Atlanta, GA – We are looking for a Director/Principal level data scientist/modeler to help take our healthcare price discovery and cost optimization platform to the next level. We are looking for exceptional candidates with deep industry experience and knowledge in data and models related to healthcare pricing, fee schedule design and provider reimbursement. The ideal candidate will have experience in private and public healthcare reimbursement in the United States. Experience with rule and model based claims processing and adjudication for healthcare procedures and services will also be required. Experience in Medicare and Private Payer inpatient. outpatient, ASC and independent provider pricing models are highly desired. The candidate should have deep knowledge in various reimbursement paradigms like network based discounts, reference pricing, bundled pricing and cash based discount models.
