[Remote] Pricing Configuration Specialist at Sidecar Health

Remote

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Skills

Key technologies and capabilities for this role

PPS codingDRG GroupingAPC Payment methodologyCMS pricing rulesMS-DRGCMGASC PPSIPF PPSIRF PPSProfessional claimsRoot cause analysisProvider contractsFee schedulesAnalytical skills

Questions & Answers

Common questions about this position

What compensation can I expect for this Pricing Configuration Analyst role?

You can expect a competitive salary, bonus opportunity, and equity package.

What benefits are offered in this position?

Benefits include comprehensive Medical, Dental, and Vision coverage, a 401k retirement plan, and paid vacation and company holidays.

Is this role remote or does it require office work?

This information is not specified in the job description.

What skills and experience are required for this position?

Requirements include 3+ years of experience with PPS coding, DRG Grouping & APC Payment methodology, experience with industry standard groupers like 3M or Optum, strong analytical skills, knowledge of healthcare benefits and contracts, plus excellent communication skills and a Bachelor’s degree.

What is the company culture like at Sidecar Health?

The company is committed to building a diverse team as an Equal Opportunity employer and offers the opportunity to make an impact at a rapidly growing mission-driven company transforming healthcare.

Sidecar Health

Affordable health insurance with price transparency

About Sidecar Health

Sidecar Health provides health insurance plans that focus on affordability and transparency, including options compliant with the Affordable Care Act (ACA). The company allows members to see average cash prices for medical services upfront, helping them make informed decisions and avoid unexpected costs. Revenue is generated through member premiums, which cover medical expenses, while also benefiting from the difference between negotiated cash prices and premiums. Sidecar Health's goal is to empower members to take control of their healthcare expenses with straightforward and cost-effective insurance options.

El Segundo, CaliforniaHeadquarters

2018Year Founded

$319.1MTotal Funding

SERIES_DCompany Stage

Financial Services, HealthcareIndustries

201-500Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

Paid Vacation

Paid Holidays

Stock Options

Company Equity

Risks

Increased competition from similar insurtech companies may erode market share.

Regulatory scrutiny on cash pay models could pose compliance challenges.

Economic downturns might reduce consumer spending on health insurance premiums.

Differentiation

Sidecar Health offers transparent pricing, empowering members with upfront healthcare cost information.

The company provides customizable plans, aligning with individual coverage needs and budgets.

Partnerships with institutions like Ohio State University enhance their fixed-price care model.

Upsides

Recent $165M Series D funding supports expansion and innovation in health insurance.

Partnership with Mark Cuban Cost Plus Drug Company lowers prescription drug costs for members.

ACA-compliant product line expansion increases market reach and consumer options.

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