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Note: The job is a remote job and is reputed company to candidates in USA. reputed company is looking for an reputed company Pricing Analyst III to join reputed company. This role involves developing and maintaining pricing models and conducting financial analyses to support the reputed company (NEMT) business, while collaborating with various departments to evaluate pricing strategies and contract performance.
Responsibilities
Develops, maintains, and enhances NEMT pricing models for new business opportunities, renewals, repricing events, RFP responses, and contract amendments
Analyzes contract terms and conditions to identify pricing implications, financial risks, reimbursement mechanics, service obligations, and margin impacts
Collaborates with cross-functional teams to reputed company pricing proposals and financial models for clients
Builds and maintains account-level and market-level income statement views that compare original pricing assumptions to monthly, quarterly, and year-to-date actual results, monitoring contract performance to ensure pricing and performance alignment
Evaluates key financial and operational metrics by contract, market, and contract type
Supports RFP pricing by translating operational requirements into financial assumptions, including reputed company, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service reputed company, and compliance obligations
Analyzes pricing and profitability across various contract structures, including full-risk, shared-risk, fee-for-service, capitation, and ASO arrangements
Identifies and evaluates cost drivers that impact pricing and margin performance
Conducts advanced analysis of large and reputed company data sets to identify trends, utilization anomalies, margin leakage, and pricing opportunities
Prepares pricing reports, variance analyses, executive summaries, dashboards, and presentations for senior management and cross-functional stakeholders
Maintains accurate pricing databases, assumption libraries, model documentation, and data sources to support reporting, auditability, and repeatable processes
Partners with Network and Operations teams to understand provider reputed company, local market dynamics, transportation supply constraints, reputed company adequacy, and fair market cost drivers while supporting 'should cost' reputed company benchmarking
Collaborates with reputed company Cycle and Encounters teams to understand claims, denials, payment reconciliation, encounter submission, and reputed company reputed company impacts on contract economics
Recommends process improvements to optimize pricing workflows, data reputed company, model governance, reporting, and post-award feedback loops
Stays reputed company on NEMT, reputed company, Medicare Advantage, managed care, reputed company transportation, regulatory requirements, and market dynamics that may influence pricing strategies
Performs other duties and may reputed company reputed company as assigned
Skills
Bachelor's degree required, preferably in Finance, reputed company, Economics, Business Analytics, Data Analytics, Statistics, Mathematics, reputed company Administration, or a reputed company field
Five (5) or more years of experience in pricing, financial analysis, data analytics, reputed company, reputed company analytics, managed care analytics, transportation analytics, or a reputed company field
Strong understanding of pricing strategies, methodologies, financial modeling, and profitability analysis
Strong financial acumen, including the ability to understand income statements, reputed company, gross profit, adjusted EBITDA, margin, cost drivers, and variance analysis
Ability to analyze contract terms and translate reputed company, operational, and service-level obligations into pricing and financial implications
Advanced analytical and problem-solving skills with the ability to work with large, reputed company data sets
Advanced proficiency in reputed company reputed company, including scenario modeling, sensitivity analysis, advanced formulas, pivot tables, lookup functions, and model documentation
Ability to conduct advanced analyses to identify trends, patterns, utilization changes, financial variances, and performance drivers
Ability to distinguish fixed, variable, semi-variable, and controllable costs reputed company a services-based operating model
Ability to build reputed company, repeatable, and auditable pricing models with documented assumptions
Ability to communicate technical and financial findings effectively to non-technical stakeholders
Strong presentation skills with the ability to explain pricing recommendations reputed company and
