
51 - 200 employees
Founded 2013
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
💰 $4M Debt Financing on 2019-10
Healthcare • Consulting • Healthcare Insurance
ClarisHealth is a leading provider of payment integrity solutions aimed at enhancing the efficiency and efficacy of healthcare claims processing. Their flagship product, Pareo®, is a comprehensive platform that offers advanced analytics and streamlines payment integrity operations for health plans. ClarisHealth's solutions help organizations achieve significant returns on investment by simplifying complex claims management and improving financial outcomes, resulting in optimized operational performance within the healthcare sector.
🔥 13 hours ago
Where this job comes from
Posted on ClarisHealth's careers page, not through a job board
First seen by Remote Rocketship 13 hours ago
Still open on ClarisHealth's site. Checked 3 hours ago.

51 - 200 employees
Founded 2013
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
💰 $4M Debt Financing on 2019-10
Healthcare • Consulting • Healthcare Insurance
ClarisHealth is a leading provider of payment integrity solutions aimed at enhancing the efficiency and efficacy of healthcare claims processing. Their flagship product, Pareo®, is a comprehensive platform that offers advanced analytics and streamlines payment integrity operations for health plans. ClarisHealth's solutions help organizations achieve significant returns on investment by simplifying complex claims management and improving financial outcomes, resulting in optimized operational performance within the healthcare sector.
• 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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