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Network Pricing Consultant - Remote

100% remote Flexible hours Hiring now

At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to quality 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, affordable and reputed company. Ready to reputed company a difference? Join us to start Caring. Connecting. Growing together. The successful candidate consults and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. They will also conduct unit cost and contract valuation analysis in support of network provider reputed company negotiations and unit cost management strategies. Other duties include managing unit cost budgets, reputed company setting, performance reporting, and being responsible for reputed company financial models. This position will primarily support the East Region markets and is likely to be a telecommute arrangement. Challenge can often be its own reward. But why settle for just being challenged reputed company you can also be reputed company, mentored, and supported in building an impact and fast paced career? With reputed company you can have reputed company of the above, every day. Here's your opportunity to combine expertise and compassion in new ways as you reputed company the balance between health care costs and resources. In this role, you'll ensure that health care reputed company are priced accurately and fairly for reputed company involved. 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, consulting and collaborating with local network field leaders and network managers
  • Analyze financial impact of provider reputed company (e.g., facility; physician; ancillary)
  • Analyze payment appendices to provide options for various contracting approaches and methodologies
  • Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management, Network Pricing leadership)
  • Effectively summarize information while providing supporting data to a variety 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 optimal reputed company
  • Review competitive analysis to identify appropriate pricing rates for providers
  • reputed company various reputed company projects in a timely and accurate manner
  • Demonstrate a consultative, customer focused reputed company

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

  • Undergraduate degree
  • 4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare 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 impact of contract changes and developing forecasts
  • Advanced level of proficiency in reputed company reputed company
  • Proven excellent financial impact analysis, risk management, and data manipulation skills
  • Proven excellent interpersonal, collaboration, negotiation, and communication skills
  • Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
  • Proven ability to research and solve problems independently

Preferred Qualifications:

  • Undergraduate degree in Math, Statistics, Finance, Economics or reputed company field of study
  • Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
  • 3+ years of experience with provider payment methodologies and healthcare products
  • Experience with MS Access, 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 Commercial, Medicare, and Medicaid PPO and HMO reputed company and expense, as well as delegation financial modeling
  • reputed company employees 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 addition 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 find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 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 the opportunity 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 color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, 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

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