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Pricing Analyst III
Location
Colorado
Posted
1 day ago
Salary
$69.9K - $90K / year
Seniority
Senior
Job Description
Pricing Analyst III
Modivcare
• Develops, maintains, and enhances NEMT pricing models for new business opportunities, renewals, repricing events, RFP responses, and contract amendments. • Analyzes contract terms and conditions to identify pricing implications, financial risks, reimbursement mechanics, service obligations, and margin impacts. • Collaborates with cross-functional teams to develop pricing proposals and financial models for clients. • Builds and maintains account-level and market-level income statement views that compare original pricing assumptions to monthly, quarterly, and year-to-date actual results, monitoring contract performance to ensure pricing and performance alignment. • Evaluates key financial and operational metrics by contract, market, and contract type. • Supports RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations. • Analyzes pricing and profitability across various contract structures, including full-risk, shared-risk, fee-for-service, capitation, and ASO arrangements. • Identifies and evaluates cost drivers that impact pricing and margin performance. • Conducts advanced analysis of large and complex data sets to identify trends, utilization anomalies, margin leakage, and pricing opportunities. • Prepares pricing reports, variance analyses, executive summaries, dashboards, and presentations for senior management and cross-functional stakeholders. • Maintains accurate pricing databases, assumption libraries, model documentation, and data sources to support reporting, auditability, and repeatable processes. • Partners with Network and Operations teams to understand provider capacity, local market dynamics, transportation supply constraints, rate adequacy, and fair market cost drivers while supporting 'should cost' rate benchmarking. • Collaborates with Revenue Cycle and Encounters teams to understand claims, denials, payment reconciliation, encounter submission, and revenue integrity impacts on contract economics. • Recommends process improvements to optimize pricing workflows, data quality, model governance, reporting, and post-award feedback loops. • Stays current on NEMT, Medicaid, Medicare Advantage, managed care, healthcare transportation, regulatory requirements, and market dynamics that may influence pricing strategies. • Performs other duties and may lead projects as assigned.
Job Requirements
- Bachelor's degree required, preferably in Finance, Accounting, Economics, Business Analytics, Data Analytics, Statistics, Mathematics, Healthcare Administration, or a related field.
- Five (5) or more years of experience in pricing, financial analysis, data analytics, FP&A, healthcare analytics, managed care analytics, transportation analytics, or a related field.
- Experience supporting RFPs, renewals, pricing events, contract repricing, financial modeling, or client proposals strongly preferred.
- Experience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred or equivalent combination of education and/or experience.
- Strong understanding of pricing strategies, methodologies, financial modeling, and profitability analysis.
- Strong financial acumen, including the ability to understand income statements, revenue, gross profit, adjusted EBITDA, margin, cost drivers, and variance analysis.
- Ability to analyze contract terms and translate commercial, operational, and service-level obligations into pricing and financial implications.
- Advanced analytical and problem-solving skills with the ability to work with large, complex data sets.
- Advanced proficiency in Microsoft Excel, including scenario modeling, sensitivity analysis, advanced formulas, pivot tables, lookup functions, and model documentation.
- Proficiency with SQL, data warehouse queries, Python, R, or similar analytical tools preferred.
- Experience with data visualization tools such as Power BI, Tableau, or similar platforms preferred.
- Ability to conduct advanced analyses to identify trends, patterns, utilization changes, financial variances, and performance drivers.
- Ability to distinguish fixed, variable, semi-variable, and controllable costs within a services-based operating model.
- Understanding of contract structures such as full-risk, shared-risk, fee-for-service, capitation, administrative fee, and corridor arrangements preferred.
- Familiarity with NEMT, managed care, Medicaid, Medicare Advantage, healthcare services, transportation, logistics, or provider network economics preferred.
- Ability to build clear, repeatable, and auditable pricing models with documented assumptions.
- Ability to communicate technical and financial findings effectively to non-technical stakeholders.
- Strong presentation skills with the ability to explain pricing recommendations clearly and persuasively.
- Ability to collaborate effectively across cross-functional teams.
- Strong attention to detail and commitment to data accuracy, documentation, and quality.
- Ability to handle confidential financial, client, pricing, and contract information with discretion.
- Ability to manage competing priorities in a fast-paced, deadline-driven environment.
- Ability to challenge assumptions constructively and recommend practical improvements to pricing, processes, and reporting.
- Ability to work independently while maintaining strong alignment with stakeholders.
Benefits
- Medical, Dental, and Vision insurance
- Employer Paid Basic Life Insurance and AD&D
- Voluntary Life Insurance (Employee/Spouse/Child)
- Health Care and Dependent Care Flexible Spending Accounts
- Pre-Tax and Post --Tax Commuter and Parking Benefits
- 401(k) Retirement Savings Plan with Company Match
- Paid Time Off
- Paid Parental Leave
- Short-Term and Long-Term Disability
- Tuition Reimbursement
- Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)
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Pricing Analyst
Hinshaw & CulbertsonAs an EEO/AA employer, Hinshaw & Culbertson LLP will not discriminate in its employment practices due to an applicant’s age, race, color, religion, sex, sexual orientation, gender, gender identity, gender expression, national origin, protected veteran status or disability status or any other factor prohibited by law.
Role Description The Pricing Analyst supports the firm’s pricing strategy by developing budgets, analyzing financial and matter data, and preparing fee arrangements that align with client needs and business objectives. This role partners closely with attorneys, business development professionals, finance, and other stakeholders to deliver data-driven pricing recommendations that enhance profitability, support competitive proposals, and promote consistent pricing practices across the firm. Qualifications - Bachelor’s degree required, preferably in finance, economics, accounting, business, or a related field. - 3–5 years of relevant professional experience; an equivalent combination of education and experience may also be considered. Requirements - Develop budgets, pricing models, and financial analyses in support of client proposals and fee arrangements. - Analyze historical and current financial data to identify pricing trends, profitability insights, and best practices. - Prepare and evaluate alternative fee arrangements, special rate structures, and other pricing solutions in response to client needs and RFPs. - Partner with attorneys and internal stakeholders to provide fee estimates, pricing guidance, and value-based recommendations. - Support competitive and market analysis by gathering, maintaining, and interpreting relevant pricing data. - Build knowledge of practice group economics and contribute to pricing strategies that support profitable growth. - Document and promote pricing and profitability best practices to improve consistency and efficiency. - Review outside counsel guidelines and related requirements as needed to ensure pricing compliance. - Collaborate effectively with the Pricing and Legal Project Management team, Finance and Accounting, Business Development, practice leaders, and lawyers across the firm. Company Description We are committed to fostering an inclusive workplace and providing equal employment opportunities to all applicants and employees. Employment decisions are based on business needs, job requirements, and individual qualifications. As an EEO/AA employer, Hinshaw & Culbertson LLP will not discriminate in its employment practices due to an applicant’s age, race, color, religion, sex, sexual orientation, gender, gender identity, gender expression, national origin, protected veteran or disability status or any other factor prohibited by law.
• Champion pricing concepts and tools that help the national accounts and sales team effectively price and structure deals while adhering to our established pricing governance & policies • Monitors and maintains all incoming pricing requests within Salesforce / SFDC to drive request to completion • Reviews and interprets all product RFP’s and related information to be included in financial models and deal response • Serve as a lead resource and SME on all bid functions within Global Products Deal Desk • Collaborate with internal teams to cross-functionally drive process improvements and pricing governance • Coordinates reviews with senior management to discuss pricing data and strategies to win/retain business • Conduct margin analysis for product categories to aid in decision making and reporting to internal teams • Secure and document final approval terms in SFDC / Salesforce - including pricing, rebates and other material terms and conditions and provide final package to key stakeholders to contractually execute the approved agreement • Design and develop reports and dashboards exhibiting sales trends and analysis that aid in decision making • Coordinate with compliance and rebates team to manage special pricing contracts.
