Senior Pricing Analyst

Overview

This role involves leading financial and price analysis for proposals supporting a major federal managed healthcare procurement with an estimated aggregate value approaching $1 trillion.

The position is 100% remote.

Clearance

• Must be currently authorized to work in the United States on a full-time basis
• Must have the ability to obtain a Public Trust Security Clearance

Responsibilities

• Lead financial and price analysis of complex managed healthcare proposals valued at nearly $1 trillion.
• Review solicitation requirements, evaluation criteria, contract terms, amendments, and Government guidance to assess proposal compliance.
• Crosswalk Offeror pricing submissions against required structures, contract line items, periods, regions, benefit categories, and supporting data.
• Analyze rates, unit prices, administrative fees, discounts, reimbursement methodologies, escalation factors, trend assumptions, staffing costs, and other key cost drivers.
• Validate pricing workbooks by reviewing formulas, calculations, reconciliations, cross-references, and supporting documentation.
• Normalize and compare competing proposals using independent estimates, historical results, market benchmarks, Government data, and other Offeror submissions.
• Identify deficiencies, outliers, unsupported assumptions, inconsistencies, ambiguities, unbalanced pricing, and potential cost or performance risks.
• Develop clarification questions and evidence-based negotiation recommendations, including proposed positions and potential financial impacts.
• Prepare Price Analysis Reports, executive briefings, comparison tables, decision-support materials, and traceable source-selection workpapers; incorporate actuarial findings as appropriate.
• Update analyses through clarifications, proposal revisions, negotiations, and Government direction while maintaining procurement-sensitive information and meeting accelerated timelines.

Requirements

• Bachelor’s degree in Finance, Accounting, Economics, Business, Healthcare Administration, Mathematics, Statistics, or a related discipline.
• 6+ years of experience providing direct support to Federal Contracting Officers, contracting offices, or source-selection teams, including proposal evaluation and price analysis under FAR Part 15, with experience evaluating clarifications, proposal revisions, and Final Proposal Revisions (FPRs).
• 6+ years of experience in Federal healthcare pricing, preferably supporting VA/VHA, CMS, DHA/TRICARE, HHS, or comparable programs, with demonstrated knowledge of managed-care, provider-network, third-party administrator, or large-insurer pricing.
• 6+ years of experience developing Price Analysis Reports, fair-and-reasonable determinations, POM/PNMs, and pre-/post-negotiation memoranda, with the ability to translate complex pricing analyses into clear, defensible findings and recommendations.

Preferred Qualifications

• Experience supporting Federal proposal evaluations, negotiated acquisitions, clarifications, discussions, and Final Proposal Revisions (FPRs), with knowledge of FAR Part 15 price analysis and acquisition documentation.
• Experience preparing Price Analysis Reports, Price Negotiation Memoranda (PNMs), prenegotiation objectives, evaluation findings, and other negotiation-support documentation.
• Experience supporting large-scale Government healthcare programs, health-plan procurements, managed-care contracts, provider networks, or third-party administrators.
• Federal healthcare experience with VA/VHA, CMS, DHA/TRICARE, HHS, Medicare, Medicaid, VA Community Care, FEHB, or comparable programs.
• Experience evaluating medical and dental claims pricing, utilization, unit costs, provider reimbursement, network pricing, administrative fees, trend and escalation assumptions, and value-based or risk-sharing arrangements.
• Experience working with healthcare claims, encounter, eligibility, provider, utilization, and reimbursement data, with proficiency in Power Query, Power BI, SQL, Python, R, or similar analytical tools.
• Relevant professional certification such as CPCM, CFCM, CCEA, CPA, CMA, CFA, or comparable credential.