Network Pricing Manager, IFP - Remote
About The Position
The Network Pricing Manager will develop, organize, and produce analyses and reporting to support the Individual and Family Plan (IFP) initiative, and share insights with internal stakeholders to inform further action. Through strategic partnerships, the role leverages internal and external assets to build and maintain actionable financial models that inform business decisions and support the long-term sustainability of the IFP business. The position works across actuarial, financial, utilization, network design, and pricing initiatives, partnering with business leaders and cross-functional teams to guide decisions and resolve complex analytical and operational issues. The role also improves and maintains analytical processes, reports, models, and dashboards; deploys new processes and tools; and establishes quality-control standards to protect the accuracy and integrity of forecasts, pricing models, and reporting. The position is remote within the United States and requires the ability to work Central and Eastern time zone hours.
Requirements
- At least 6 years of analytical experience in financial analysis, health care pricing, network management, health care economics, or a related discipline.
- At least 6 years of experience with provider payment methodologies and healthcare products.
- At least 6 years of experience creating and using financial modeling tools, spreadsheets, and information acquisition tools.
- Demonstrated progression of technical expertise related to acquiring new tools and methodologies.
- Advanced proficiency in financial impact analysis, risk management, and data manipulation.
- Advanced proficiency with Excel and PowerPoint.
- Excellent oral and written presentation, time and project management, problem-solving, and organizational skills.
- Ability and willingness to work Central Standard Time and Eastern Standard Time hours.
Nice To Haves
- Knowledge of and intermediate proficiency in Power BI, SQL, and Snowflake.
- Experience applying AI-enabled tools to improve analytical efficiency, automate workflows, and support data-driven decision-making.
Responsibilities
- Maintain and enhance financial models supporting actuarial, financial, utilization, network design, and pricing initiatives.
- Direct and prioritize recurring and ad hoc analytical work to meet business commitments.
- Guide cross-functional teams in resolving complex and non-standard analytical and operational issues.
- Evaluate information from multiple sources and reconcile discrepancies.
- Ensure data and process transparency to support methodology integrity and delegation of tasks and responsibilities.
- Present recommendations, risks, and financial implications to business leaders and cross-functional stakeholders.
- Anticipate and prioritize business needs and develop solutions.
- Inform IFP network decisions with summarized analytics and supporting data for varied audiences.
- Ensure consistent network pricing methodologies and analytical standards across assigned markets.
- Identify and implement process improvements related to data reliability, efficiency, and quality, including scaling best practices.
- Build, support, enhance, and maintain reports, models, and dashboards.
- Deploy new processes, tools, and models to advance modeling capabilities in a changing environment.
- Establish and monitor team quality-control standards for the accuracy and integrity of forecasts, pricing models, and reporting.
- Create and maintain project documentation for assigned initiatives.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase program.
- 401(k) contribution, subject to eligibility requirements.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
