
51 - 200 employees
Founded 2013
đĽ Healthcare
âď¸ Healthcare Insurance
âď¸ SaaS
đ° Private Equity Round on 2024-01
Healthcare ⢠Healthcare Insurance ⢠SaaS
ClarisHealth is a healthcare software company that provides the PareoÂŽ payment integrity platform to health plans. Pareo unifies payment integrity workflows with AI-powered automation, real-time analytics, enterprise-grade inventory and vendor management, and pre- and post-pay optimization to reduce costs and increase savings. The company serves health plans (clients range from ~80k to 24M members), processed $17. 8B in claims savings through Pareo last year, and emphasizes compliance (HIPAA, HiTrust, SOC II Type II) and measurable ROI for payers.
đĽ 1 hour ago
Where this job comes from
Posted on ClarisHealth's careers page, not through a job board
First seen by Remote Rocketship 1 hour ago
Still open on ClarisHealth's site. Checked 23 minutes ago.

51 - 200 employees
Founded 2013
đĽ Healthcare
âď¸ Healthcare Insurance
âď¸ SaaS
đ° Private Equity Round on 2024-01
Healthcare ⢠Healthcare Insurance ⢠SaaS
ClarisHealth is a healthcare software company that provides the PareoÂŽ payment integrity platform to health plans. Pareo unifies payment integrity workflows with AI-powered automation, real-time analytics, enterprise-grade inventory and vendor management, and pre- and post-pay optimization to reduce costs and increase savings. The company serves health plans (clients range from ~80k to 24M members), processed $17. 8B in claims savings through Pareo last year, and emphasizes compliance (HIPAA, HiTrust, SOC II Type II) and measurable ROI for payers.
⢠Provide direct people leadership for a team of Concept Ideation Analysts ⢠Manage team performance, talent development, workload management, employee engagement, and delivery against business priorities ⢠Coach employees, manage performance, support career development, plan talent, and recognize contributions ⢠Establish clear expectations and build an inclusive, accountable, high-performing team culture ⢠Assess capability needs, identify skill gaps, develop growth plans, and strengthen Payment Integrity and business analysis expertise ⢠Apply healthcare claims, reimbursement, coding, policy, provider billing, and Payment Integrity expertise to guide analysis and assess concept opportunities ⢠Translate complex business needs, analysis findings, and strategic priorities for leadership, clients, and team members ⢠Balance team capacity, prioritize work, and align resources with department objectives and business needs ⢠Establish and reinforce standard business practices, tools, and processes to improve quality, efficiency, and collaboration ⢠Lead evaluation and adoption of AI-enabled tools and automation opportunities ⢠Build trusted client partnerships and present updates, recommendations, and team insights to executives
⢠5+ years of experience in healthcare ⢠3+ years within Payment Integrity, claims operations, healthcare analytics, or a closely related function ⢠3+ years of direct people-management experience with accountability for employee performance, coaching, development, and engagement ⢠Experience leading teams through organizational, process, or technology-enabled change ⢠Experience with medical claims, coding guidelines, reimbursement methodologies, provider data, and healthcare policy ⢠Experience using data and analysis to identify payment issues, validate opportunities, determine root causes, and support solution development ⢠Experience working across highly collaborative, cross-functional environments and building partnerships with multiple stakeholder groups ⢠Experience establishing or improving team processes, standards, or operating practices ⢠Experience leading or supporting process improvement, AI adoption, automation, or technology-enabled transformation efforts ⢠Working knowledge of healthcare claims, provider billing, reimbursement, coding, policy, and payment accuracy concepts ⢠Ability to manage priorities, balance team workloads, and deliver results in a matrixed environment ⢠Preferred: experience leading multidisciplinary Payment Integrity teams ⢠Preferred: experience with prepayment and post-payment concept development ⢠Preferred: knowledge of the end-to-end concept development lifecycle ⢠Preferred: exposure to continuous improvement initiatives and AI or automation solutions ⢠Must be currently authorized to work in the United States on a full-time basis ⢠ClarisHealth cannot sponsor applicants for work visas
⢠Medical, dental, and vision insurance beginning on the first day ⢠401(k) with company matching and immediate vesting ⢠Company-paid short-term disability ⢠Company-paid personal financial advising ⢠New hire stipend for home office supplies ⢠Company-provided laptop and charging cable ⢠Pet insurance options ⢠9 company holidays plus 2 floating holidays ⢠Company-paid virtual counseling and telemedicine ⢠Paid parental leave ⢠4 weeks of vacation accruing from day one ⢠1 additional week of wellness time ⢠$500 annual professional development stipend after one year
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