Lead Proposal and Pricing Analyst

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.