Assist in analyzing pricing estimates for prospective and current clients while monitoring network performance for contract compliance.
Collaborate cross-functionally with sales, client services, and development to ensure timely pricing offers and automate pricing processes.
Prepare financial reports, utilization analyses, and ad hoc studies to support strategic decisions and contract negotiations.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. Voted Best Employer in Ohio for six consecutive years, the company fosters a collaborative, flexible work environment.
Supports the review of pharmacies, dispensers, and manufacturers to ensure adherence to Medicare Part D requirements.
Develops investigative strategies, compliance processes, and risk assessments with clear, actionable findings.
Collaborates with CMS, OIG, legal, audit, and other stakeholders while mentoring junior staff.
Attain Talent is a recruitment and staffing firm that connects professionals with organizations across various industries. They are committed to fair and equitable compensation practices and fostering an inclusive workplace.
Lead enterprise-wide pricing strategies to support major business development initiatives and high-priority federal government opportunities.
Collaborate with Business Development, Capture, Proposal, Finance, and Operations teams to shape pricing decisions throughout the pursuit lifecycle.
Drive innovation through advanced analytics, automation, and AI-enabled pricing solutions to improve competitiveness and profitability.
This role is listed on behalf of a partner company that manages applications and next steps. The company is a federal contractor seeking to grow through strategic pricing, with a collaborative corporate environment and opportunities to contribute to major strategic initiatives.
Identify fair market rates and negotiate costs for medical procedures.
Manage complex healthcare cases to ensure fair pricing and member satisfaction.
Coordinate with internal teams and external partners to resolve pricing disputes.
CrowdHealth is a community-powered alternative to health insurance, enabling individuals to access and fund healthcare with transparency, simplicity, and control. The company values excellence and humanity and operates with a remote team.
Lead end-to-end pricing activities for federal, nonprofit, and commercial opportunities, ensuring financial accuracy and regulatory compliance.
Develop complex pricing models, cost estimates, and financial analyses to support strategic decisions and successful contract bids.
Modernize pricing processes through automation, structured data, and AI-assisted tools to strengthen proposal competitiveness.
Our partner is a mission-driven organization seeking a Senior Pricing Analyst to lead competitive pricing strategies for federal, nonprofit, and commercial opportunities. They foster a collaborative, multidisciplinary environment that values analytical excellence, innovation, and continuous improvement.
Lead the Medicaid operations team and own rebate deliverables so clients receive accurate, compliant results.
Serve as the go-to subject matter expert on Medicaid processing and contracting across clients and partners.
Drive process, automation, and AI improvements that reduce rework and improve rebate delivery performance.
Model N provides a cloud-based platform that helps life sciences companies manage revenue, commercialization, and compliance. With 150+ global customers and over 25 years of industry leadership, they foster a culture of curiosity, ownership, and practical problem solving shaped by values like DREAM, ALIGN, RESPECT, and EXCEL.
Lead the Member Services team, managing licensed agents and owning the member experience across phone, email, and chat.
Use tools, data, and automation to scale operations, including Zendesk workflows and AI-assisted tools.
Plan capacity across internal staff, contractors, and agency partners while managing quality and compliance.
When provides an enterprise platform for guided health insurance decisions at qualifying life events, combining intelligent decision-support with licensed agents. We have supported over one million employees and managed over 204,000 qualifying events, maintaining a lean, hands-on team focused on quality and scale.
Oversee the implementation, monitoring, and compliance of the 340B program including audit activities and process validation.
Conduct regular internal audits of OPAIS records, retail pharmacies, and Medicaid claims to ensure adherence to HRSA requirements.
Develop training programs and maintain 340B policies to prevent duplicate discounts, diversion, and eligibility errors.
Pillr Health is a leading 340B Third-Party Administrator that helps covered entities maximize program compliance and improve patient access to care. They emphasize a collaborative culture focused on compliance and continuous improvement.
Lead and develop a team of Client Executives managing strategic relationships, contract economics, and renewals for high-value health plan clients.
Drive consultant and broker relations to influence retention, renewal, and growth through proactive engagement and education.
Own retention, renewal, and expansion performance for the strategic book of business, including cross-functional escalation and process development.
AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. They are committed to making pharmacy benefits easy to understand and access, while fostering a culture where people thrive because the team's success drives business success.
Lead end-to-end implementation of 340B compliance software, managing workplans, timelines, and stakeholder coordination.
Define and validate data specifications, troubleshoot client data files, and ensure correct system configuration.
Serve as primary client contact, provide training, and oversee go-live activities with a smooth handoff to Client Success.
Pillr Health is a leading 340B Third-Party Administrator that helps covered entities maximize program compliance and improve patient access to care. They foster a collaborative culture with comprehensive benefits including health insurance and 401(k).
Lead and execute complex SaaS onboarding projects for 340B program customers.
Manage timelines, deliverables, and stakeholder communication across internal and external teams.
Provide training and mentorship on 340B program rules and software functions.
Pillr Health is a pharmacy optimization partner that helps hospitals, health systems, and other healthcare organizations strengthen pharmacy operations and maintain 340B compliance. The company offers technology, services, and industry expertise to drive growth and compliance.
Partner directly with Sales and Sales Leadership to structure non-standard, high-value, complex deals.
Uphold pricing policies, revenue recognition standards, and corporate governance best practices.
Collaborate cross-functionally across Sales, Legal, Finance, Product, and Operations to obtain complete deal approvals.
Zscaler accelerates digital transformation by providing a Zero Trust Exchange platform that protects thousands of customers from cyberattacks and data loss. It operates over 200 data centers globally and fosters a culture of customer obsession, ownership, and collaboration.
Serve as the primary day-to-day operational contact for assigned employer and health plan clients, ensuring high service and support.
Build positive working relationships with client contacts including HR teams, benefits administrators, and consultants.
Monitor account performance metrics, pharmacy spend, and utilization trends to surface insights and optimization opportunities.
AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. They are committed to making pharmacy benefits easy to understand and straightforward to access, and they promise to do what's right, always.
Prepare and submit state-level reimbursement disputes through state portals, agencies, and arbitration entities.
Track deadlines, fees, and payments while keeping accurate case records from filing through resolution.
Monitor state requirements, flag rule changes, and collaborate with analytics teams to keep case data clean.
Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in a complex reimbursement landscape. We are a collaborative, low-ego team building AI-driven solutions to simplify reimbursement workflows.
Lead complex reviews of health care transactions, developing analytical plans and managing experts.
Synthesize data and research into reports, recommendations, and legal orders for oversight.
Collaborate with state agencies and partners to promote equitable, affordable health care.
The Oregon Health Authority reviews health care business transactions to protect access, quality, and equity. Part of Oregon state government's 40,000-person workforce, OHA values diversity and fosters an inclusive, mission-driven culture.
Evaluate outpatient referrals and inpatient admissions for medical appropriateness and medical necessity.
Manage a team of UM Medical Directors and review complex or escalated cases.
Chair the UM Committee and support policy development, quality, and credentialing.
Clover Health provides healthcare plans for America's seniors, using data and technology through the Clover Assistant to support physicians. The company is mission-driven and diverse, focused on improving members' lives through personalized care.
Lead pricing analyses and cost volume development for enterprise task orders, contract modifications, and strategic new business opportunities.
Build and maintain sophisticated Excel-based pricing models for FFP, CPFF, CPAF, T&M, and IDIQ contract structures.
Ensure regulatory compliance with FAR, DFARS, CAS, and DCAA/DCMA expectations while presenting pricing recommendations to senior leadership.
This company provides federal government contracting services, focusing on pricing and cost proposal development for major bids and task orders. It operates in a dynamic, globally oriented environment with a culture emphasizing compliance, accuracy, and cross-functional collaboration.
Manage a portfolio of state and local government relationships, guiding opportunities from discovery to signed agreements.
Collaborate cross-functionally to shape service offerings and develop compelling proposals for public agencies.
Strengthen partnership processes, maintain pipeline, and share market insights to inform strategic priorities.
The hiring partner helps public agencies expand access to effective, technology-enabled public services. They work in a collaborative, mission-driven environment focused on lasting public impact.
Coach a team of 10 insurance agents to deliver white-glove customer service across calls, chats, and digital channels.
Own staffing, quality reviews, timesheets, and compliance with insurance regulations and company policy.
Resolve complex product, carrier, and system issues, and collaborate cross-functionally to scale customer experience.
Jerry is building the first AI-powered advisor to manage all your physical assets, starting with car insurance and expanding into home, motorcycle, and RV. Backed by $240M+ in funding and with a team of leaders from companies like Nvidia, Meta, and Amazon, we have reached 5M+ customers and achieved profitability in 2024.
Accelerate deal velocity while protecting margin, ensuring policy compliance, and improving forecast accuracy across the quote-to-cash lifecycle.
Build strong relationships with Sales, Finance, and Customer Success to structure deals and reduce friction in the sales process.
Track deal cycle times, exceptions, and bottlenecks, and provide data for process improvements and automation adoption.
OpenSesame is the trusted partner for Workforce Reinvention in the age of AI, delivering integrated software, curated content, and expert services to help organizations expand their human+AI potential. As a company, OpenSesame fosters a performance-driven culture, seeking self-starters with curiosity and results, and values diversity and inclusion.