The Network Pricing Consultant supports and validates Provider Network (physicians, hospitals, ancillary facilities, etc.) contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Network Pricing Consultant conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Responsibilities also include managing unit cost budgets, target setting, performance reporting, and associated financial models.

Primary Responsibilities:

• Lead the design and creation of analytic models to evaluate financial impact of business strategies
• Lead the development of strategic initiatives aimed at reducing the total cost of care
• Lead projects to completion by contributing to database creation, statistical modeling and financial reports
• Concisely summarize and communicate the results of complex analytics
• Influence pricing strategies and network configuration decisions using a data driven approach
• Provide consultative advice on use of data as subject matter expert and interpret/summarize analytical findings
• Evaluate financial impacts of network configurations across hospital, ancillary and physician provider types
• Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
• Analyze and summarize broad impact of changes in network configurations to premium price differentials
• Work with cross-functional teams across the organization to make strategic decisions supported by data
• Review work performed by others and recommend improvements

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