Business Analyst - Dental Network Pricing

Guardian Life InsuranceBoston, MA
5dHybrid

About The Position

Position Summary Drive Guardian’s Dental PPO and DHMO network strategy through advanced pricing analytics and data-driven insights. This role focuses on data analysis, evaluating provider economics, modeling fee schedules, and optimizing discount structures to ensure competitive pricing and sustainable network performance. You will be responsible for supporting analytical initiatives that influence reimbursement strategies, pricing proposals, and enhance financial outcomes for Guardian’s dental networks.

Requirements

  • Bachelor’s degree in Finance, Economics, Business, or related field
  • Strong quantitative and analytical skills with a focus on pricing and cost modeling.
  • 0–3 years of experience in financial planning & analysis, corporate strategy, or management consulting.
  • Advanced Excel skills (PivotTables, complex formulas, data modeling).

Nice To Haves

  • Experience with Alteryx or similar data tools (preferred).
  • Familiarity with visualization tools (Tableau preferred).
  • Knowledge of programming languages for data analysis (Python, R, SQL).
  • Understanding of healthcare economics or provider reimbursement structures is a plus.

Responsibilities

  • Support pricing analytics: Model and analyze provider economics, fee schedule impacts, and discount structures to inform strategic pricing decisions.
  • Develop pricing tools and dashboards: Build automated reporting solutions and analytical models to support underwriting, network development, and sales teams.
  • Support proposals and RFPs: Deliver accurate network discount and cost metrics for competitive bids and strategic initiatives.
  • Optimize reimbursement processes: Maintain and update fee schedules, payment calculations, and pricing methodologies for PPO and DHMO products.
  • Collaborate cross-functionally: Partner with actuarial, underwriting, and network teams to ensure pricing integrity and actionable insights.
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