Quest Diagnostics · 21 hours ago
Sr. Financial Analyst, Health Plan Finance (Hybrid)
Quest Diagnostics is a leading provider of diagnostic information services. The Sr. Financial Analyst supports the financial and operational evaluation of prospective Health Plan contracts, providing consulting and recommendations to ensure growth and profitability of third-party payors.
BiotechnologyHealth CareHealth DiagnosticsInformation ServicesPrecision Medicine
Responsibilities
Performs all financial analyses required for prospective third-party contracts including the compilation of fee schedules, revenue projections, synergy analyses and “what-if” scenarios
Ownership of full Profit & Loss statements along with related financial measures. Understanding of the drivers and inputs to each financial line item and/or financial measure
Calculates specific CAP PMPM rates and develops CPT based fee schedules for key regional and national contracts
Develops utilization and membership corridors and integrates such corridors into contracts where applicable to protect the Company from downstream risk with capitated arrangements
Supports the development of standard premium priced tests, capitation carve-outs and overall pricing guidelines
Works closely with the Clinical Franchise department to ensure that pricing guidelines for high value and new test campaigns are considered in prospective contracts
Serves as a content expert to regional leadership regarding third party contracts and pricing strategies
Interfaces directly with regional leadership regarding the price, volume, and cost implications associated with new and existing third-party contracts
Develops methods to streamline the pricing review and authorization process for third-party contracts
Responsible for the completion of financial elements, and overall review of negotiation approval documents
Interacts with Legal department during contract review and approval
Performs specific test campaign analyses to determine the prospective revenue and volume impact for key test initiatives
Partners with Billing function to review, disseminate, and recommend enhancements to third-party data used to build financial models
Supports the annual budget process providing details and insights on known and potential contract changes in the coming year
Ad-hoc projects as needed
Qualification
Required
Bachelor's degree
A minimum of three years relevant financial analysis / financial modeling experience
Strong understanding of the healthcare industry and health plans specifically (product types, trends, etc.)
Strong financial and analytical skills
Innovative thinker comfortable with ambiguity to complete tasks
Ability to work effectively cross-functionally in a matrix environment and build/maintain relationships
Excellent verbal and written communication skills
Ability to work effectively both independently and within a team
Strong PC skills (Excel, Access, PowerPoint, Word)
Proficiency in Excel is non-negotiable (VLookups, Sumifs, Iferror, etc)
Preferred
Other PC skills preferred (Power BI, SQL, Python)
Benefits
Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
Best-in-class well-being programs
Annual, no-cost health assessment program Blueprint for Wellness®
HealthyMINDS mental health program
Vacation and Health/Flex Time
6 Holidays plus 1 "MyDay" off
FinFit financial coaching and services
401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
Employee stock purchase plan
Life and disability insurance, plus buy-up option
Flexible Spending Accounts
Annual incentive plans
Matching gifts program
Education assistance through MyQuest for Education
Career advancement opportunities
And so much more!
Company
Quest Diagnostics
Quest Diagnostics is a clinical laboratory that offers diagnostic testing, services, and information.
H1B Sponsorship
Quest Diagnostics has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (59)
2024 (38)
2023 (74)
2022 (56)
2021 (49)
2020 (45)
Funding
Current Stage
Public CompanyTotal Funding
$2.6B2024-08-15Post Ipo Debt· $1.85B
2023-10-30Post Ipo Debt· $750M
1996-12-17IPO
Leadership Team
Recent News
2026-01-06
Company data provided by crunchbase