Lead Proposal and Pricing Analyst

Job not on LinkedIn

🔥 11 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $110k - $115k / year

⏰ Full Time

🟠 Senior

📄 Proposal Manager

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Health Network One

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1999

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification.

📋 Description

• Lead development of pricing strategies for new business, renewals, and strategic client expansions • Analyze large volumes of healthcare data and build robust pricing models incorporating utilization, PMPM trends, network economics, and administrative cost assumptions • Translate clinical, network, and operational assumptions into clear, defensible financial models • Create and maintain benchmarks by line of business using historical utilization, cost, and performance trends to inform pricing assumptions and proposal strategy • Analyze historical trends to identify key cost and utilization drivers, variability, and risks across products, markets, and populations • Conduct scenario analysis, sensitivity testing, and margin evaluation to inform price‑to‑win decisions • Prepare and present pricing insights, financial rationale, and trade‑off analyses to executive stakeholders and health plan partners • Own the end‑to‑end pricing workflow for proposals, including intake, prioritization, modeling, review, and final submission • Coordinate closely with Sales, Growth, Product, Network, and Clinical teams to align technical, operational, and financial components • Create executive‑ready pricing summaries and recommendations for leadership review • Lead discussions with health plan partners by clearly explaining pricing assumptions, utilization drivers, and value propositions • Partner with Finance on performance tracking, variance analysis, and ongoing refinement of pricing assumptions • Contribute to continuous improvement of pricing tools, templates, benchmarking frameworks, and governance processes • Perform other duties as needed.

🎯 Requirements

• Bachelor’s degree in Finance, Accounting, Statistics, Actuarial Science, Healthcare Informatics, or a related field • 5+ years of experience in healthcare pricing, proposal analytics, financial analysis, or revenue management • 4+ years of advanced proficiency in SQL, Excel (PowerPivot and Power query) and Power BI. • Experience pricing healthcare services, managed care arrangements, specialty healthcare solutions, and reimbursement models • Demonstrated ability to work with complex and large datasets and translate assumptions into clear financial insights • Strong analytical judgment with a structured, detail‑oriented approach to problem‑solving • Excellent communication skills, with the ability to present pricing recommendations to senior leadership • Ability to manage multiple concurrent proposals in a fast‑paced, deadline‑driven environment.