Cost Control Specialist (Fully Remote)

CrowdHealth; United States; Remote; USD 70,000 - 100,000; Full time

Job summary

CrowdHealth is a community-powered alternative to health insurance that enables individuals to access and fund healthcare with transparency, simplicity, and control. The team operates remotely, and we seek a professional to support pricing benchmarks, case management for high-cost procedures, and post-negotiation activities.

Key duties include researching cash-pay rates with providers, managing Single Case Agreements and bundled pricing, engaging members to explain outcomes, coordinating with

Responsibilities

• Maintain knowledge of medical cost databases and tools.
• Support cost evaluations and benchmarking for care recommendations.
• Research and negotiate cash-pay rates with providers for high-dollar surgeries.
• Manage Single Case Agreements and bundled cash-pay pricing.
• Engage Members to explain outcomes and required documentation.
• Coordinate with Crowdfunding Specialists to initiate funding.
• Coordinate and resolve escalated Member situations.
• De-escalate emotionally heightened situations and escalate to leadership as needed.

Job description

Fair Market Pricing & Cost Benchmarking:

• Maintain knowledge of medical cost databases and tools.
• Support cost evaluations and benchmarking for care recommendations.

Case Management for High-Cost Procedures:

• Research and negotiate cash-pay rates with providers for high-dollar surgeries.
• Manage Single Case Agreements and bundled cash-pay pricing.

Post-Negotiation Management:

• Engage Members to explain outcomes and required documentation.
• Coordinate with Crowdfunding Specialists to initiate funding.
• Coordinate and resolve escalated Member situations.
• De-escalate emotionally heightened situations and escalate to leadership as needed.

CrowdHealth

CrowdHealth is a community-powered alternative to health insurance, enabling individuals to access and fund healthcare with transparency, simplicity, and control. The company values excellence and humanity and operates with a remote team.