Evaluate book-of-business claims experience to develop insights on profitability and competitive positioning across products and markets
Develop healthcare pricing models, cost analyses, and scenario forecasts to support data-informed pricing decisions
Create automated health reporting tools and processes to streamline pricing analysis
Monitor healthcare market trends, competitor pricing, and customer behavior to inform strategy
Ensure accuracy and integrity of pricing-related data within BI systems
Maintain datasets, pricing tables, and inputs used for analysis and forecasting
Recommend and implement improvements to data systems, collection methods, and analytics workflows
Partner with Sales, Finance, and Product to support pricing proposals, revenue forecasts, and go-to-market strategies
Present insights and recommendations to leadership in a clear, concise, and data-driven manner
Support internal stakeholders with data, models, and training on pricing tools or dashboards

Requirements

Bachelor’s degree in Actuarial Science, Business, Finance, Economics, Data Analytics, Statistics, Engineering, or related field
2–4 years of experience in commercial group pricing within the health insurance industry
Strong knowledge of health insurance pricing principles, underwriting, medical plan design structure, and commercial health insurance market dynamics
Strong proficiency in data tools such as Excel, SQL, Power BI, Tableau, Looker, or similar BI platforms
Strong communication skills—verbal and written
Ability to work independently and in a collaborative, remote environment
Familiarity with CRM, ERP, or financial systems (Salesforce, NetSuite, etc.).
Experience with statistical analysis or pricing optimization models.
Proficiency in AI-driven tools and solutions to improve processes, optimize performance, and support continuous innovation

Benefits

Health, fully covered: 100% of medical, dental, and vision premiums for you and your dependents
Fully remote position
Technology allowance
Flexible PTO and holidays
Financial wellness: 401(k) match
Make an impact: Your work truly matters every day

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

healthcare pricing modelscost analysesscenario forecastsdata analysisstatistical analysispricing optimization modelsdata integritydata systems improvementdata workflowspricing tables

Soft Skills

communication skillsindependent workcollaborationpresentation skillsdata-driven decision making