Internal Consultant – CRI CDM & Pricing

ConsultantConsultantFull TimeRemoteLeadTeam 10,001+Since 1942H1B No SponsorCompany SiteLinkedIn

Location

Louisiana

Posted

101 days ago

Salary

Not specified

Seniority

Lead

Bachelor Degree10 yrs expExperience acceptedEnglish

Job Description

• Apply approved pricing methodologies to daily pricing requests across diverse facility types. • Conduct ongoing audits of fee schedules to identify inconsistencies and opportunities to strengthen pricing integrity. • Collaborate with clinical, financial, and operational teams to ensure pricing decisions are informed, executable, and aligned with organizational standards. • Facilitate processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation. • Support Epic CDM workflows and maintain pricing accuracy across systems. • Contribute to high-visibility projects with zero-error tolerance. • Stay current with federal and state regulatory requirements related to pricing transparency, reimbursement, and charge structure compliance.

Job Requirements

  • 10 years of related professional experience; OR 5 years related professional experience with a bachelor's degree.
  • Bachelor's degree in a related field or an advanced degree in finance, accounting, or business/health administration preferred.
  • Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.) preferred.
  • Mastery-level Excel skills (advanced formulas, modeling, pivot tables, etc.).
  • Deep understanding of reimbursement models across various facility types.
  • Proficiency in Epic charging workflows and CDM management.
  • Strong interpersonal and leadership skills.
  • Ability to work in a fast-paced environment with tight deadlines, and navigating the complexities of a large, integrated health system.

Benefits

  • Health insurance
  • 401(k) retirement plan
  • Paid time off
  • Flexible work arrangements

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