Internal Consultant – CRI CDM & Pricing

Job not on LinkedIn

3 hours ago

⚜️ Louisiana – Remote

Although this job is listed in Louisiana, this company may be open to hiring remote in other states.

⏰ Full Time

🟠 Senior

🔴 Lead

💼 Consultant

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Ochsner Health

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Healthcare Insurance • Non-profit • Education

Ochsner Health is a comprehensive healthcare system dedicated to delivering health services to the people of Louisiana, Mississippi, and the Gulf South. Its mission is to serve, heal, lead, educate, and innovate in healthcare. As the largest academic medical center in Louisiana, Ochsner focuses on a clinically-integrated research program aimed at improving community wellness and educating future healthcare leaders. They offer a variety of services, including primary care, urgent care, women's and men's health, digital medicine, and specialized treatments such as cancer care, heart and vascular services, transplants, and more. Ochsner also emphasizes community engagement through partnerships, education, and outreach programs, while fostering an inclusive environment. They are committed to accessibility, patient stories, and transparency in billing and insurance information. Ochsner is a non-profit organization and an equal opportunity employer.

10,000+ employees

Founded 1942

⚕️ Healthcare Insurance

🤝 Non-profit

📚 Education

💰 Grant on 2023-07

📋 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.

🎯 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