Lead Proposal and Pricing Analyst

This is a fully remote position, open to applicants in Florida.

📋 Description

• Spearhead the creation of pricing strategies for new business opportunities, renewals, and strategic client expansions.

• Evaluate extensive healthcare data and develop comprehensive pricing models that encompass utilization, PMPM trends, network economics, and administrative cost assumptions.

• Convert clinical, network, and operational assumptions into clear and defensible financial models.

• Establish and maintain benchmarks for various lines of business utilizing historical utilization, cost, and performance trends to guide pricing assumptions and proposal strategies.

• Examine historical trends to pinpoint key cost and utilization drivers, variability, and risks across different products, markets, and populations.

• Execute scenario analysis, sensitivity testing, and margin assessments to inform pricing decisions aimed at achieving competitive advantage.

• Prepare and deliver pricing insights, financial justifications, and trade-off analyses to executive stakeholders and health plan partners.

• Oversee the complete pricing workflow for proposals, covering intake, prioritization, modeling, review, and final submission.

• Collaborate closely with Sales, Growth, Product, Network, and Clinical teams to ensure alignment of technical, operational, and financial elements.

• Generate executive-ready pricing summaries and recommendations for review by leadership.

• Facilitate discussions with health plan partners by clearly articulating pricing assumptions, utilization drivers, and value propositions.

• Partner with Finance to track performance, conduct variance analysis, and continuously refine pricing assumptions.

• Contribute to the ongoing enhancement of pricing tools, templates, benchmarking frameworks, and governance processes.

• Undertake additional responsibilities as required.

⛳️ Requirements

• Bachelor’s degree in Finance, Accounting, Statistics, Actuarial Science, Healthcare Informatics, or a related discipline.

• Over 5 years of experience in healthcare pricing, proposal analytics, financial analysis, or revenue management.

• More than 4 years of advanced skills in SQL, Excel (including PowerPivot and Power Query), and Power BI.

• Experience in pricing healthcare services, managed care arrangements, specialty healthcare solutions, and reimbursement models.

• Proven ability to work with complex, large datasets and translate assumptions into clear financial insights.

• Strong analytical skills with a structured, detail-oriented approach to problem-solving.

• Exceptional communication skills, capable of presenting pricing recommendations to senior leadership effectively.

• Competence in managing multiple simultaneous proposals in a fast-paced, deadline-oriented environment.

🏝️ Benefits

• Comprehensive healthcare coverage.

• Flexible work hours and remote work options.

• Opportunities for professional development and career advancement.

• Employee wellness programs and initiatives.