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KPH HEALTHCARE SERVICES, INC · 12 hours ago

Pricing Specialist

Syracuse, NY

Full-time

Onsite

Entry Level

$21/hr - $23/hr

1+ years exp

KPH 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