Network Pricing Manager, IFP - Remote

Overview

This role supports the Individual and Family Plan (IFP) initiative by developing, organizing, and producing analyses and reporting that inform business decisions. The work includes discussing insights derived from these materials with internal stakeholders to support further action as needed. Through strategic partnerships, the position builds and maintains actionable financial models to help support the long-term sustainability of IFP business.

Remote work is available from anywhere within the U.S., with the requirement to work Central Standard Time Zone and Eastern Standard Time Zone hours.

Responsibilities

Financial Modeling and Strategic Analysis

• Assist in maintaining and enhancing financial models supporting actuarial, financial, utilization, network design, and pricing initiatives
• Direct and prioritize recurring and ad hoc analytical work to meet business commitments
• Guide cross-functional teams in resolving complex and non-standard analytical and operational issues
• Critically evaluate information from multiple sources and reconcile discrepancies
• Ensure data and process transparency to support methodology integrity and effective delegation for department learning, growth, and task ownership

Business Partnership

• Demonstrate a supportive, customer service mindset
• Present recommendations, risks, and financial implications to business leaders and cross-functional stakeholders
• Proactively anticipate and prioritize business needs and develop solutions to meet them
• Effectively inform and persuade IFP network decisions with summarized analytics while providing supporting data to a variety of audiences
• Ensure consistent network pricing methodologies and analytical standards across assigned markets

Innovation and Process Improvement

• Identify opportunities to improve processes and specifically target improvements related to data reliability, efficiency, and quality (implement and scale best practices)
• Assist in building, supporting, enhancing, and maintaining reports, models, and dashboards
• Deploy new processes, tools, and models to advance modeling capabilities in a changing environment
• Establish and monitor team quality-control standards to ensure accuracy and integrity of forecasts, pricing models, and reporting
• Create and maintain applicable project documentation for assigned initiatives

Requirements

• 6+ years of analytical experience in financial analysis, health care pricing, network management, health care economics, or a related discipline
• 6+ years of experience with provider payment methodologies and healthcare products
• 6+ years of experience creating and using financial modeling tools, spreadsheets, and information acquisition tools
• Demonstrated progression of technical expertise related to acquisition of new tools and methodologies
• Advanced proficiency in performing financial impact analysis, risk management, and data manipulation
• Advanced proficiency with Excel and PowerPoint
• Proven excellent oral and written presentation skills, along with time/project management, problem solving, and organization skills
• Willing and able to work Central Standard Time Zone and Eastern Standard Time Zone hours

Preferred Qualifications

• Knowledge and intermediate proficiency in PowerBI, SQL, Snowflake
• Experience applying AI-enabled tools to improve analytical efficiency, automate workflows, and support data-driven decision making

Compensation & Benefits

• Salary range: $91,700 - $163,700 annually based on full-time employment
• Pay is based on several factors including local labor markets, education, work experience, certifications, etc.
• Benefits may include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (benefits are subject to eligibility requirements)

Location

• Remote work from anywhere within the U.S.
• Must be willing and able to work Central Standard Time Zone and Eastern Standard Time Zone hours

Additional Information

• Application will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected; the posting may come down early due to volume of applicants.
• Remote employees are required to adhere to the company Telecommuter Policy.
• Candidates are required to pass a drug test before beginning employment.