About this role
Harnessing Technology to Improve Financial Stewardship for the Welfare, Defense, and Security of Our Nation
Blake Willson Group (BWG) unites deep domain experts with technologists who leverage industry-leading financial management solutions to address the most critical mission objectives. Headquartered in the National Capital Region, the firm delivers measurable outcomes through technology-forward strategies and advanced solutions that drive mission success.
Blake Willson Group has a distinguished track record of exceptional performance, achieving operational efficiencies that allow our clients to do more with less. BWG has earned the confidence of its clients by consistently exceeding expectations through its unwavering commitment to best value solutions, implemented with speed.
Job Location:
This role is 100% remote.
Clearance:
Must be currently authorized to work in the United States on a full-time basis and have the ability to obtain a Public Trust Security Clearance.
Job Description:
Blake Willson Group is seeking a Senior Healthcare Pricing Consultant to support the financial and price analysis of complex healthcare proposals for a major federal procurement. The consultant will apply hands-on experience in medical and healthcare pricing, reimbursement, utilization, provider networks, claims, and other healthcare cost drivers to evaluate proposed pricing, methodologies, assumptions, supporting data, and solicitation requirements. Working in coordination with a Senior Healthcare Actuarial Consultant, the consultant will translate healthcare pricing and data analysis into clear, defensible findings supporting proposal evaluation, clarification development, negotiations, and source-selection activities. The ideal candidate will have recent healthcare pricing experience and the ability to evaluate another organization's pricing and assumptions, validate complex pricing models, and communicate findings under accelerated procurement timelines. In this position, you will also:
- Evaluate managed-care and healthcare proposal pricing, including rates, unit prices, reimbursement methodologies, administrative fees, discounts, utilization, trend, escalation, and other key cost drivers.
- Review solicitation requirements, evaluation criteria, contract terms, amendments, and other acquisition documentation to assess pricing and proposal conformance.
- Crosswalk Offeror pricing submissions against required structures, contract line items, periods, regions, populations, benefit categories, and supporting data.
- Analyze medical and healthcare pricing data, including provider reimbursement, claims, utilization, network discounts, administrative costs, regional adjustments, and risk-sharing arrangements.
- Build, review, modify, and validate pricing workbooks and models, including formulas, calculations, reconciliations, assumptions, and supporting documentation.
- Normalize and compare competing proposals using historical results, market benchmarks, Government data, independent estimates, and other available sources.
- Identify deficiencies, outliers, unsupported assumptions, inconsistencies, ambiguities, unbalanced pricing, and potential cost or performance risks.
- Develop clarification questions, analytical findings, negotiation objectives, and fair-and-reasonable pricing recommendations, including potential financial impacts.
- Prepare Price Analysis Reports, comparison tables, executive briefings, decision-support materials, and traceable acquisition workpapers, incorporating actuarial and healthcare analytics findings as appropriate.
- Collaborate with healthcare, actuarial, pricing, and acquisition professionals to update analyses through clarifications, proposal revisions, negotiations, and Final Proposal Revisions while protecting procurement-sensitive information.
Required Skills:
- Bachelor’s degree in Finance, Accounting, Economics, Business, Healthcare Administration, Mathematics, Statistics, or a related discipline.
- 7+ years of experience in healthcare pricing, medical pricing, managed-care pricing, reimbursement, healthcare economics, health-plan analytics, provider pricing, or a related field.
- 3+ years of experience evaluating healthcare pricing, rates, reimbursement, provider or network pricing, cost models, or related financial analyses, with hands-on experience building, modifying, validating, or independently reviewing complex pricing models and supporting data.
Desired Skills:
- Experience evaluating another organization's healthcare pricing, rates, reimbursement proposals, pricing models, or underlying assumptions for a purchaser, regulator, health plan, Government agency, or advisory client.
- Experience supporting federal or state healthcare procurements, proposal evaluations, negotiations, clarifications, discussions, FPRs, or other acquisition activities, preferably with knowledge of FAR Part 15 price analysis and acquisition documentation.
- Experience supporting large-scale healthcare programs, managed-care contracts, health-plan procurements, provider networks, TPAs, major health insurers, or programs such as VA/VHA, CMS, DHA/TRICARE, HHS, Medicare, Medicaid, VA Community Care, or FEHB.
- Experience evaluating medical and dental pricing, including provider reimbursement, claims, utilization, unit costs, network discounts, administrative fees, trend and escalation assumptions, regional adjustments, and value-based or risk-sharing arrangements.
- Experience analyzing healthcare data and building or validating complex pricing models using Excel, Power Query, Power BI, SQL, Python, R, or similar tools, and translating findings into pricing recommendations, acquisition decisions, or negotiation positions.
- Experience developing Price Analysis Reports, PNMs, prenegotiation objectives, clarification questions, evaluation findings, fair-and-reasonable price determinations, or other acquisition documentation, with the ability to deliver accurate, traceable analyses under compressed timelines.
At Blake Willson Group, we believe in transparency and fairness in compensation practices. For this position, we offer a competitive salary range of $100,000 to $150,000 in the United States. Your individual salary within this range will be determined by various factors, including but not limited to your education, experience, skills, and geographic location. We also provide a comprehensive Total Rewards package, which includes major medical benefits such as dental and vision coverage, a 401(k)-contribution plan, holiday and personal time off, professional development training & certification benefits, health & wellness subsidies, paid time off for community service, and more. We value your contributions and are committed to recognizing and rewarding your performance and the value you bring to our business.