KPH HEALTHCARE SERVICES, INC · 8 hours ago
Pricing Specialist
Syracuse, NY
Full-time
Onsite
Entry Level
$21/hr - $23/hr
1+ years expKPH Healthcare Services, Inc. is a multistate organization focused on healthcare solutions, and they are seeking a Pricing Specialist. The role involves monitoring and reporting on network pricing items to maximize profitability, analyzing claims data, and providing reporting and data analysis to internal and external partners.
Health CareMedicalPharmaceutical
Responsibilities
Monitor and adjust client network pricing to ensure that client targets are met while maximizing ProAct performance
Analyze, develop, and present reporting on individual client performance to ensure contractual optimization
Submit pricing adjustments and ensure they were put in place correctly
Submit pricing for new clients prior to effective start date
Complete the daily dashboard for client’s performance for generics and specialty
Complete client performance reconciliations
Responsible for preparing savings, disruption, copay modeling, and impact reports
Create metric models to assist upper management in financial decision making
Assist in day-to-day ad hoc reporting/data analytics requests as needed
Responsible for preparing savings, disruption, copay modeling, and impact reports
Collaborate with Finance to understand problems and define business requirements
Collaborate with various department managers to identify, develop, and maintain reporting needs
Responsible for preparing standard reports for clients, management and staff utilizing the ProAct suite of reporting tools which include Microstrategy and SSRS
Automate reporting where possible to ensure department efficiency
Responsible for completing all mandatory and regulatory training programs
Perform other duties as assigned
Qualification
Required
Exceptional attention to detail, written, interpersonal and communication skills
Must be able to effectively communicate internally and externally, via phone and through email
Strong PC skills including Microsoft Office, SQL, Powerbi, and Microstrategy
Must be able to work independently
Strong analytical skills
Through knowledge of financial systems and analysis
Minimum: high school diploma
Must be proficient with prior experience using Excel
Must possess knowledge of security concepts applicable to this role and function
Preferred
associate degree or higher
1-year previous experience in a health benefits related field
Company
KPH HEALTHCARE SERVICES, INC
KPH Healthcare Services, Inc.
Founded in 1903East Syracuse, New York, USA
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase