Senior Network Pricing Consultant, Missouri - Remote

Overview

This role supports strategic and financial work to ensure healthcare contracts are priced accurately and fairly. You will perform unit cost and contract valuation analysis to support provider network contracting and unit cost management activities across multiple provider types.

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

Responsibilities

• Anticipate emerging customer needs and develop innovative solutions
• Contribute to the development of business strategy
• Influence senior leadership to adopt new ideas, products, and approaches
• Lead cross-functional and cross-segment teams
• Serve as a trusted subject-matter expert
• Provide leadership and mentorship to colleagues
• Support and validate provider network contracting and unit cost management activities across physicians, hospitals, pharmacies, ancillary facilities, and other provider types through financial and network pricing modeling, analysis, and reporting
• Conduct unit cost and contract valuation analyses to support network contracting negotiations and unit cost management strategies
• Manage unit cost budgets, target setting, performance reporting, and related financial models
• Develop innovative analytical approaches to improve pricing accuracy and business outcomes
• Review the work of others and recommend improvements

Required Qualifications

• 5+ years of analytical experience in financial analysis, health care pricing, network management, healthcare economics or related discipline
• 5+ years of experience with provider payment methodologies and health care products
• 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
• Expertise in financial impact analysis, risk management and data manipulation
• Expert level proficiency in MS Excel

Preferred Qualifications

• Experience with medical coding (CPT, ICD-9, ICD-10, etc.)
• Knowledge of MS Access

Compensation & Benefits

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• In addition to salary, benefits may include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).
• Salary range for this role: $xx,xxx to $xx,xxx annually based on full-time employment.
• We comply with all minimum wage laws as applicable.

Location

• Remote (from anywhere within the U.S.)

Additional Information

• Employees working remotely will be required to adhere to the organization’s Telecommuter Policy.
• 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.
• A drug test is required before beginning employment.