Lead Proposal and Pricing Analyst

HN1 • Miami, FL

1d

About The Position

This role is responsible for leading the development of pricing strategies for new business, renewals, and strategic client expansions. The Lead Proposal and Pricing Analyst will analyze large volumes of healthcare data, build robust pricing models, and translate clinical, network, and operational assumptions into clear, defensible financial models. The position involves creating and maintaining benchmarks, analyzing historical trends to identify cost and utilization drivers, and conducting scenario analysis to inform pricing decisions. The analyst will also prepare and present pricing insights to executive stakeholders and health plan partners, manage the end-to-end pricing workflow, and coordinate with various internal teams. Additionally, the role involves contributing to the continuous improvement of pricing tools and processes.

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

Nice To Haves

• ASA or FSA Actuarial certification
• Experience with predictive modeling using Python or R
• Experience incorporating automation or AI-enabled tools into pricing or analytics workflows

Responsibilities

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior