Healthcare Pricing Strategist

4 days ago


Long Beach CA USA, United States Molina Healthcare Full time
Job Overview

Molina Healthcare is seeking a skilled Healthcare Pricing Strategist to guide the investment of our network partners through contract valuation and analysis. This role plays a crucial part in ensuring access to quality healthcare services for individuals receiving government assistance.

Key Responsibilities
  • Analyze Complex Data: Perform research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy, and ancillary) to deliver practical, actionable financial and clinical insights.
  • Develop Strategic Reports: Create key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools, and Executive Dashboard.
  • Pricing Strategy Development: Support multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
Requirements
  • Education: Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science, or Actuarial Sciences or equivalent experience.
  • Experience: 3+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare economics, or related discipline.
  • Skills: Advanced level proficiency in Microsoft Excel, intermediate to advanced level proficiency in SQL.
Salary and Benefits

We offer a competitive salary range of $80,000 - $110,000 per year, depending on experience. Our benefits package includes medical, dental, and vision insurance, retirement plan, paid time off, and more.



  • St. Louis, MO, USA, United States Acosta Group Full time

    Job SummaryWe are seeking a highly skilled and experienced Chief Pricing Strategist to join our team at Acosta Group. This is an exceptional opportunity to leverage your expertise in pricing strategy to drive business growth and profitability.


  • Long Beach, California, United States 4MDental Management Services Full time

    4M Dental Implant Center is a pioneer in innovative dental implant solutions, delivering top-quality care and transformative smile makeovers to patients across California and Nevada.We are seeking an experienced Dental Implant Marketing Strategist to join our team, drive brand presence, grow patient acquisition, and optimize digital marketing efforts.Job...


  • Long Beach, California, United States MemorialCare Health System Full time

    At MemorialCare Health System, we are committed to increasing access to patient-centric, affordable, and high-quality healthcare. Our Organizational Development Specialist will play a crucial role in supporting our mission by designing and implementing organizational talent initiatives that align with our strategic objectives.The ideal candidate will have a...


  • Neptune Beach, Florida, United States Randstad USA Full time

    Job Title: Talent Acquisition Strategist">About the Role: We are seeking a highly skilled Talent Acquisition Strategist to join our team at Randstad USA. In this role, you will be responsible for selling workforce solutions and recruiting candidates for client placements.">Key Responsibilities:">">Sell and recruit through modern media connections">Identify...


  • West Palm Beach, Florida, United States Inspire Healthcare Full time

    At Inspire Healthcare, we are seeking a highly experienced and visionary Medical Director Physician to join our leadership team.About the RoleThis is an exceptional opportunity for a seasoned medical professional to take on a leadership role and drive clinical excellence in our community healthcare centers. As Lead Clinical Strategist, you will be...


  • Long Beach, United States Blue Shield of CA Full time

    Your Role The New Product team is responsible for product strategy, planning, development, and go-to-market of new and emerging products, including the development of novel plans, benefit structures, value-added services, customer experiences, networks, and health solutions capabilities. The Product Strategist, Consultant will report to the Product Manager,...


  • Long Beach, California, United States GENWEALTH 360 INC Full time

    We are seeking a highly skilled Tax Financial Strategist to join our team at Genwealth 360 Inc. In this role, you will be responsible for analyzing tax data, identifying tax-saving opportunities, and preparing complex tax returns for high-net-worth individuals and corporate entities.About the RoleThis is an exciting opportunity for a dedicated tax...


  • Long Beach, California, United States Blue Shield of California Full time

    About the RoleThe Commercial Markets Analytics team at Blue Shield of California provides financial reporting and utilization/clinical analytics to Commercial employers and their Brokers/Consultants. As a Medical Informatics Analyst, Consultant, you will report to the Senior Manager of Commercial Markets Analytics in Data & Analytics under Information...


  • Long Beach, United States Blue Shield of CA Full time

    Your Role The New Product team is responsible for product strategy, planning, development, and go-to-market of new and emerging products, including the development of novel plans, benefit structures, value-added services, customer experiences, networks, and health solutions capabilities. The Product Strategist, Consultant will report to the Product Manager,...


  • Newport Beach, United States PIMCO Full time

    PIMCO is a global leader in active fixed income with deep expertise across public and private markets. We invest our clients' capital across a range of fixed income and credit opportunities, leveraging our decades of experience navigating complex debt markets. Our flexible capital base and deep relationships with issuers have helped us become one of the...


  • North Myrtle Beach, South Carolina, United States Lennar Homes Full time

    Job SummaryWe are seeking a skilled Land Acquisition Strategist to join our team at Lennar Homes. This is an exciting opportunity for a detail-oriented professional with excellent analytical and problem-solving skills.About the RoleThe successful candidate will work closely with our Vice President of Land Acquisition and Land Transaction Manager to source,...


  • Miami Beach, Florida, United States Loews Hotels & Co, Miami Beach Full time

    About the RoleWe are seeking a highly skilled Luxury Revenue Strategist to join our team at Loews Hotels & Co in Miami Beach. The ideal candidate will be responsible for developing and implementing revenue strategies to maximize room sales and drive profitability.Key Responsibilities:Develop and execute short-term and long-term revenue strategies to achieve...


  • Deerfield Beach, Florida, United States Discover Full time

    Unlock a brighter financial future with Discover.We're seeking an experienced Data Science Strategist to join our team. As a key player in the Counterparty restitution analytics & Pricing division of the Discover Global Network, you'll collaborate with cross-functional teams and stakeholders to analyze and interpret large sets of data.The ideal candidate...


  • Boynton Beach, Florida, United States Compassion Behavioral Health Full time

    About Compassion Behavioral HealthWe are a leading provider of behavioral health services in the Orlando/Tampa area, dedicated to delivering compassionate care and innovative solutions. Our team is passionate about making a positive impact on our community, and we're seeking a highly motivated Business Development Strategist to join our efforts.Job...


  • Long Beach, California, United States Advanced Medical Manage Full time

    Job DescriptionCompany OverviewAdvanced Medical Manage is a leading healthcare management company seeking an experienced Healthcare Claims Processing Lead to join our team.Estimated Salary:$80,000 - $110,000 per yearJob SummaryWe are looking for a skilled and detail-oriented Healthcare Claims Processing Lead to oversee the claims processing workflow and...


  • Virginia Veterans Dr, Roanoke, VA, USA, United States Lange Recruiting Full time

    About the job IT Infrastructure StrategistResponsible for managing the IT infrastructure of a leading medical practice.The company Lange Recruiting is seeking an experienced IT Director to oversee and enhance their IT operations in collaboration with a trusted third-party IT vendor. This role is essential for maintaining the systems' reliability, security,...

  • HR Manager

    10 hours ago


    West Palm Beach, Florida, United States Family Church Full time

    Job Title: HR Manager - Human Resources Strategist">Company Overview:">Family Church is a dynamic network of neighborhood churches and schools in South Florida, united by a shared passion for serving the Lord and building His Kingdom. As a key member of our team, you will have the opportunity to make a meaningful impact on the lives of our staff and...


  • Vero Beach, Florida, United States Whole Family Health Center Inc Full time

    About the RoleWhole Family Health Center Inc is seeking a seasoned and accomplished Chief Financial Strategist to spearhead our financial operations. This pivotal position will be instrumental in ensuring the financial health and sustainability of our organization, enabling us to continue delivering vital healthcare services to our community.Key...


  • Long Beach, California, United States Bayer Corporation Full time

    Job Summary:The Regional Account Director (RAD) for Oncology is responsible for driving key account strategy and unlocking growth opportunities for Bayer's Oncology product portfolio in the Southern California region. This role will identify key customer issues and opportunities, build account plans, and execute those plans via a coordinated cross-functional...


  • Arco Plaza, CA, United States CEDARS-SINAI Full time

    About Cedars-SinaiCedars-Sinai is a world-renowned medical institution with a strong commitment to excellence in patient care, education, and research. Our mission is to provide exceptional healthcare services that are guided by empathy, compassion, and innovation.Job Description:We are seeking a highly skilled Senior Consultant, Clinical Efficiency & Value...