Senior Healthcare Pricing Subject Matter Expert
New
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Blake Willson GroupFederal Healthcare Consulting
Remote, USFull-TimeSenior
Salary100,000 - 150,000 USD per year
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Job Details
- Experience
- 8+ years of experience in progressively responsible pricing, financial analysis, proposal evaluation, healthcare economics, or related analytical work.
- Required Skills
- Microsoft ExcelFinancial analysis
Requirements
- Bachelor's degree in Finance, Accounting, Economics, Mathematics, Actuarial Science, Business, Statistics, Healthcare Analytics, or a related field.
- 8+ years of experience in progressively responsible pricing, financial analysis, proposal evaluation, healthcare economics, or related analytical work.
- 6+ years of experience analyzing managed healthcare pricing (provider reimbursement, network discounts, claims pricing, administrative fees, utilization, trend assumptions, or risk-sharing).
- 6+ years of experience analyzing complex proposals and developing defensible financial conclusions.
- Advanced Excel and financial modeling skills.
- Strong technical-writing skills.
- 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, and staffing costs.
- Validate pricing workbooks by reviewing formulas, calculations, reconciliations, and supporting documentation.
- Normalize and compare competing proposals using independent estimates, historical results, market benchmarks, and Government data.
- Identify deficiencies, outliers, unsupported assumptions, inconsistencies, and potential cost or performance risks.
- Develop clarification questions and evidence-based negotiation recommendations, including proposed positions and financial impacts.
- Prepare Price Analysis Reports, executive briefings, comparison tables, and decision-support materials.
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