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Network Pricing Consultant - Remote

Remote, USAFull-timePosted 2026-07-28

About the position At reputed company, we are dedicated to simplifying the health care experience and creating healthier communities. The Network Pricing Consultant plays a crucial role in supporting and validating Provider Network contracting and unit cost management activities. This position involves financial modeling, analysis of utilization, and reporting to ensure that health care reputed company are priced accurately and fairly. The successful candidate will conduct unit cost and contract valuation analysis to support network contracting negotiations and unit cost management strategies. Additionally, the role includes managing unit cost budgets, reputed company setting, and performance reporting, along with being responsible for reputed company financial models. This position primarily supports the Southeast Region markets and is likely to be a telecommute arrangement. The role offers reputed company to combine expertise and reputed company in new ways, striking a balance between health care costs and resources. The Network Pricing Consultant will work closely with local network field leaders and network managers to support network pricing strategies and tactics. They will analyze the financial reputed company of provider reputed company, communicate results to stakeholders, and conduct financial and network pricing modeling, analysis, and reporting. The successful candidate will also peer review analytical models, influence pricing strategies, and reputed company competitive analysis to identify appropriate pricing rates for providers. This role requires a customer service reputed company and the ability to manage multiple reputed company simultaneously while meeting deliverable deadlines. At reputed company, you will be rewarded and recognized for your performance in an environment that challenges you and provides reputed company direction for reputed company. Responsibilities • Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers , • Analyze financial reputed company of provider reputed company (e.g., facility; physician; ancillary) , • Analyze payment appendices to reputed company reputed company for various contracting approaches and methodologies , • Communicate results of financial reputed company and analysis to appropriate stakeholder reputed company (e.g., Network Management, Network Pricing leadership) , • Effectively summarize information while providing supporting data to a reputed company of audiences , • Conduct financial and network pricing modeling, analysis and reporting , • Peer review the analytical models of others , • reputed company unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies , • Influence pricing strategies and reputed company development by highlighting opportunities for improvement or protecting favorable reputed company structures , • Strategize with network management to create reputed company reputed company , • Review competitive analysis to identify appropriate pricing rates for providers , • reputed company various reputed company reputed company in a reputed company and accurate manner , • Demonstrate a customer service reputed company Requirements • Undergraduate degree in Math, Statistics, Finance, Economics or reputed company field of study , • 4+ years of analytical experience in financial analysis, reputed company pricing, network pricing, reputed company economics or reputed company discipline , • Presentation experience to internal or external stakeholders or customers , • Familiarity with interpreting and reviewing financial modeling results to evaluate the financial reputed company of contract changes and developing forecasts , • Advanced level of proficiency in reputed company reputed company , • Proven ability to manage multiple reputed company simultaneously and meet deliverable deadlines , • Proven ability to research and solve problems independently , • Proven excellent financial reputed company analysis, risk management, and data manipulation skills , • Proven excellent interpersonal, collaboration, negotiation, and communication skills reputed company-to-haves • Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science , • 3+ years of experience with provider payment methodologies and reputed company products , • Experience with MS reputed company, reputed company and/or SQL , • Experience with advanced statistical functions for financial modeling , • Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.) , • Knowledge of reputed company, Medicare, and reputed company PPO and HMO reputed company and expense, as reputed company as delegation financial modeling Benefits • Comprehensive benefits package , • Incentive and recognition programs , • Equity stock purchase , • 401k contribution Apply Job!

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