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Ochsner Health · 3 hours ago

Internal Consultant- CRI CDM & Pricing- Remote

United States

Full-time

Remote

Senior Level, Lead/Staff

10+ years exp

Ochsner Health is a dedicated healthcare provider committed to serving and healing patients. The Internal Consultant role is crucial in supporting strategic pricing initiatives across a multi-entity health system, requiring independent analysis and data-driven recommendations on pricing structures and fee schedules.

Health CareHospitalInformation TechnologymHealth

Responsibilities

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

Facilitates 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

Participates in research, training, and education that supports the project

Escalates issues that may not put the project at risk; recommends solutions

Ensures data integrity and quality control

Ensures projects remain within budget

Performs other related duties as required

Qualification

Mastery-level Excel skillsReimbursement modelsEpic workflowsRelated professional certificationCommunication skillsAttention to detailOrganizational skillsInterpersonal skillsLeadership skillsTime management skillsProject management skills

Required

High school diploma or equivalent

10 years of related professional experience

OR 5 years related professional experience with a bachelor's degree

Mastery-level Excel skills (advanced formulas, modeling, pivot tables, etc.)

Strong communication skills to engage effectively with stakeholders at all levels

Deep understanding of reimbursement models across various facility types

Proficiency in Epic charging workflows and CDM management

Exceptional attention to detail and organizational skills

Ability to confidently present and support pricing recommendations

Commitment to staying informed on regulatory changes impacting pricing and CDM practice

Ability to work in a fast-paced environment with tight deadlines, and navigating the complexities of a large, integrated health system

Proficiency in using computers, software, and web-based applications

Strong interpersonal and leadership skills

Organizational, time management, and project management skills

Ability to travel throughout and between facilities and work a flexible schedule (e.g. 24/7, weekend, holiday, on call availability)

Preferred

Bachelor's degree in a related field or an advanced degree in finance, accounting, business/health administration

Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.)

Company

Ochsner Health

Glassdoor3.5

Ochsner Health is the leading nonprofit healthcare provider in Louisiana, Mississippi and across the Gulf South, delivering expert care at its 47 hospitals and more than 370 health and urgent care centers.

Founded in 1942

New Orleans, Louisiana, USA

10001+ employees