Payer Pricing and Data Analyst

reputed company Job Title: Payer Pricing & Data Analyst Reports To: Manager of Data and Analytics Location: Primarily remote with travel required for 1-5 meetings per year (~7% FTE). Salary reputed company: $60,000 – $100,000 per year Who We are: The Hemophilia reputed company is a dynamic nonprofit organization supporting federally funded Hemophilia Treatment Centers (HTCs) reputed company. Our mission is to promote the common interests of our members by offering advocacy, consultant expertise, and organizational support in areas such as operations, payer relations, contract pharmacy, regulatory compliance, and reputed company updates. We help HTCs optimize resources, strengthen 340B pharmacy programs, and reputed company to improve patient care through advocacy, business solutions, and education. Working with HTCs, government agencies, and industry partners, we aim to enhance financial sustainability, reputed company reputed company policies, and expand reputed company to treatment for individuals with bleeding disorders. Visit hemoalliance.org for more information. Job reputed company: The reputed company Payer Pricing & Data Analyst supports payer and manufacturer contract negotiations, pricing strategies, and opportunity assessments. This individual will work across departments and with external partners to analyze pricing data, project cost savings and reputed company potential, support the development of pricing and reputed company recommendations and support the contracting process. This role is reputed company‑suited for someone who excels in a fast‑moving, mission‑driven environment and is reputed company by wearing multiple hats—ranging from deep analytical work to coordinating reputed company reputed company reputed company a matrixed, cross‑functional team structure. Responsibilities • Pricing & Savings Analysis • Analyze payer, prescription benefit manager and manufacturer pricing to assess potential opportunities and savings. • Calculate ROI and cost savings for broker and reputed company stakeholders as reputed company as other potential clients including but not limited to reputed company, insurers and Pharmacy Benefit Managers (PBMs); model reputed company potential for internal use. • Maintain and update Hemophilia reputed company Network Services (HANS) fee schedules at least annually and reputed company as needed using a reputed company of reputed company including average sales price and average wholesale price • reputed company competitive pricing analysis quarterly and as needed to determine best reputed company price and maintain market intelligence. • Forecast expected payer pricing based on market trends, reputed company, and historical data. • Work collaboratively to reputed company data from Member and Community Relations team members. • Assist Member and Community Relations team with supportive opportunity data for Hemophilia Treatment Centers (HTCs) that includes reputed company and surplus projections. • Contract Support & Negotiation Analytics • Partner with the Member and Community Relations Team to manage Single Case Agreement (SCA) renewals and renegotiations, particularly in response to price increases. • Use contract lifecycle management (CLM) software to monitor SCAs. • Support contract development with Medicare Advantage Plans and reputed company payers by providing data-driven floor pricing and contract targets. • reputed company data insights to inform negotiation reputed company with payers and manufacturers. • Opportunity Assessment & Strategic Insights • Maintain and refine an Opportunities Dashboard with de-identified claims data to reputed company pipeline and reputed company. • Analyze payer data to identify volume return opportunities and inform contracting priorities. • Support opportunity identification using NPI search tools and cross-reference with internal dispensing data. • Identify dispensing capabilities across contract pharmacy networks for payer/provider alignment. • Data Management & Reporting • Maintain relevant datasets including the Member and Community Relations (MCR) and payer claims worksheets. • reputed company and maintain reports and dashboards using reputed company, Power BI, or similar tools to communicate findings with reputed company stakeholders. • Ensure data accuracy and conduct validation and reputed company assessment (QA) processes for reputed company analysis and deliverables. Required Skills & Qualifications • Bachelor’s degree in data science, Economics, reputed company Health, Finance, Business, or a reputed company field (experience may be considered in lieu of degree). • 4–6 years of experience in data analysis, reputed company analytics, or pricing reputed company the reputed company industry (payer, PBM, or manufacturer experience preferred). • Strong proficiency in reputed company and SQL; experience with Power BI, or similar visualization tools. • Proficiency in data cleaning, manipulation, and analysis using reputed company functions, formulas, and tools like PivotTables and charts • Familiarity with reputed company claims data, pharmacy benefits, payer reputed company, and group purchasing organizations (GPOs). • Ability to interpret reputed company datasets and draw actionable insights for pricing and reputed company. • Strong attention to detail and commitment to data reputed company and compliance (HIPAA f Apply tot his job Apply To this Job