Bachelor's degree in Finance, Accounting, Statistics, Actuarial Science, Healthcare Informatics, or a related field
5+ years of experience in healthcare pricing or financial analysis
4+ years of advanced proficiency in SQL, Excel (PowerPivot and Power query), and Power BI
Experience with pricing healthcare services and reimbursement models
Ability to work with large datasets and translate assumptions into financial insights
Strong analytical judgment with detail-oriented problem-solving skills
Excellent communication skills for presenting to senior leadership
Ability to manage multiple proposals in a fast-paced environment.
Responsibilities
Lead development of pricing strategies for new business and renewals
Analyze healthcare data to build robust pricing models
Translate clinical and operational assumptions into financial models
Create benchmarks using historical trends to inform pricing
Conduct scenario analysis and margin evaluation for pricing decisions
Prepare and present pricing insights and financial rationale to stakeholders
Own the end-to-end pricing workflow for proposals
Coordinate with cross-functional teams to align pricing components
Create executive-ready pricing summaries for leadership review
Lead discussions with health plan partners on pricing assumptions
Partner with Finance on performance tracking and pricing refinements
Contribute to improvement of pricing tools and governance processes
Benefits
Health, dental, and vision insurance
401(k) retirement plan with employer match
Generous paid time off and holidays
Opportunities for professional development and growth
Flexible work arrangements available
Full Job Description
Key Responsibilities
Lead development of pricing strategies for new business, renewals, and strategic client expansions
Analyze large volumes of healthcare data and build robust pricing models incorporating utilization, PMPM trends, network economics, and administrative cost assumptions
Translate clinical, network, and operational assumptions into clear, defensible financial models
Create and maintain benchmarks by line of business using historical utilization, cost, and performance trends to inform pricing assumptions and proposal strategy
Analyze historical trends to identify key cost and utilization drivers, variability, and risks across products, markets, and populations
Conduct scenario analysis, sensitivity testing, and margin evaluation to inform price-to-win decisions
Prepare and present pricing insights, financial rationale, and trade-off analyses to executive stakeholders and health plan partners
Own the end-to-end pricing workflow for proposals, including intake, prioritization, modeling, review, and final submission
Coordinate closely with Sales, Growth, Product, Network, and Clinical teams to align technical, operational, and financial components
Create executive-ready pricing summaries and recommendations for leadership review
Lead discussions with health plan partners by clearly explaining pricing assumptions, utilization drivers, and value propositions
Partner with Finance on performance tracking, variance analysis, and ongoing refinement of pricing assumptions
Contribute to continuous improvement of pricing tools, templates, benchmarking frameworks, and governance processes
Perform other duties as needed.
Required Qualifications
Bachelor's degree in Finance, Accounting, Statistics, Actuarial Science, Healthcare Informatics, or a related field
5+ years of experience in healthcare pricing, proposal analytics, financial analysis, or revenue management
4+ years of advanced proficiency in SQL, Excel (PowerPivot and Power query) and Power BI.
Experience pricing healthcare services, managed care arrangements, specialty healthcare solutions, and reimbursement models
Demonstrated ability to work with complex and large datasets and translate assumptions into clear financial insights
Strong analytical judgment with a structured, detail-oriented approach to problem-solving
Excellent communication skills, with the ability to present pricing recommendations to senior leadership
Ability to manage multiple concurrent proposals in a fast-paced, deadline-driven environment.
Preferred Qualifications
ASA or FSA Actuarial certification
Experience with predictive modeling using Python or R.
Experience incorporating automation or AI-enabled tools into pricing or analytics workflows.
