Pricing Analyst

Overview

An organization is seeking an experienced Pricing Analyst III to support its Non-Emergency Medical Transportation (NEMT) business. This role involves developing, maintaining, and enhancing pricing models, repricing analyses, and contract-level financial analytics. The position requires collaboration across Finance, Sales, Business Development, Operations, Network, Product, Revenue Cycle, and Client Management teams to evaluate pricing strategies, contract economics, profitability, and operational performance. The analyst will provide data-driven recommendations for new business, renewals, RFP responses, pricing events, and ongoing contract performance reviews.

Responsibilities

• Develop, maintain, and enhance NEMT pricing models for new business opportunities, renewals, repricing events, RFP responses, and contract amendments.
• Analyze contract terms and conditions to identify pricing implications, financial risks, reimbursement mechanics, service obligations, and margin impacts.
• Collaborate with cross-functional teams to develop pricing proposals and financial models for clients.
• Build and maintain account-level and market-level income statement views comparing original pricing assumptions to actual results on a monthly, quarterly, and year-to-date basis.
• Monitor contract performance to ensure alignment between pricing and operational outcomes.
• Evaluate key financial and operational metrics by contract, market, and contract type.
• Support RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations.
• Analyze pricing and profitability across various contract structures such as full-risk, shared-risk, fee-for-service, capitation, and Administrative Services Only (ASO) arrangements.
• Identify and evaluate cost drivers impacting pricing and margin performance.
• Conduct advanced analysis of large and complex data sets to identify trends, utilization anomalies, margin leakage, and pricing opportunities.
• Prepare pricing reports, variance analyses, executive summaries, dashboards, and presentations for senior management and cross-functional stakeholders.
• Maintain accurate pricing databases, assumption libraries, model documentation, and data sources to support reporting, auditability, and repeatable processes.
• Partner with Network and Operations teams to understand provider capacity, local market dynamics, transportation supply constraints, rate adequacy, and fair market cost drivers, supporting "should cost" rate benchmarking.
• Collaborate with Revenue Cycle and Encounters teams to understand claims, denials, payment reconciliation, encounter submission, and revenue integrity impacts on contract economics.
• Recommend process improvements to optimize pricing workflows, data quality, model governance, reporting, and post-award feedback loops.
• Stay current on NEMT, Medicaid, Medicare Advantage, managed care, healthcare transportation, regulatory requirements, and market dynamics influencing pricing strategies.
• Perform other duties and lead projects as assigned.
• This role does not have supervisory responsibilities.

Requirements

• Bachelor's degree required, preferably in Finance, Accounting, Economics, Business Analytics, Data Analytics, Statistics, Mathematics, Healthcare Administration, or a related field.
• Minimum of five (5) years of experience in pricing, financial analysis, data analytics, FP&A, healthcare analytics, managed care analytics, transportation analytics, or a related field.
• Experience supporting RFPs, renewals, pricing events, contract repricing, financial modeling, or client proposals is strongly preferred.
• Experience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred, or an equivalent combination of education and experience.
• Strong understanding of pricing strategies, methodologies, financial modeling, and profitability analysis.
• Strong financial acumen, including understanding income statements, revenue, gross profit, adjusted EBITDA, margin, cost drivers, and variance analysis.
• Ability to analyze contract terms and translate commercial, operational, and service-level obligations into pricing and financial implications.
• Advanced analytical and problem-solving skills with the ability to work with large, complex data sets.
• Advanced proficiency in Microsoft Excel, including scenario modeling, sensitivity analysis, advanced formulas, pivot tables, lookup functions, and model documentation.
• Proficiency with SQL, data warehouse queries, Python, R, or similar analytical tools preferred.
• Experience with data visualization tools such as Power BI, Tableau, or similar platforms preferred.
• Ability to conduct advanced analyses to identify trends, patterns, utilization changes, financial variances, and performance drivers.
• Ability to distinguish fixed, variable, semi-variable, and controllable costs within a services-based operating model.
• Understanding of contract structures such as full-risk, shared-risk, fee-for-service, capitation, administrative fee, and corridor arrangements preferred.
• Familiarity with NEMT, managed care, Medicaid, Medicare Advantage, healthcare services, transportation, logistics, or provider network economics preferred.
• Ability to build clear, repeatable, and auditable pricing models with documented assumptions.
• Effective communication skills to present technical and financial findings to non-technical stakeholders.
• Strong presentation skills to explain pricing recommendations clearly and persuasively.
• Ability to collaborate effectively across cross-functional teams.
• Strong attention to detail and commitment to data accuracy, documentation, and quality.
• Ability to handle confidential financial, client, pricing, and contract information with discretion.
• Ability to manage competing priorities in a fast-paced, deadline-driven environment.
• Ability to challenge assumptions constructively and recommend practical improvements to pricing, processes, and reporting.
• Ability to work independently while maintaining strong alignment with stakeholders.

Compensation & Benefits

• Salary range: $69,900 - $90,000 annually.

Physical Demands

• Primarily seated work with extensive computer and telephone use.
• Occasional standing, walking, reaching, bending, and lifting up to 10 lbs.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

Location

• Not specified.