**Job Description** **Job Summary** Responsible for supporting and validating Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting. Perform financial modeling to support well-informed negotiations, anticipating issues resulting in the ability to reach contract terms with good faith with sustainability. **Knowledge/Skills/Abilities** + Manage provider pricing analysis including overseeing staff analysts' duties & responsibilities to support health plan management of unit cost budget. Reviews and updates necessary material to keep senior management and health plan management aware of potential unit cost risks & opportunities + Manage reporting in areas of provider unit cost performance and unit cost management. Performs analyses related to unit cost trends and is proactive in recommending risks and opportunities. + Engages in management activities within the department but not limited to hiring, training, managing, and evaluating Network Pricing and Analytics staff. + Recruit, manage, and develop a team of analysts in a matrix reporting environment. + Contract pricing: financial modeling of provider contracts (e.g. Medicaid, Medicare, CFAD, HIX, ACA Primary Care Enhancements, National/Ancillary, capitation, fee-for-service hospital reimbursement, P4P) + Support Unit Cost Trend Tracking and Reporting including Quarterly Top 20 Dashboard and Network Management Metric Dashboard + Build strong inter-dependent relationships within the organization as appropriate, including Corporate Actuary, Utilization Management, Health Plan Finance and Network Management & Operations. + Work with Contract Leads in Network Management & Operations enterprise wide to identify unit cost savings opportunities in conjunction with network requirements + Partner with Contract Leads in Network Management & Operations enterprise wide to achieve unit cost targets and contracting initiatives + Anticipate client needs and proactively develop solution to meet them + Serve as a key resource on complex/and/or critical issues + Solve complex problems and develop innovative solutions + Perform complex conceptual analyses + Review work performed by others and provide recommendation for improvement + Forecast and plan resource requirements + Provide expansions and information to others on the most complex issues + Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard + Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis) + Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (Powerpoint) + Serves as a key resource on the more complex pricing and analysis issues + Reviews work performed by others and provides recommendations for improvement. **Job Qualifications** **Required Education** + Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience **Required Experience** + 7+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare economics or related discipline. + 7+ years increasingly complex database and data management responsibilities + 7+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metric + 2+ years managing staff or mentoring/leading a team of analysts + Advanced to expert level proficiency in Microsoft Excel + Advanced level proficiency in Access and/or SQL **Preferred Education** + Master's Degree in Business, Finance, Mathematics or Economics or Actuarial Sciences **Preferred Experience** + Preferred experience in healthcare medical economics and/or advanced financial analytics background + Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $84,433 - $164,644 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.