Payor Pricing Analyst

Elevance Health

Payor Pricing Analyst modeling reimbursement and contract strategies for Elevance Health’s specialty pharmacy business. Analyzing payor data and building dashboards to improve pricing and financial outcomes.

Posted 8/5/2026full-timeLake Mary • Florida, Ohio, Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial modeling, reimbursement methodologies, and pricing strategies within the healthcare sector. Proficient in data analysis and contract negotiations, with a strong focus on collaboration across finance, clinical, and operational teams.

Highest-signal resume keywords

Financial ModelingHealthcare ReimbursementAdvanced Spreadsheet AnalysisContract NegotiationClaims Data Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial ModelingReimbursement MethodologiesPricing StrategiesContract Performance AnalysisData Analysis

Soft Skills

CollaborationStrategic ThinkingCommunication

Tools & Technologies

Power BITableauSQL

Certifications & Qualifications

MBARelevant Advanced Certification

Industry Keywords

Healthcare AdministrationPayor ContractingSpecialty PharmacyInfusion Services340B Pricing Impact

Tech Stack

Tools & technologies

SQLTableau

About the role

Key responsibilities & impact

Develop and maintain financial models evaluating reimbursement methodologies, pricing strategies, and contract performance across commercial, Medicare, and Medicaid payors
Analyze reimbursement trends, fee schedules, contract terms, and financial performance to identify pricing opportunities and recommend strategies
Support contract negotiations, request-for-proposal responses, and strategic initiatives through reimbursement modeling, financial analysis, and risk assessments
Partner with finance, contracting, revenue cycle, clinical, and operational stakeholders to ensure accurate reimbursement configuration, pricing integrity, and data analysis
Develop reports, dashboards, and executive-level analyses communicating reimbursement performance, pricing trends, utilization patterns, and strategic recommendations

Requirements

What you’ll need

BA/BS in Finance, Economics, Healthcare Administration, or a related field, or an equivalent combination of education and experience
Minimum 3 years of experience in healthcare reimbursement, pricing, specialty pharmacy, infusion services, payor contracting, or financial analytics
Experience performing financial modeling
Advanced spreadsheet analysis experience
MBA or relevant advanced certification preferred
Familiarity with PBM and medical benefit billing structures preferred
Experience in specialty pharmacy or home/ambulatory infusion preferred
Knowledge of 340B pricing impact preferred
Experience with claims data analysis and reimbursement reconciliation preferred
Experience with contract modeling tools or BI platforms such as Power BI, Tableau, or SQL preferred

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Flexible virtual work/autonomy
Accommodation support for applicants with disabilities