Cost Transparency Specialist

2+ years of experience in medical claims processing or reimbursement preferred Working knowledge of CPT, ICD-10, and HCPCS coding Experience with manual claims workflows and explanation of benefits (EOB) review Familiarity with self-funded health plans and employer-sponsored benefits preferred Proficiency with computer skills Core Competencies Empathy and professionalism when communicating with clients and partners Strong commitment to accuracy and attention to detail Ability to prioritize workload effectively in a fast-paced environment Excellent written and verbal communication skills Critical thinking and problem-solving ability Dependability, accountability, and ownership mindset Collaborative, team-oriented approach What Will Make You Stand Out Experience with innovative health plan designs, including Reference-Based Pricing (RBP), cash payment models, care navigation, and employer-sponsored Direct Primary Care (DPC) Familiarity with HIPAA, CMS, or managed care guidelines Knowledge in ACA compliant plans Strong understanding of reimbursement methodologies Experience in a startup or high-growth environment Utilization Review and Utilization Management skills Bilingual skills (especially Spanish) Who We’re Looking For: We’re seeking a motivated, ethical, and compassionate individual who thrives in a fast-paced, detail-oriented environment and is passionate about delivering fair and accurate outcomes. If you’re passionate about doing the right thing and bringing integrity to every claim, we’d love to hear from you.

Us: Equity opportunities Competitive Salary $65k in annual salary Health benefits 401K with Employer matching Career growth and development opportunities Remote capabilities We are a high-trust team with radically high transparency and autonomy Our Interview Process: If you’re selected for an interview, here’s what you can expect: Initial 30–45 minute video conversation with Claims Operations Leadership Follow-up conversation with members of the broader Operations Leadership team Take-home assignment (approx. 2 hours) designed to reflect real on-the-job work Reference checks with 1–2 individuals you provide