Contract Pricing Analyst I
: Job Details :

Job DescriptionThe Contract Pricing Analyst uses industry experience and knowledge to develop pricing models for proposals within Prospect Medical System. Serve as the SME for contract pricing department. Provides consultation, analysis, and guidance to create pricing solutions to maximize profit. Supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary services, etc.) contracting activities through financial and network pricing modeling, analysis, and reporting. Conducts contract valuation analysis in support of Contracting negotiations and cost management strategies.ResponsibilitiesWith limited guidance, develops pricing models for proposals within Prospect Medical System for multiple types of providers (physician, hospital, pharmacy, ancillary services, etc.).|Analyze data from multiple sources and integrate into interactive pricing models including but not limited to clinical, quality, financial, and claims data.|Provides consultation, analysis, and guidance to create pricing solutions to maximize profit. Develops pricing strategies for newly created business growth as well as existing business with limited guidance.|Proactively identify issues and inconsistencies as well as potential risk and pulls ideas, issues, observations, and recommendations into clear and concise presentation to internal clients.|Works with contract leads to identify unit cost savings opportunities and achieve unit cost targets and contracting initiatives. Assists in the design, development, and implementation of advanced ad hoc reports.|Assists in identifying and documenting reporting requirements, extracting and manipulating data from databases, and performing acceptance and QA testing as applicable.|Collaborates with management team in analysis, requiring expertise in procedure codes and claims, identifying problem areas. Develops analysis to identify cause of problem and facilitate a resolution.QualificationsFive or more (5+) years of experience in financial analysis, claims pricing, network management, or economics in the health care environment required. Five or more ( 5+) years of experience in provider payment methodologies and healthcare products required. five or more (5+) years of experience presenting findings to management required. Bachelor's degree or equivalent education and experience in business, finance, economics, mathematics, or related field required. Location-Based Pay Adjustment