Remote Healthcare Cost Negotiator

CrowdHealth, Inc.; United States; Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Remote flexibility

401(k)

Paid maternity/paternity leave

Job summary

CrowdHealth, Inc. is seeking a Cost Control Specialist to ensure fair pricing for medical care and protect Members from overbilling.

This full-time remote role reports to the Director of Crowdfunding and collaborates with Care Advocates, external partners, and provider networks to optimize pricing and outcomes. The role emphasizes negotiation, case management for high-cost procedures, and post-negotiation follow-up to support Members through the care journey while upholding CrowdHealth’s

Qualifications

• Background in healthcare pricing, billing, or related field.
• Experience with benchmarking tools and negotiation platforms.
• Familiarity with Single Case Agreements and cash-pay pricing models.
• Ability to explain cost topics in plain terms.
• Strong organization and data integrity.

Responsibilities

• Maintain knowledge of cost databases, tools and benchmarks.
• Identify fairly priced providers with Care Advocates.
• Support cost evaluations and benchmarking for care recommendations.
• Determine fair market value of procedures and services.
• Shop for high-value providers for elective surgeries.
• Negotiate transparent pricing with providers before surgeries.
• Guide Members through the care journey, incl. scheduling and records.
• Manage Single Case Agreements and bundled cash-pay pricing.
• Oversee negotiations and post-negotiation cases.
• Coordinate with teams to ensure excellent Member experience.
• Handle disputes related to pricing and outcomes.
• Maintain records of payment terms and final settlements.

Skills

Healthcare pricing

Negotiation

Cost benchmarking

Case management

HIPAA compliance

Excel

Communication

Data integrity

Tools

Care pricing databases

Internal case management tools

Job description

CrowdHealth, Inc. is seeking a Cost Control Specialist to ensure fair pricing for medical care and protect Members from overbilling.

This full-time remote role reports to the Director of Crowdfunding and collaborates with Care Advocates, external partners, and provider networks to optimize pricing and outcomes. The role emphasizes negotiation, case management for high-cost procedures, and post-negotiation follow-up to support Members through the care journey while upholding CrowdHealth’s