Internal Consultant- CRI CDM & Pricing- Remote

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This role is part of the Corporate Revenue Integrity (CRI) team and plays a key role in supporting strategic pricing initiatives across a large, multi-entity health system. The scope includes acute care hospitals, long‑term acute care facilities, rural health clinics, critical access hospitals, and provider‑based clinics, with responsibility for both technical and professional fee pricing.

The Internal Consultant works independently within approved pricing methodologies and regulatory frameworks to analyze pricing requests, evaluate facility pricing structures, and audit fee schedules for accuracy and consistency. The role requires the ability to confidently make and support recommendations based on data‑driven analysis. Candidates must be comfortable working in a fast‑paced environment with tight deadlines, and navigating the complexities of a large, integrated health system.

• High school diploma or equivalent.
• Bachelor's degree in a related field or an advanced degree in finance, accounting, business/health administration.

Required:

10 years of related professional experience;
OR 5 years related professional experience with a bachelor's degree.

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

• 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 navigate 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).

• 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.
• Facilitate 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.
• Participate in research, training, and education that supports the project.
• Escalate issues that may not put the project at risk; recommend solutions.
• Ensure data integrity and quality control.
• Ensure projects remain within budget.
• Perform other related duties as required.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation…