ClarisHealth

Role Description As Business Systems Analyst III, you play a pivotal senior level role within our engineering team, which is dedicated to developing and supporting SaaS technology products. Your contributions are instrumental in shaping the direction of our engineering efforts. You excel in eliciting requirements, conducting thorough data analysis, crafting comprehensive diagrams and documentation, and crafting user stories that drive our product development forward. Responsibilities - Conduct interviews, requirements workshops, and cross-discipline team meetings to elicit understanding of business needs and documentation requirements. - Collaborate with key stakeholders to drive a solution that meets key objectives and vision. - Develop clear, concise documentation of solutions, such as process flows, technical requirements, UI, modules, data layouts and data mappings. - Write testable requirements and refine user stories with clear acceptance criteria. - Work collaboratively within an Agile Scrum team, supporting both software and QA engineers. - Interface with stakeholders and other cross-functional team members on relevant end-user-focused product documentation and training material. - Own, maintain and refine the team’s backlog, based on team norms. - Own, maintain and refine user stories and acceptance criteria. - Mentor associate and mid-level analyst in team process and standards. Qualifications - 7 years minimum of experience in business analysis. - BA/BS degree in Computer Science, Healthcare Informatics, Mathematics, or 3+ years professional experience in an enterprise-class setting. - Experience writing requirements for enterprise-class software solutions. - Excellent verbal and written communication skills. - Proven problem-solving skills with ability to clearly articulate complex problems and solutions. - Strong experience authoring user stories and testable acceptance criteria. - Experience with querying data from SQL and/or No-SQL databases. - Strong experience analyzing data from various sources (such as flat files, web sources, development data mappings, etc.) and defining data mappings. - Must have experience in a Scrum, SAFe, or similar Agile Framework. - Strong experience defining requirements for software initiatives, covering UI, API, and database considerations. - Positive, self-motivated, driven, and teachable attitude. - High standard of personal integrity and accountability. - Passion and aptitude for solving complex problems. - Fun attitude and great sense of humor! Preferences, The Like-to-Haves - Healthcare system experience, especially with claims, member/eligibility, and provider data. - Experience and proficiency with ALL parts of defining, designing, and implementing scalable, enterprise-class software solutions. - Agile or technical certifications are a plus. - Experience and aptitude directly supporting users and/or conducting end-user training. - Experience using Atlassian tools, e.g., Jira, Confluence, etc. - Experience coaching and training other colleagues in business and/or data analysis. - Experience coaching and training other colleagues in documenting requirements, writing user stories, building diagrams, etc. Benefits - Medical, Dental, and Vision Insurance – Enjoy medical, dental, and vision insurance that begins on your first day, ensuring your health and wellness are always supported. - 401(k) with Matching and Immediate Vesting – Secure your financial future with a company match and instant vesting. - Company-Paid Short-Term Disability (STD) – Added security for unforeseen circumstances. - Company-Paid Personal Financial Advising – Expert guidance to help manage your finances. - New Hire Stipend – A one-time stipend to purchase home office supplies (laptop and charging cable provided by the company). - Pet Insurance Options – Choose from two carrier options to keep your furry friends covered. - Paid Holidays – 9 company holidays plus 2 floating holidays for added flexibility. - Virtual Counseling and Telemedicine – Company-paid access to mental health and medical support from the comfort of your home. - Paid Parental Leave – Time to focus on family during this special chapter. - Generous Vacation & Wellness Time – 4 weeks of vacation beginning accrual on day one, plus 1 additional week for wellness. - Professional Development Stipend – After one year, enjoy a $500 annual stipend to invest in professional growth (e.g., certifications, webinars).

Role Description As a Software Engineer III, you are a senior contributor to an engineering team responsible for development and support of a Payment Integrity SaaS product. You demonstrate expertise in core technologies, consistently deliver on complex sprint commitments, and model engineering best-practices in code quality, solutioning, and engineering process. You actively mentor others, lead technical conversations that drive quality and delivery decisions, and present knowledge within the broader community or company. Responsibilities - Creating and implementing enterprise-class SaaS software solutions - System analysis, development and testing of software products - Developing with third-party platforms (i.e. applications, APIs, etc.) for customization and integration with company’s core products - Working independently on complex software solutions from start to finish - Mentor junior and mid-level engineers in solutioning and coding best practices - Lead technical conversations driving decisions around quality and delivery, including application of SOLID principles - Help drive initiatives related to quality attributes and contribute to improving technical standards across the team - Advise on work items in planning and during sprints to help achieve goals and promote high quality in deliverables - Find and implement quality improvements through refactoring and code rework in a targeted manner - Actively present findings and solutions in cross-organizational or community groups to help further knowledge in others Qualifications - 4+ years of experience writing enterprise-class software solutions - Bachelor’s Degree in Computer Science or related field, or equivalent professional experience in an enterprise-class setting - Experience and aptitude with the .NET Framework and C# - Experience and aptitude with SOAP and REST Web APIs (i.e. XML/JSON, WSDL, etc.) - Experience writing back-end and/or middleware software solutions - Experience with SQL and/or No-SQL databases, such as MySQL or MongoDB - Experience writing Front-End software utilizing common Javascript frameworks (Angular, React, Node, etc.) - Positive, self-motivated, driven, and teachable attitude - High standard of personal integrity and accountability - Passion for software engineering with a team-oriented, customer-focused mindset - Passion and aptitude for solving complex problems Preferences - Healthcare system experience, especially with claims, member/eligibility, and provider data - Experience and proficiency with ALL parts of defining, designing, and implementing scalable, enterprise-class software solutions - Strong communication skills, especially aptitude to break down complex problems into simple, non-technical terms - Advanced knowledge and experience with cloud technologies, such as AWS, including serverless architecture and scalable cloud design - Technical documentation skills are a plus - Agile or technical certifications are a plus - Experience and aptitude directly supporting users and/or conducting end-user training - Proficiency in application architecture and scalable implementation Benefits - Medical, Dental, and Vision Insurance – Enjoy medical, dental, and vision insurance that begins on your first day, ensuring your health and wellness are always supported. - 401(k) with Matching and Immediate Vesting – Secure your financial future with a company match and instant vesting. - Company-Paid Short-Term Disability (STD) – Added security for unforeseen circumstances. - Company-Paid Personal Financial Advising – Expert guidance to help manage your finances. - New Hire Stipend – A one-time stipend to purchase home office supplies (laptop and charging cable provided by the company). - Pet Insurance Options – Choose from two carrier options to keep your furry friends covered. - Paid Holidays – 9 company holidays plus 2 floating holidays for added flexibility. - Virtual Counseling and Telemedicine – Company-paid access to mental health and medical support from the comfort of your home. - Paid Parental Leave – Time to focus on family during this special chapter. - Generous Vacation & Wellness Time – 4 weeks of vacation beginning accrual on day one, plus 1 additional week for wellness. - Professional Development Stipend – After one year, enjoy a $500 annual stipend to invest in professional growth (e.g., certifications, webinars).

Role Description We are seeking an experienced Senior B2B Content Writer to support ongoing thought leadership and demand generation programs. This role will produce high-quality editorial content that translates complex industry topics into clear, compelling insights for executive audiences. - Engagement type: Freelance / contractor - Estimated workload: ~2 articles or thought leadership pieces per month plus one long-form asset per quarter - Location: Remote (U.S. preferred) - Reporting to: Head of Marketing / Content Lead The ideal candidate combines strong journalistic instincts, enterprise B2B marketing experience, and the ability to interview subject matter experts to develop credible, differentiated content. Our primary audience includes senior leaders at large health plans (VP–C-suite). Content must demonstrate industry fluency, analytical rigor, and editorial polish. Qualifications - 8+ years of professional writing experience, with significant B2B marketing or journalism background - Proven experience writing for enterprise or executive audiences - Experience in healthcare, healthcare technology, or complex regulated industries strongly preferred - Track record producing white papers, industry analysis, and thought leadership Requirements - Exceptional interviewing and storytelling ability - Ability to quickly learn new domains and synthesize expert input - Strong analytical writing and structured argumentation - Comfortable working with senior executives and subject matter experts - Ability to transform conversations, transcripts, or rough outlines into polished content - Self-directed and highly reliable - Comfortable collaborating with marketing and product leaders - Responsive to feedback while maintaining strong editorial judgment Benefits - Typical monthly engagement may include: - 2 articles (800–1,200 words each) - Participation in 1-2 SME interviews - Revisions based on editorial feedback - Collaboration on quarterly long-form asset development - Estimated time commitment: 20-30 hours per month Evaluation Criteria for Recruiter Screening - Portfolio quality - Published B2B articles or industry commentary - White papers or long-form thought leadership - Writing that clearly explains complex topics - Subject matter depth - Experience in healthcare, enterprise software, or analytics/data domains - Editorial voice - Clear, authoritative tone suitable for executive audiences - Ability to synthesize ideas rather than simply summarize - Professional reliability - Demonstrated ability to deliver consistent, deadline-driven content Portfolio Request - 3–5 thought leadership articles - 1–2 long-form assets (white paper, report, or eBook) - Links to published work or bylined articles

Role Description The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and associated inpatient medical record coding. This role evaluates both the clinical validity of documented diagnoses and procedures and the accuracy of ICD-10-CM/PCS code assignments, DRG sequencing, and discharge dispositions. This position serves clients by identifying coding inaccuracies, unsupported clinical documentation, and DRG assignment errors across MS-DRG and APR-DRG reimbursement methodologies. Qualifications - Active Registered Nurse (RN) licensure in the United States (compact or state-specific license accepted). - Certified Inpatient Coder (CIC) issued by AHIMA, OR Coding and Classification Specialist (CCS) issued by AHIMA – current and in good standing. - Minimum of 5 years of acute care inpatient hospital experience, with at least 3 years in a dedicated inpatient coding, DRG validation, or Clinical Documentation Improvement (CDI) role. - 2+ years of experience with APR-DRG reimbursement methodologies. - Demonstrated proficiency in ICD-10-CM/PCS code assignment, MS-DRG and APR-DRG methodologies, and CMS Official Guidelines for Coding and Reporting. - Working knowledge of Coding Clinic guidance and ability to apply current citations to substantiate or refute code assignments. - Comprehensive understanding of clinical validation principles, including established clinical criteria (e.g., Sepsis-3, SIRS, HAC definitions) used to evaluate the clinical legitimacy of documented diagnoses. - Experience with clinical documentation improvement (CDI) workflows and query processes preferred. - Intermediate to advanced proficiency with Microsoft Office Suite; experience with encoder software (e.g., Optum360, 3M, Nuance) preferred. - Positive, self-motivated, driven, and innovative attitude. - High standard of personal integrity and accountability. - Passion and aptitude for solving complex problems. Requirements - Review inpatient medical records in their entirety—including history and physical, progress notes, operative reports, nursing documentation, diagnostic reports, and discharge summaries—to evaluate clinical support for reported diagnoses and procedures. - Apply clinical nursing expertise to assess whether documented conditions meet established clinical criteria (e.g., Sepsis-3, AHA/AHIMA guidance, Coding Clinic) sufficient to support code assignment, including CC and MCC designations. - Validate ICD-10-CM principal and secondary diagnosis code assignments, ICD-10-PCS procedure code assignments, code sequencing, present-on-admission (POA) indicators, and discharge disposition in accordance with CMS Official Guidelines for Coding and Reporting and current Coding Clinic guidance. - Evaluate MS-DRG and APR-DRG assignment accuracy, identifying opportunities for upgrades and downgrades based on documented clinical evidence. - Perform clinical validation reviews to distinguish between conditions that are clinically supported in the medical record versus those that are documented but lack sufficient clinical evidence. - Investigate, review, and provide coding expertise in the application of medical and reimbursement policies within the claim adjudication process through document review. - Perform clinical coverage review of claims, which requires interpretation of state and federal mandates, applicable benefit language, medical and reimbursement policies, coding requirements, and consideration of relevant clinical information on claims with aberrant billing patterns. - Produce clear, accurate, and concise written rationales for all validation findings, citing applicable Official Coding Guidelines, Coding Clinic references, and clinical criteria to substantiate each determination. - Maintain and manage daily case review assignments with a high emphasis on quality. - Provide clinical support and expertise to other investigative and analytical areas. - Will be working in a high-volume production environment. Benefits - Medical, Dental, and Vision Insurance – Enjoy medical, dental, and vision insurance that begins on your first day, ensuring your health and wellness are always supported. - 401(k) with Matching and Immediate Vesting – Secure your financial future with a company match and instant vesting. - Company-Paid Short-Term Disability (STD) – Added security for unforeseen circumstances. - Company-Paid Personal Financial Advising – Expert guidance to help manage your finances. - New Hire Stipend – A one-time stipend to purchase home office supplies (laptop and charging cable provided by the company). - Pet Insurance Options – Choose from two carrier options to keep your furry friends covered. - Paid Holidays – 9 company holidays plus 2 floating holidays for added flexibility. - Virtual Counseling and Telemedicine – Company-paid access to mental health and medical support from the comfort of your home. - Paid Parental Leave – Time to focus on family during this special chapter. - Generous Vacation & Wellness Time – 4 weeks of vacation beginning accrual on day one, plus 1 additional week for wellness. - Professional Development Stipend – After one year, enjoy a $500 annual stipend to invest in professional growth (e.g., certifications, webinars).

Role Description We’re seeking an experienced Product Manager to lead strategic product direction and help establish a high-performing product management function. This is a pivotal role for a leader who thrives on building structure — shaping product strategy, defining process discipline, and driving measurable business outcomes in a growing, fast-evolving organization. The Product Manager will own the “why” and “what” of the product — setting strategic vision, developing the business case, and defining client value. You will also help formalize the product management framework, improve collaboration with engineering and delivery teams, and ensure alignment between strategy, execution, and measurable results. Qualifications - Bachelor’s degree in Business, Marketing, Computer Science, or a related field (or equivalent work experience). - Experience working in a software or technology-focused organization preferred. - Strong foundation in product management principles, frameworks, and best practices with demonstrated success leading products from concept through delivery. - Certification in Pragmatic Institute Foundations (or equivalent strategic product management training) preferred. - Proven experience with Agile methodologies and product management tools such as Jira, Aha!, Miro, Productboard, or similar. - Background in healthcare, payment integrity, or other regulated industries required — able to navigate complex compliance and operational environments. Requirements - Strategic thinker with strong analytical and business acumen — able to connect product decisions to organizational outcomes. - Exceptional communication, presentation, and stakeholder management skills, comfortable engaging with both executive and technical audiences. - Demonstrated ability to lead cross-functional collaboration and align diverse teams toward shared objectives. - Proficiency in data-driven decision making, leveraging metrics, customer insights, and market data to set direction and measure success. - Excellent organizational, prioritization, and delivery management capabilities in fast-paced environments. - Proven track record in developing, launching, and iterating successful products in competitive or evolving markets. Responsibilities - Strategic Direction & Product Vision - Define and communicate the strategic vision and business objectives for the product portfolio, focusing on near- and mid-term outcomes (0–12 months). - Develop and maintain a product roadmap that aligns with company goals, regulatory priorities, and evolving market needs. - Translate business objectives into clear, actionable initiatives and ensure traceability from strategy through execution. - Drive the business case development for new initiatives, including value propositions, ROI, and success metrics. - Evolving the Product Management Function - Establish and continuously improve product management practices, frameworks, and governance to ensure alignment across teams and enhance clarity of ownership and accountability. - Mentor and guide cross-functional teams (Product Owners, Engineering, Operations, Marketing) in adopting best practices for backlog prioritization, roadmap management, and value delivery. - Refine and optimize processes for product discovery, strategic planning, and measurement to drive consistent, efficient execution across the product lifecycle. - Stakeholder Leadership & Collaboration - Serve as the primary liaison between senior leadership, product teams, and client-facing functions, ensuring visibility into product progress, business outcomes, and upcoming priorities. - Partner closely with Product Owners, Engineering, Operations and Growth to ensure execution aligns with strategic intent. - Collaborate with Marketing and Go-To-Market teams to craft compelling value narratives and ensure client-facing teams understand impact and differentiation. - Performance Measurement & Continuous Improvement - Define and track product performance metrics (OKRs/KPIs) to measure progress toward strategic goals and business outcomes. - Leverage data and customer insights to inform product decisions and reprioritize as market or organizational conditions evolve. - Conduct post-launch assessments to evaluate impact, capture lessons learned, and refine ongoing strategy. - Customer & Market Orientation - Represent the voice of the customer, ensuring that product decisions create tangible value and exceptional user experiences. - Stay current on market trends, competitive positioning, and regulatory changes to proactively identify opportunities and risks. Benefits - Medical, Dental, and Vision Insurance – Enjoy medical, dental, and vision insurance that begins on your first day, ensuring your health and wellness are always supported. - 401(k) with Matching and Immediate Vesting – Secure your financial future with a company match and instant vesting. - Company-Paid Short-Term Disability (STD) – Added security for unforeseen circumstances. - Company-Paid Personal Financial Advising – Expert guidance to help manage your finances. - New Hire Stipend – A one-time stipend to purchase home office supplies (laptop and charging cable provided by the company). - Pet Insurance Options – Choose from two carrier options to keep your furry friends covered. - Paid Holidays – 9 company holidays plus 2 floating holidays for added flexibility. - Virtual Counseling and Telemedicine – Company-paid access to mental health and medical support from the comfort of your home. - Paid Parental Leave – Time to focus on family during this special chapter. - Generous Vacation & Wellness Time – 4 weeks of vacation beginning accrual on day one, plus 1 additional week for wellness. - Professional Development Stipend – After one year, enjoy a $500 annual stipend to invest in professional growth (e.g., certifications, webinars). Company Description ClarisHealth, based in Nashville, Tenn., provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® allows health plans across the U.S. to reduce manual work, gain insights into operational performance across lines of business, and accelerate their strategy to overpayment prevention – at a significantly reduced cost. - Compassionate. We practice servant leadership, encourage inclusion and engagement, and actively acknowledge and celebrate each other’s contributions. - Communicators. We listen first with an emphasis on understanding. We seek solutions to problems, and practice radical candor with positive intent. - Challengers. We get the right stuff done right, create clarity from complexity, take accountability and ownership, and we challenge ourselves daily. ClarisHealth embraces a supportive working culture of creativity and innovation internally termed “Got Your Back.” We live out this #GYB spirit every day by working together with team members, clients, and other partners to achieve shared goals.