Network Pricing Consultant - Remote

Primary Responsibilities

• Support network pricing strategies and tactics, consulting and collaborating with local network field leaders and network managers
• Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
• Analyze payment appendices to provide options for various contracting approaches and methodologies
• Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
• Effectively summarize information while providing supporting data to a variety of audiences
• Conduct financial and network pricing modeling, analysis and reporting
• Peer review the analytical models of others
• Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
• Strategize with network management to create optimal contracts
• Review competitive analysis to identify appropriate pricing rates for providers
• Perform various ad hoc projects in a timely and accurate manner
• Demonstrate a consultative, customer focused mindset

Required Qualifications

• Undergraduate degree
• 5+ years of analytical experience in financial analysis, health care pricing, network management, health care economics or related discipline
• 3+ years of experience with provider payment methodologies and healthcare products
• 2+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Intermediate level of proficiency in performing financial impact analysis, risk management and data manipulation
• Expert level proficiency in MS Excel

Preferred Qualifications

• Undergraduate degree in Math, Statistics, Finance, Economics or related field of study
• 3+ years of experience with provider payment methodologies and healthcare products
• Knowledge of MS Access
• Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling

Pay

The salary for this role will range from $72,800 to $130,000 annually based on full-time employment.