Selby Jennings
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A nationally recognized health insurer is seeking a
Network Pricing Consultant
to lead strategic pricing initiatives and support provider network development within its Dental division. This role is ideal for a data-driven professional with strong leadership skills and a passion for optimizing healthcare access and affordability. This is a hybrid position - 3x a week in-office, 2x WFH (Boston, MA or New York, NY) Key Responsibilities Lead a team of analysts in evaluating and optimizing PPO and DHMO provider compensation. Oversee changes to fee schedules and assess financial impacts on dental rates. Manage rental access fee payments and relationships with network partners. Develop and maintain analytical tools to support pricing, retention, and recruitment strategies. Collaborate with cross-functional teams to identify cost-saving opportunities and enhance network performance. Support RFP responses and sales initiatives with data-driven insights. Build and maintain strong relationships with internal stakeholders and external providers. Qualifications Bachelor's degree in Math, Statistics, Actuarial Science, or a related field. 6+ years of experience in actuarial or data analytics, preferably in healthcare or insurance. Proficiency in Excel and/or VBA; experience with Tableau and Alteryx is a plus. Experience with provider fee analysis (PPO and HMO) is preferred. ASA designation is preferred. Proven ability to lead multiple projects and manage direct reports. Strong analytical, communication, and project management skills. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Consulting Industries Claims Adjusting, Actuarial Services Referrals increase your chances of interviewing at Selby Jennings by 2x Sign in to set job alerts for “Actuary” roles.
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Network Pricing Consultant
to lead strategic pricing initiatives and support provider network development within its Dental division. This role is ideal for a data-driven professional with strong leadership skills and a passion for optimizing healthcare access and affordability. This is a hybrid position - 3x a week in-office, 2x WFH (Boston, MA or New York, NY) Key Responsibilities Lead a team of analysts in evaluating and optimizing PPO and DHMO provider compensation. Oversee changes to fee schedules and assess financial impacts on dental rates. Manage rental access fee payments and relationships with network partners. Develop and maintain analytical tools to support pricing, retention, and recruitment strategies. Collaborate with cross-functional teams to identify cost-saving opportunities and enhance network performance. Support RFP responses and sales initiatives with data-driven insights. Build and maintain strong relationships with internal stakeholders and external providers. Qualifications Bachelor's degree in Math, Statistics, Actuarial Science, or a related field. 6+ years of experience in actuarial or data analytics, preferably in healthcare or insurance. Proficiency in Excel and/or VBA; experience with Tableau and Alteryx is a plus. Experience with provider fee analysis (PPO and HMO) is preferred. ASA designation is preferred. Proven ability to lead multiple projects and manage direct reports. Strong analytical, communication, and project management skills. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Consulting Industries Claims Adjusting, Actuarial Services Referrals increase your chances of interviewing at Selby Jennings by 2x Sign in to set job alerts for “Actuary” roles.
Boston, MA $208,200.00-$327,140.00 2 weeks ago Boston, MA $208,200.00-$327,140.00 2 weeks ago Business Analyst with SWIFT MT and SWIFT MX files for Cash Transactions
Business Analyst (Former Athletes and Veterans)
Boston, MA $60,000.00-$110,000.00 3 weeks ago North Andover, MA $60,000.00-$80,000.00 1 week ago Business Analyst with SWIFT MT and SWIFT MX files for Cash Transactions
Boston, MA $62,000.00-$85,000.00 1 hour ago Scientific Business Analyst- Boston or Bay Area
Scientific Business Analyst- Boston or Bay Area
Quincy, MA $41,600.00-$66,560.00 1 week ago Scientific Business Analyst, Scientific AI- Boston
Middle Office Product Business Analyst, AVP
Burlington, MA $90,000.00-$142,500.00 2 weeks ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr