Principal Pricing Advisor

Job Description

Leads the development, execution, and continuous assessment of pricing strategies across the EBS and CDS portfolio, including designated Blue Cross NC-affiliated products and services within scope. Serves as the organization’s subject matter expert in market-based pricing, Target Market Price (TMP) methodologies, competitive pricing intelligence, and portfolio pricing optimization.

Owns the development and maintenance of Target Market Price methodologies, ensuring pricing recommendations are informed by customer value, market willingness-to-pay, competitive positioning, financial performance objectives, and long‑term portfolio strategy.

Partners closely with Product Management, Sales, Finance, Actuarial, Underwriting, and business P&L leaders to establish pricing strategies that balance market competitiveness, growth objectives, customer value, and financial performance. Develops pricing frameworks, market‑informed guardrails, and strategic pricing recommendations that guide product positioning, customer quotations, and portfolio investment decisions.

Provides ongoing monitoring of market conditions, competitive pricing trends, profitability performance, and customer purchasing behaviors to ensure pricing strategies remain aligned with organizational goals and evolving market dynamics.

• Owns the development, implementation, and continuous refinement of Target Market Price (TMP) methodologies across assigned products and services.
• Defines market‑based pricing strategies that balance customer value, competitive positioning, growth objectives, and profitability requirements.
• Establishes target pricing ranges, acceptable pricing corridors, and pricing thresholds for products, services, and customer segments.
• Evaluates willingness‑to‑pay, customer value drivers, competitor pricing, and market dynamics to inform pricing recommendations.
• Develops strategic pricing frameworks that support sustainable growth and portfolio profitability.
• Leads initiatives to optimize pricing approaches throughout the product lifecycle.
• Recommends pricing actions that align with business objectives, market opportunities, and financial targets.

• Conducts ongoing analysis of healthcare market pricing trends, competitor pricing strategies, employer purchasing behaviors, and emerging market developments.
• Develops and maintains pricing benchmarks across relevant healthcare products and services.
• Monitors market shifts, competitive actions, and customer demand signals to proactively identify pricing opportunities and risks.
• Evaluates the impact of competitor and market pricing changes on portfolio performance and strategic positioning.
• Synthesizes market research, financial performance data, customer insights, and industry trends into actionable recommendations.
• Serves as the primary source of pricing intelligence for business and product leaders.

• Establishes pricing guardrails, approval thresholds, discounting standards, and pricing governance processes across assigned portfolios.
• Develops methodologies to ensure consistency in pricing decisions and alignment with market strategies.
• Creates pricing decision frameworks that support scalable and repeatable pricing practices.
• Reviews pricing exceptions and recommends actions based upon strategic, financial, and market considerations.
• Ensures pricing decisions align with organizational objectives while maintaining competitiveness and profitability.

• Serves as strategic pricing lead for self‑insured employer group opportunities.
• Collaborates with P&L leaders, Sales, Underwriting, Actuarial, Finance, and Product Management teams to develop pricing strategies for new and renewing employer groups.
• Assesses proposed pricing against established TMP methodologies, pricing guardrails, and financial targets.
• Provides pricing consultation and recommendations for complex, high‑value, or strategically important opportunities.
• Supports negotiation strategies through analysis of pricing flexibility,…