Lead, Medical Network Claims Pricer
Judi Health
Location: Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New York, United States, United States
**Lead, Medical Network Pricer at Judi Health in Charlotte, NC or Denver, CO or NYC** **What you'll do** - Interpret complex provider contract language and reimbursement terms - Manually price complex medical claims using industry-standard methodologies - Define and document pricing rules for engineering team - Translate manual pricing logic into requirements for automated capabilities **What they're looking for** - Deep understanding of reimbursement and payment policies - Knowledge of code sets and tables for accurate pricing - Experience with Medicare-based pricing and Reference-Based Pricing - Ability to work with substantial autonomy and accountability **Details** - Location: Charlotte, NC; Denver, CO; or NYC (Hybrid) - Type: Not specified - Salary: Not specified
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