Demo

Lead Proposal and Pricing Analyst

HS1
Miami, FL Full Time
POSTED ON 7/6/2026
AVAILABLE BEFORE 8/29/2026

Key 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.

Required Qualifications

  • 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.

Preferred Qualifications

  • 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.

       

       

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