Pricing Analyst III

Role Overview

• 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.

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.

Tech Stack

• Python
• SQL
• Tableau

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!)