You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an experienced Senior Healthcare Network Analyst for a targeted contract engagement running through March. In this role, you will be the analytical engine driving healthcare pricing intelligence, provider rate benchmarking, and network contract modeling. You will extract, normalize, and analyze public Transparency in Coverage (TiC) data alongside competitor benchmark datasets to build accurate, actionable rate proposal scenarios and support upcoming healthcare provider contract negotiations.

Key Responsibilities

• Extract and review negotiated rate records from federal Transparency in Coverage Machine-Readable Files (MRFs) and approved secondary source materials.
• Build traceable, standardized, and normalized pricing datasets across assigned healthcare systems, geographic markets, and provider networks.
• Standardize complex provider identifiers (NPIs), payer details, service codes (CPT/HCPCS/DRG), rate types, and market fields to establish consistent baseline comparisons.
• Document all data gaps, proxy methodologies, exclusions, assumptions, and key judgment decisions during analysis.
• Map and classify available pricing records against major market competitors (BCBS, UnitedHealthcare, Cigna, Aetna) using consistent product and plan definitions.
• Construct actionable rate benchmarks broken down by health system, regional market, service category, site of service (Inpatient vs. Outpatient), and reimbursement methodology (Fee-for-Service, % of Charge, DRG, EAPG).
• Apply approved target metrics and pricing parameters to model baseline and alternative provider rate proposal scenarios.
• Perform financial impact analyses comparing proposed provider rates against transparency benchmarks, competitor pricing models, and target unit-cost parameters.
• Deliver concise provider-level summary exhibits and negotiation support materials detailing modeled financial impact, key assumptions, open questions, and approval items for network contracting leadership.

Experience

• 4+ years of experience in healthcare data analytics, network financial modeling, managed care pricing, or health plan reimbursement analysis.
• Experience in working with Price Transparency Data and familiarity with hospital contracts and DRG based rates.

Skills

• Proficiency in Snowflake; experience in running queries in Snowflake.
• Experience with Out of Network claims cost analysis, Utilization Reporting and/or medical analytics experience.

Additional Requirements

• Standard M-F 8-5pm schedule, 40-hour work week, with flexible start time.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients