Network Pricing Manager, IFP - Remote

Overview

This role supports the Individual and Family Plan (IFP) initiative through development, organization, and production of analyses and reporting. You will discuss findings and insights with internal stakeholders and, as needed, support additional action. The position also partners across internal and external assets to build and maintain actionable financial models that inform business decisions related to the long-term sustainability of IFP business.

Remote work is available from anywhere within the U.S.

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, delegation of tasks, and department learning opportunities and growth

Business Partnership

• Maintain 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
• Inform and support IFP network decisions using 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 and implement process improvements related to data reliability, efficiency, and quality (including implementing and scaling best practices)
• Build, support, enhance, and maintain 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 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 level proficiency in performing financial impact analysis, risk management, and data manipulation
• Advanced level proficiency with Excel and PowerPoint
• Proven excellent oral and written presentation skills, 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 level proficiency in PowerBI, SQL, Snowflake
• Experience applying AI-enabled tools to improve analytical efficiency, automate work flows, 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 but not limited to 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 subject to eligibility requirements)

Location

• Remote within the U.S.

Additional Information

• Employees working remotely are required to adhere to the organization’s Telecommuter Policy.
• This role will require the ability to work Central Standard Time Zone and Eastern Standard Time Zone hours.
• A drug test is required before beginning employment.
• Application deadline: 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.
• The organization is an Equal Employment Opportunity employer and provides consideration without regard to protected characteristics under applicable law.