Senior Healthcare Pricing Subject Matter Expert
B
Blake Willson GroupFederal Healthcare
Remote, USFull-TimeSenior
Salary100,000 - 150,000 USD per year
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Job Details
- Experience
- 6+ years
- Required Skills
- Data AnalysisFinancial analysis
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 or source-selection teams.
- Demonstrated experience with proposal evaluation and price analysis under FAR Part 15.
- 6+ years of experience in Federal healthcare pricing (e.g., VA/VHA, CMS, DHA/TRICARE, HHS).
- Expertise in managed-care, provider-network, third-party administrator, or large-insurer pricing.
- Experience developing Price Analysis Reports, fair-and-reasonable determinations, and negotiation memoranda.
- Ability to translate complex pricing analyses into clear, defensible findings and recommendations.
- Experience evaluating proposal clarifications, revisions, and Final Proposal Revisions (FPRs).
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, cross-references, and supporting documentation.
- Normalize and compare competing proposals using independent estimates, historical results, market benchmarks, and Government data.
- Identify deficiencies, outliers, unsupported assumptions, inconsistencies, ambiguities, 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.
- Update analyses through clarifications, proposal revisions, negotiations, and Government direction.
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