Pricing Analyst Senior

Novant Health; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Sr. Pricing Analyst to develop new pricing-related consumer products and strategies. The role requires excellent analytical skills for evaluating healthcare costs, managing large datasets, and presenting findings effectively. A Bachelor’s degree and a minimum of five years in healthcare analysis are required, with knowledge of pricing and finance being essential.

Qualifications

• Minimum five years of experience in healthcare analysis required.
• Ability to distill data to salient information and present in a concise manner required.

Responsibilities

• Developing new pricing-related consumer products and strategy.
• Evaluating healthcare total cost of care risk and opportunities.
• Utilizing internal data systems to drive analyses.

Skills

Excellent analytical skills

Ability to manipulate large data sets

Familiarity with coding practices (CPT4, ICD10CM, DRGs)

Knowledge of pricing and healthcare finance

Excellent communication skills

Education

Bachelor’s Degree in Accounting, Finance, Economics, Health Care Administration

Graduate Degree

Tools

MS Office (Excel and Access)

SQL

SAS/Webi

Job description

Job Summary

Novant Health Business Development and Sales Financial Strategy team develops, evaluates and implements pricing strategies and tactics for all markets, facilities, services and payors across Novant Health. The team creates negotiation analytics and maintains approximately $5B annual operating revenue from commercial and government contracts including performance and value based care. Business Development and Sales Financial Strategy is responsible for all pricing strategy decisions including more than 15 facility charge masters covering every billable item at Novant Health. The Financial Strategy team provides thought leadership and financial analysis for various and new emerging payment arrangements including risk models, episodic contracts and other strategic projects. Companywide pricing strategy, market competitiveness and go-to-market approaches are developed and set for Novant Health by the Business Development & Sales Financial Strategy group.

Business Development and Sales responsibilities are constantly evolving and currently represent key components of Novant Health’s strategic imperatives. The department consists of 2 teams: payor relationship management and financial strategy. The Sr. Pricing Analyst role is in the financial strategy group. This group partners with the executive team, facility and medical group leadership, service line administration, and other Consumer Strategy teams to bring transformational ideas to the organization.

Responsibilities

• Developing new pricing-related consumer products and strategy
• Conducting thorough analysis of internal and external factors surrounding payor negotiations and renewals as well as ongoing proposal development and evaluation
• Evaluating healthcare total cost of care risk and opportunities for populations
• Predicting downstream impact to Novant Health of changing utilization under risk arrangements
• Developing internal episode initiatives including but not limited to CMS and commercial episodes
• Utilizing internal data systems and external data to drive analyses.

Qualifications

• Education: Bachelor’s Degree in Accounting, Finance, Economics, Health Care Administration or related field, required. Graduate Degree, preferred.
• Experience: Minimum five years of experience in healthcare analysis, required.
• Additional Skills (required):
  • Excellent analytical skills and ability to manipulate large data sets from multiple systems using MS Office (including Excel and Access), Familiarity with current common coding practices including CPT4, ICD10CM, and DRGs, as well as current Medicare reimbursement methodologies.
  • Knowledge of pricing, healthcare finance, managed care, provider incentives and risk contracting required.
  • Ability to distill data to salient information and recommendations to present findings of all analyses in a logical, concise manner required. Excellent communication skills and ability to interact with all levels of management at Novant Health.
  • Basic accounting, financial or economic analytic skills
• Additional Skills (preferred):
  • Understanding of healthcare alternate payment models, value based care and risk contracts (Commercial and Government segments)
  • Health insurance experience
  • SQL, SAS/Webi or other database management tool experience