A healthcare intelligence companyHiring

Content Innovation, Claims Editing - Specialty Pharmacy

  • Remote, United States
  • Senior
  • Posted 2 weeks ago
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In one line

Content Innovation, Claims Editing - Specialty Pharmacy is a senior remote role in the United States at a healthcare intelligence company.

About the role

Owning the clinical and coding content for drug edits, from sourcing policy to measuring whether each edit pays off for health plan clients. Sits where coding, reimbursement policy, data and product work meet.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Senior
Skills
CPT, HCPCS, ICD-10-CM, NCCI PTP, MUE, CMS ASP pricing files, NDC-to-HCPCS crosswalks
Posted
15 Oct 2026
Last checked
28 Oct 2026

What you will do

  • Watch CPT, HCPCS, ICD-10-CM, NCCI PTP and MUE updates, CMS manuals, NCDs, LCDs and payer policies
  • Turn coding rules and reimbursement policy into precise editing logic that can be tested
  • Record the source and reasoning behind each edit so it holds up on appeal
  • Keep drug edits current through quarterly code updates and policy changes
  • Separate market-wide content from client-specific policy and mark the difference

What they look for

  • Deep experience in clinical editing and coding
  • Expertise in specialty pharmacy and high-cost drugs
  • Comfort reading claims data to size opportunities and test ideas
  • Practical interest in using AI to build content faster without losing accuracy

Nice to have

  • Familiarity with oncology, immunology, rare disease or biosimilar billing

How Keywordise applies for you

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ClaudeConnectorChatGPTConnectorMuseby Meta

Claude

  1. In Claude, open Settings, then Connectors, and choose Add custom connector.
  2. Name it Keywordise and paste the connector URL.
  3. Click Connect, log in to Keywordise and approve. Then send the prompt in a new chat.
Connector URL
https://keywordise.com/mcp

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ChatGPT

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Connector URL
https://keywordise.com/mcp

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Muse

  1. Open Muse (muse.ai or the app) and send it the message below.
  2. If Muse asks how to sign in, answer OAuth. Open the sign-in link it sends, log in to Keywordise and approve.
  3. Send the prompt. Muse asks before it sends anything.
Message for Muse
Add a custom connector called Keywordise. It is a remote MCP server at https://keywordise.com/mcp and uses OAuth. Give me the sign-in link.

Muse is available in the US only for now.

Prompt
Apply to Keywordise job d5eq7kmfcf
How to connect

Questions about this job

Can I do this job remotely, and from which countries?

The posting lists it as remote for people in the United States.

What does this job pay?

No pay range is stated in the posting.

What experience is needed?

It is a senior role. The posting asks for: deep experience in clinical editing and coding; expertise in specialty pharmacy and high-cost drugs; comfort reading claims data to size opportunities and test ideas. Skills it names include CPT, HCPCS, ICD-10-CM, NCCI PTP.

How do I apply with Keywordise AI?

Click Apply with Keywordise AI, create an account and upload your CV. Your CV and cover letter are written for this job from what you have really done, then Keywordise applies for you. Trial: 7 days, no card.

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