Lead Medical Claims Pricing Architect
capital rxCharlotte, NC
Lead Medical Claims Pricing Architect
L6
capital rxCharlotte, NC3 days ago
Industries
Direct Health and Medical Insurance CarriersPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsDirect Life Insurance CarriersJudi Health is seeking a Lead Medical Network Pricer to act as the pricing expert for medical claims in a technology-enabled environment. You will interpret contracts, apply Medicare-based pricing and RBP, and maintain reimbursement data sets. You will work with Product and Engineering to automate pricing logic and ensure auditable results. The role requires deep knowledge of pricing methodologies, strong Excel/SQL skills, and the ability to lead pricing efforts for new client implementations
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Level
LeadL6
Location
Charlotte, NC
Occupation
Health Informatics Specialists
Industry
Direct Health and Medical Insurance Carriers
Posted
3 days ago
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