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Director, Pricing
Elevance HealthDirector of Pricing leading financial modeling and payor negotiation strategies for Elevance Health. Focused on infusion and specialty pharmacy reimbursement operations with a hands-on approach.
About the role
Key responsibilities & impact- Leads pricing strategy, financial modeling, and payor negotiation support for infusion and specialty pharmacy services
- Develops and maintains pricing models across drug, professional, supply, and ancillary components
- Serves as the pricing lead for payor negotiations with national, regional, and local health plans, PBMs, and employer groups
- Analyzes contract performance after implementation to confirm expected reimbursement and margin outcomes
- Partners with Revenue Cycle, Billing, Trade, Finance, and Operations to ensure pricing terms are operationalized accurately and consistently
- Establishes pricing governance, approval processes, and documentation standards
Requirements
What you’ll need- Bachelor’s degree in Finance, Economics, Business, Healthcare Administration, or related field
- 8–12+ years of experience in healthcare pricing, payor contracting, or financial strategy
- direct experience with infusion and/or specialty pharmacy reimbursement and contracting
- deep understanding of reimbursement methodologies (AWP, ASP, WAC, per diem, case rates, bundled pricing)
- advanced financial modeling and Excel skills
- experience supporting negotiations with commercial health plans, PBMs, and government payors
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
financial modelingpricing strategyreimbursement methodologiesExcelcontract performance analysispayor negotiationpricing governancedocumentation standardsinfusion pharmacy reimbursementspecialty pharmacy contracting
Soft Skills
leadershipcollaborationcommunicationanalytical thinkingorganizational skills