Pricing Analyst III

Are you passionate about making a difference in peoples lives Do you enjoy working in a service-oriented industry If so this opportunity may be the right fit for you!

Modivcare is looking for an experienced Pricing Analyst III to join our team. As a Pricing Analyst III you will play a key role in developing maintaining and enhancing pricing models repricing analyses and contract-level financial analytics that support Modivcares Non-Emergency Medical Transportation (NEMT) business. This role partners across Finance Sales Business Development Operations Network Product Revenue Cycle and Client Management to evaluate pricing strategies contract economics profitability and operational performance while delivering data-driven recommendations that support new business renewals RFP responses pricing events and ongoing contract performance reviews.

This role

• Develops maintains and enhances NEMT pricing models for new business opportunities renewals repricing events RFP responses and contract amendments.
• Analyzes contract terms and conditions to identify pricing implications financial risks reimbursement mechanics service obligations and margin impacts.
• Collaborates with cross-functional teams to develop pricing proposals and financial models for clients.
• Builds and maintains account-level and market-level income statement views that compare original pricing assumptions to monthly quarterly and year-to-date actual results monitoring contract performance to ensure pricing and performance alignment.
• Evaluates key financial and operational metrics by contract market and contract type.
• Supports RFP pricing by translating operational requirements into financial assumptions including staffing transportation network needs provider reimbursement reporting requirements implementation complexity technology needs service levels and compliance obligations.
• Analyzes pricing and profitability across various contract structures including full-risk shared-risk fee-for-service capitation and ASO arrangements.
• Identifies and evaluates cost drivers that impact pricing and margin performance.
• Conducts advanced analysis of large and complex data sets to identify trends utilization anomalies margin leakage and pricing opportunities.
• Prepares pricing reports variance analyses executive summaries dashboards and presentations for senior management and cross-functional stakeholders.
• Maintains accurate pricing databases assumption libraries model documentation and data sources to support reporting auditability and repeatable processes.
• Partners with Network and Operations teams to understand provider capacity local market dynamics transportation supply constraints rate adequacy and fair market cost drivers while supporting should cost rate benchmarking.
• Collaborates with Revenue Cycle and Encounters teams to understand claims denials payment reconciliation encounter submission and revenue integrity impacts on contract economics.
• Recommends process improvements to optimize pricing workflows data quality model governance reporting and post-award feedback loops.
• Stays current on NEMT Medicaid Medicare Advantage managed care healthcare transportation regulatory requirements and market dynamics that may influence pricing strategies.
• Performs other duties and may lead projects as assigned.
• This role does not have supervisory responsibilities.

We are interested in speaking with individuals with the following

• Bachelors degree required preferably in Finance Accounting Economics Business Analytics Data Analytics Statistics Mathematics Healthcare Administration or a related field.
• Five (5) or more years of experience in pricing financial analysis data analytics FP&A healthcare analytics managed care analytics transportation analytics or a related field.
• Experience supporting RFPs renewals pricing events contract repricing financial modeling or client proposals strongly preferred.
• Experience in Non-Emergency Medical Transportation (NEMT) Medicaid Medicare Advantage managed care healthcare services transportation logistics or provider network operations preferred or equivalent combination of education and/or experience.
• Strong understanding of pricing strategies methodologies financial modeling and profitability analysis.
• Strong financial acumen including the ability to understand income statements revenue gross profit adjusted EBITDA margin cost drivers and variance analysis.
• Ability to analyze contract terms and translate commercial operational and service-level obligations into pricing and financial implications.
• Advanced analytical and problem-solving skills with the ability to work with large complex data sets.
• Advanced proficiency in Microsoft Excel including scenario modeling sensitivity analysis advanced formulas pivot tables lookup functions and model documentation.
• Proficiency with SQL data warehouse queries Python R or similar analytical tools preferred.
• Experience with data visualization tools such as Power BI Tableau or similar platforms preferred.
• Ability to conduct advanced analyses to identify trends patterns utilization changes financial variances and performance drivers.
• Ability to distinguish fixed variable semi-variable and controllable costs within a services-based operating model.
• Understanding of contract structures such as full-risk shared-risk fee-for-service capitation administrative fee and corridor arrangements preferred.
• Familiarity with NEMT managed care Medicaid Medicare Advantage healthcare services transportation logistics or provider network economics preferred.
• Ability to build clear repeatable and auditable pricing models with documented assumptions.
• Ability to communicate technical and financial findings effectively to non-technical stakeholders.
• Strong presentation skills with the ability to explain pricing recommendations clearly and persuasively.
• Ability to collaborate effectively across cross-functional teams.
• Strong attention to detail and commitment to data accuracy documentation and quality.
• Ability to handle confidential financial client pricing and contract information with discretion.
• Ability to manage competing priorities in a fast-paced deadline-driven environment.
• Ability to challenge assumptions constructively and recommend practical improvements to pricing processes and reporting.
• Ability to work independently while maintaining strong alignment with stakeholders.

Salary: $69900 - $90000

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job.

Primarily seated work; extensive computer and telephone use; occasional standing walking reaching bending andlifting upto 10 lbs.

Modivcares positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role the number of roles and the number of applications received. We encourage our prospective candidatesto submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities andencourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical Dental and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail hotel food restaurants car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race color religion sex sexual orientation national origin age handicap or disability or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance please reach out to us at