Remote Healthcare Cost Negotiator

CrowdHEALTH; United States; Remote; USD 68.000 - 83.000; Vollzeit

Benefits dieser Stelle

Remote-friendly

Equity or benefits

12 weeks parental leave

401(k)

Unlimited PTO

Zusammenfassung

CrowdHealth is seeking a Cost Control Specialist to help Members access fairly priced medical care and protect them from overbilling. This full-time remote role reports to the Director of Crowdfunding and collaborates across Care Advocates, Crowdfunding Specialists, providers, and Members.

The role emphasizes pricing benchmarking, case management for high-cost procedures, and post-negotiation support to ensure transparency, quality care, and reduced financial stress for Members.

Qualifikationen

• Background in healthcare services, pricing, or billing.
• Experience with healthcare cost benchmarking tools.
• Familiarity with Single Case Agreements and cash-pay pricing models.
• Passion for helping individuals navigate healthcare costs.
• Healthcare pricing expertise: assess cost fairness and identify high-value care options.
• Clinical literacy: CPT/HCPCS codes and medical terminology.

Aufgaben

• Fair Market Pricing & Cost Benchmarking: maintain cost databases and benchmarking platforms.
• Support Care Advocates in identifying fairly priced providers.
• Support cost evaluations and benchmarking for care recommendations.
• Help determine the fair market value of medical procedures and services.
• Case Management for High-Cost Procedures: research high-value providers for elective surgery.
• Negotiate transparent pricing and build provider relationships.
• Support Members through the care journey, including scheduling and records transfers.
• Manage Single Case Agreements (SCAs) and bundled cash-pay pricing.
• Oversee negotiations and post-negotiation cases for high-cost care.
• Coordinate with teams to ensure a seamless Member experience.

Kenntnisse

Healthcare pricing

Clinical literacy

Negotiation skills

Clear communication

Calm under pressure

Data integrity

Collaborative

Excel

Provider communication

Tools

Care pricing databases

Internal case management tools

Jobbeschreibung

CrowdHealth is seeking a Cost Control Specialist to help Members access fairly priced medical care and protect them from overbilling. This full-time remote role reports to the Director of Crowdfunding and collaborates across Care Advocates, Crowdfunding Specialists, providers, and Members.

The role emphasizes pricing benchmarking, case management for high-cost procedures, and post-negotiation support to ensure transparency, quality care, and reduced financial stress for Members.