Hybrid Pricing Manager

Posted 2 days ago

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About the role

  • Pricing Manager collaborating with Regional Medical Directors for evidence-based clinical decisions. Conducting clinical reviews and making crucial approvals or recommendations regarding cases.

Responsibilities

  • Works with Regional Medical Directors to make sound, evidence based clinical decisions regarding the requested cases (treatments and procedures) for IP/OP
  • Performs retrospective clinical reviews utilizing criteria set forth by the client and Medicare (CMS-Centers for Medicare and Medicaid Services)
  • Performs outbound calls to providers.

Requirements

  • Bachelor Degree in relevant field with 6- 8 years of relevant experience

Job title

Pricing Manager

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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