The Role
Supports pricing, sales, and business development analytics by analyzing healthcare claims, reimbursement data, utilization, margins, profitability, and performance metrics. Maintains pricing models, fee schedules, reports, and business pipeline models; researches healthcare coding and payer methodologies; supports proposals, contract modeling, ROI analysis, and scenario planning. Communicates actionable insights to leadership and collaborates with Sales, Finance, Operations, and other stakeholders.
Summary Generated by Built In
The Pricing & Business Development Analyst supports Integra Partners’ pricing, sales, and business development analytics. This role is designed for professionals with strong Excel skills who are excited to learn SQL, Python, and Tableau. The analyst will help maintain pricing models, analyze performance metrics, and contribute to financial and business development insights that guide strategic decisions.
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES
- Analyze healthcare claims, reimbursement data, utilization trends, and financial performance to support pricing and business development initiatives.
- Develop and maintain pricing models, fee schedules, and reimbursement assumptions for Medicare, Medicaid, and commercial payers that analyze margins and profitability.
- Research HCPCS/CPT codes, modifiers, payer policies, and reimbursement methodologies to support pricing recommendations.
- Assist in evaluating pricing strategies through performance metrics, ROI analysis, and competitive insights.
- Support client-specific pricing proposals and contract modeling through financial analysis and scenario modeling.
- Develop and maintain reports that track pricing performance, business metrics, and sales activities.
- Contribute to maintaining an accurate new‑business pipeline model.
- Perform basic margin and pricing reviews to ensure alignment with internal guidelines.
- Conduct ad‑hoc analyses to support business development and margin‑improvement initiatives.
- Analyze trends in costs, customer activity, and product categories, identifying areas of opportunity.
- Summarize findings and communicate actionable insights and recommendations to leadership, business development, and operational stakeholders.
- Collaborate cross‑functionally with Sales, Finance, Operations, and other key teams.
EDUCATION: Bachelor’s degree or equivalent experience
EXPERIENCE:
- 3 – 5 years of experience in analytics, finance, business operations, or a related area.
- Advanced Excel proficiency required (pivot tables, lookups, data cleaning, basic modeling).
- Working knowledge of SQL preferred; experience with Python, Tableau, or other data visualization tools is a plus.
- Experience analyzing healthcare claims, reimbursement methodologies, fee schedules, or managed care pricing is required.
- Knowledge of healthcare coding systems (HCPCS, CPT, ICD-10) and reimbursement methodologies is strongly preferred.
- Strong written and verbal communication skills, with the ability to explain analytical findings clearly.
- Highly organized, detail‑oriented, and able to balance multiple priorities.
- Self‑motivated, curious, and eager to learn new tools, systems, and industry concepts.
What Will Make You Successful in This Role
- A genuine passion for analytics and solving business problems.
- Ability to translate complex data into actionable recommendations.
- Strong attention to detail and commitment to data accuracy.
- Enthusiasm for learning new technologies and working with data.
- Ability to work independently while contributing to a collaborative team environment.
- Strong problem‑solving skills and a mindset focused on continuous improvement.
Skills Required
- Bachelor's degree or equivalent experience
- 3–5 years of experience in analytics, finance, business operations, or a related area
- Advanced Excel proficiency, including pivot tables, lookups, data cleaning, and basic modeling
- Experience analyzing healthcare claims, reimbursement methodologies, fee schedules, or managed care pricing
- Working knowledge of SQL
- Experience with Python, Tableau, or other data visualization tools
- Knowledge of HCPCS, CPT, ICD-10, and reimbursement methodologies
- Strong written and verbal communication skills
- Ability to explain analytical findings clearly
- Strong organizational and attention-to-detail skills
- Ability to balance multiple priorities
- Self-motivated, curious, and eager to learn new tools, systems, and industry concepts
- Strong problem-solving skills and continuous-improvement mindset
- Ability to work independently and contribute to a collaborative team environment
Am I A Good Fit?
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.
Success! Refresh the page to see how your skills align with this role.
The Company
What We Do
Integra Partners is a leading network management company that connects Orthotics and Prosthetics (O&P) and Durable Medical Equipment (DME) providers with health plans and their patients. The company works with more than 50 health plans and has over 4,000 provider locations in its network. For more information on Integra Partners, visit www.accessintegra.com
