Senior Analyst, Network Strategy, Pricing & Analytics - REMOTE
RemoteMedicaidHealth OtherPricing & RatingBusiness Intelligence & ReportingPredictive Modelling & ML
Role Summary
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Senior health pricing and analytics role focused on Medicaid and Medicare provider network contract valuation and financial modeling. You will analyze medical, pharmacy and ancillary claims to drive payment strategies, cost containment, and support negotiations. Senior Analyst level (5+ years) and remote, supporting Molina Healthcare’s Network Strategy, Pricing & Analytics.
JOB DESCRIPTION SUMMARY
- Value and model provider contracts for Medicaid and Medicare networks
- Analyze complex claims data (medical, pharmacy, ancillary) to find cost savings
- Build reports and dashboards using SQL, SSAS, PowerBI and Excel
- Support negotiating strategies using NetworX Modeler and ETL systems
- Senior individual contributor with 5+ years healthcare pricing/analytics experience
DOMAIN EXPERTISE
- healthcare pricing and network contract valuation
- analysis of medical, pharmacy, and ancillary claims data
- Medicaid and Medicare reimbursement methodologies
- financial modeling for provider contracting
- experience with NetworX Modeler or ETL-based contract modeling
KEY REQUIREMENTS
- 5+ years analytics experience in healthcare pricing, network management, or healthcare economics
- 5+ years database and data management responsibilities
- Intermediate to advanced SQL proficiency
- Advanced Microsoft Excel skills
- Bachelor’s degree in Business, Finance, Mathematics, Data Science, Actuarial Science or equivalent
TECH STACK
- Excel
- Power_BI
- PowerPoint
- Other_BI_Tool
