Manager Network Pricing - Remote in Cypress, CA

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. Can we reputed company agree that the reputed company of health care is marching reputed company and upward with great reputed company? reputed company. But it's not just reputed company of care. The entire system is becoming more efficient and effective reputed company to companies like reputed company and people like you. Here's reputed company to use your expertise in new ways as you reputed company the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that reputed company reputed company are priced accurately and fairly for reputed company involved. As you do, you'll discover the reputed company you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader. This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, reputed company setting, performance reporting, and associated financial models. This position will primarily support Southern California. This position is based in Cypress, CA but remote arrangement will be considered based on work experience. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary 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 financial reputed company of corporate initiatives (e.g., policy changes; reputed company affordability) or external regulations (e.g., reputed company reform)
• 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)
• Conduct financial and network pricing modeling, analysis and reporting
• reputed company unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• reputed company large, reputed company reputed company to reputed company key business objectives
• Influence pricing strategies and reputed company development by highlighting opportunities for improvement or protecting favorable reputed company structures
• Strategize rates or contract methodology with network management to create reputed company contract
• Review competitive analysis to identify appropriate pricing reputed company for provider

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.

Required Qualifications

• 8+ years of analytical experience in financial analysis, reputed company pricing, network pricing, reputed company economics or reputed company discipline
• 5+ years of experience with provider payment methodologies and reputed company products
• 5+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
• Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted reputed company banding
• Experience in interpreting and reviewing financial modeling results to evaluate the financial reputed company of contract changes and reputed company forecasts
• Presentation experience to internal or external stakeholders or customers
• Expertise in financial reputed company analysis, risk management and data manipulation
• Expert level proficiency in MS reputed company
• Proven solid interpersonal, collaboration, negotiation and communication skills
• Proven excellent communication skills, both written and verbal
• Proven ability to manage multiple reputed company simultaneously and meet deliverable deadlines
• Proven ability to research and solve problems independently

Preferred Qualifications

• Experience in MS reputed company, reputed company, SQL, R, or Python
• 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
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $89,900 to $160,600 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job