Business Analyst driving Guardian's dental PPO and DHMO network strategies through advanced pricing analytics and data-driven insights. Focused on data analysis, provider economics, and pricing optimization.
Responsibilities
Support pricing analytics: Model and analyze provider economics, fee schedule impacts, and discount structures to inform strategic pricing decisions
Develop pricing tools and dashboards: Build automated reporting solutions and analytical models to support underwriting, network development, and sales teams
Support proposals and RFPs: Deliver accurate network discount and cost metrics for competitive bids and strategic initiatives
Optimize reimbursement processes: Maintain and update fee schedules, payment calculations, and pricing methodologies for PPO and DHMO products
Collaborate cross-functionally: Partner with actuarial, underwriting, and network teams to ensure pricing integrity and actionable insights
Requirements
Bachelor’s degree in Finance, Economics, Business, or related field
Strong quantitative and analytical skills with a focus on pricing and cost modeling
0–3 years of experience in financial planning & analysis, corporate strategy, or management consulting
Advanced Excel skills (PivotTables, complex formulas, data modeling)
Experience with Alteryx or similar data tools (preferred)
Familiarity with visualization tools (Tableau preferred)
Knowledge of programming languages for data analysis (Python, R, SQL)
Understanding of healthcare economics or provider reimbursement structures is a plus
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