maintain market competitiveness.
Build Capability & Lead Teams
- Lead and develop commercial pricing and strategic account teams.
- Coach and mentor team members while establishing performance goals aligned with commercial objectives.
- Evaluate organizational capabilities and implement development initiatives to strengthen pricing and contract management expertise.
Manage Stakeholder Relationships
- Serve as the key bridge between Strategic Accounts, Finance, Clinical Operations, and Business Development.
- Lead stakeholder engagement initiatives to ensure successful execution of pricing strategies and commercial agreements.
- Communicate business information, recommendations, and decisions to executive leadership and key stakeholders.
Who You Are
- A graduate of Finance, Economics, Healthcare Administration, or a related field.
- An MBA or advanced financial certification is highly preferred.
- Brings 6–10 years of experience in healthcare financial management, commercial pricing, managed care contracting, revenue cycle management (RCM), or related disciplines.
- Strong in financial modeling, business case development, pricing analytics, and commercial negotiations.
- Demonstrates strong commercial acumen and the ability to balance market competitiveness with profitability objectives.
- Comfortable influencing senior stakeholders and leading cross-functional initiatives.
What You'll Get
- A highly visible leadership role directly influencing enterprise revenue, profitability, and commercial strategy.
- Exposure to executive leadership, strategic partnerships, and major enterprise initiatives.
- Opportunity to build and shape the organization's commercial pricing and revenue integrity framework.
- A platform to create measurable financial impact across a leading healthcare organization.
If you're looking for a pricing role focused only on calculations and administration—this isn't it.
But if you're ready to shape commercial strategy, protect revenue, and drive enterprise profitability, we want to hear from you.
