---
title: 'Cost Transparency Specialist at Yuzu Health'
canonical: 'https://feeny.ai/job/cost-transparency-specialist-yuzu-health-remote-5xf9x0bbgk78'
type: 'job'
last_seen: '2026-09-13'
---

# Cost Transparency Specialist at Yuzu Health

- **Company:** Yuzu Health
- **Location:** Remote
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-08-28
- **Last confirmed live:** 2026-09-13
- **Apply:** https://jobs.ashbyhq.com/yuzu-health/b1c8b98e-7ae8-4a00-a764-0f26fa889a8d

## Job description

Who are we? Yuzu is a tech-enabled, vertically integrated Third-Party Administrator (TPA) that powers innovative health plans centered on care navigation, capitated primary care, and real-time payments. Unlike traditional TPAs, we partner closely with plan designers who serve as care navigators, contract negotiators, and sales teams for the uniquely tailored plans they create. We currently support thousands of employees and differentiate ourselves by helping new models of healthcare delivery come to life — enabling new ways to access and pay for care through health care coverage. Our goal is simple: make it easy for any business to build and manage a custom health plan. We do this by efficiently processing claims, ensuring regulatory compliance, and building technology that enables custom payment flows and seamless collaboration across stakeholders. Equally important, we provide our members with high-quality support to ensure they have the guidance and assistance they need at every step of their healthcare journey. As we continue to grow, we’re excited to welcome another talented member of the Claims team to help us maintain our standard of exceptional service and innovation. Position Overview The Cost Transparency Specialist plays a key role in ensuring accurate, timely, and compliant processing of manual submission medical claims. This position requires strong analytical skills, deep attention to detail, and a working knowledge of medical benefit categories. The ideal candidate is solution-oriented, collaborative, and committed to delivering a high-quality client experience.

## Key Responsibilities

In this role, you will:

- Process and review manual medical claims submissions with a high level of accuracy and attention to detail.
- Apply knowledge of medical coding (CPT, ICD-10, HCPCS) to ensure proper adjudication and reimbursement.
- Interpret plan documents and reimbursement methodologies to ensure claims are processed in accordance with benefit design.
- Manage and support cash-pay workflows, including reviewing documentation and ensuring accurate and compliant processing.
- Communicate professionally with external partners regarding claims status, submission requirements, and processing details.
- Educate Plan Designers on claims procedures, reimbursement timelines, and required documentation.
- Support care navigation processes by ensuring accurate documentation and coordination of services.
- Identify, investigate, and escalate claims discrepancies or unresolved issues to ensure timely resolution.
- Maintain confidentiality and adhere to HIPAA guidelines and compliance standards.
- Contribute to process improvement initiatives as we scale and strengthen our Claims Operations and Support team.

## Qualifications

- 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. Why Join 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

## About Yuzu Health

## Company Overview
- **One-liner**: Yuzu Health is a technology platform that provides the infrastructure behind health insurance plans, offering a unified system for claims processing, payments, member administration, and plan configuration as a third-party administrator (TPA) for employers.
- **Entity Type**: Private (Series A; total funding $40M)
- **Headquarters**: New York, New York, United States
- **Founded**: 2022
- **Founders**: Max Kauderer, Ryan Lee, Russell Pekala

## Core Business
- **Industry**: Healthcare technology / health insurance plan administration (Insurtech)
- **Target Customers**: B2B – Plan Designers who create employer health insurance plans, employers, and other TPAs
- **Mission**: “Bringing trust and transparency back to health insurance” by rebuilding the system from the ground up, tackling root causes rather than symptoms.

## Products & Services
- **Claims Engine**: Fully in-house code for timely and reliable adjudication of all claim types and remittances, owned entirely by Yuzu.
- **Payment Infrastructure**: Custom auto-ledgering system providing real-time transparency into where dollars are spent, with no latency.
- **Support Tools**: Custom call routing, workflow alerts, case management software, and proactive tools built into the portal.
- **Human-Centered Portals**: Portals and communications for employers, members, and vendors, built from scratch with white-labeling so everything is branded to the plan designer.
- **Reporting & Analytics**: Real-time raw data and analytics for drill-down and big-picture views, with no black boxes.
- **Integrations**: Streamlined connections for PBM, stop loss, and other high-priority vendors to enable a single source of truth.
- **Benefits Builder**: Tool to add tiers, accumulators, and custom benefits when designing a plan.
- **Document Handling**: Auto-generation of SPDs and SBCs with eSignature capabilities in the portal.

## Market Standing
- **Valuation**: Not disclosed
- **Key Metric**: $40M total funding raised (Series A of $35M closed April 2026)
- **Notable Investors/Partners**: General Catalyst (lead), Chemistry (lead), Anthropic’s Anthology Fund, Bain Future Back Ventures, Timeless Ventures, Lachy Groom, Neo
- **Growth Signals**: 
  - Headcount grew 342% year-over-year to 57 employees (as of mid-2026)
  - LinkedIn followers grew 148% annually
  - Revenue of ~$500K (early stage, rapidly scaling)
  - Active hiring across product, engineering, sales, operations, and finance

## Competitive Advantages
- **In-house everything**: Unlike many TPAs that rely on third-party software, Yuzu owns every line of code for claims adjudication, payment infrastructure, and portals – giving full control and transparency.
- **White-labeling**: Fully branded portals and communications allow plan designers to maintain their own identity.
- **Real-time transparency**: Custom auto-ledgering and raw data reporting provide unmatched visibility into plan spending and performance.
- **Modern tech stack**: Built from the ground up rather than patching legacy systems, enabling faster iteration and better user experience.

## Strategic Focus
- **Current Priorities**: Scaling the platform to launch more groups, deepening integrations with partners (PBM, stop loss), and expanding the sales team to reach health systems, TPAs, and employers directly.
- **Direction for Growth**: Becoming the operating system for innovative health plans, simplifying plan administration, and enabling plan designers to focus on creative plan designs rather than infrastructure.

## Why Work Here
- **Culture**: Emphasizes small teams, in-person collaboration, a product mindset (not just a role), and a willingness to question the status quo. The team builds everything in-house and cares deeply about the work.
- **Work Policy**: In-person / office-based in New York (227 West 29th Street). Collaboration happens face-to-face.
- **Notable Perks**: Opportunity to rebuild healthcare infrastructure from scratch; work with a fast-growing, well-funded startup backed by top-tier investors; direct impact on product and company direction.
- **Engineering Culture**: Engineers are expected to own the product, work in small cross-functional teams, and have a high degree of autonomy. Current open roles include Product Engineer, Software Engineer (Backend), and Software Engineer (Data Systems).

## Sources
1. [yuzu.health](https://yuzu.health/) – Company website
2. [yuzu.health/about](https://yuzu.health/about) – About page
3. [yuzu.health/careers](https://yuzu.health/careers) – Careers page
4. [cbinsights.com](https://www.cbinsights.com/company/yuzu-health) – CB Insights profile
5. [linkedin.com](https://www.linkedin.com/company/yuzu-health) – LinkedIn company page

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