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Claritev

Remote Jobs

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

97 open rolesLatest: Jul 10, 2026, 12:21 PM UTCCompany Site
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97 Jobs

Senior Credentialing Coordinator

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Role Description This position is responsible for providing coaching, operational, and infrastructure support to an operations team responsible for credentialing and recredentialing of practitioners and facilities who are currently contracted or wish to be contracted with the Company. This position will research and consult on standard and escalated practitioner and facility credentialing matters. Duties - Assist Team in daily responsibilities to meet team performance goals to include inventory monitoring and reporting. - Manage high priority and specialized requests as appropriate. - Reviews, analyzes, and reports on individual, team and department data for trends, gaps, and variances from department performance standards. - Ensure all credentialing processes are in compliance with company policies as well as the National Committee for Quality Assurance (NCQA) standards in an effort to maintain accreditation. - Provides development and coaching to employees on a consistent basis. Feedback is provided in a timely manner and suggestions for improvements are outlined. - Create and maintain internal training materials in collaboration with department management and training teams. - Leads training efforts of new team members. - Leads mentor, audit, and readiness efforts of new team members and those on a performance improvement plan to identify and model best practice. - Assists Department with operational tasks associated with credentialing operations. - Participates in projects that involve the collection of credentialing applications. - Participates in projects, as a subject matter expert that involve system design/re-design related to credentialing operations. - Tests all credentialing operations related system(s) design/re-design related to credentialing operations. - Serve as a subject matter expert for all credentialing activities performed within assigned areas including the education and training of staff extenders on credentialing methodologies and approaches, with an emphasis on operational efficiency and quality optimization. - Utilizes knowledge outside of team's standard procedures to increase contextual understanding of processes. - Ability to compose and present communications describing tasks and overall context, including existing process guidelines as well as associated risks and controls. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company's Core Competencies and values held within. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned, as necessary. Qualifications - Minimum High School Diploma or G.E.D. Bachelor's degree in a relevant field preferred. - Minimum 2 years of experience in provider credentialing preferred. - Experience with team member coaching/mentoring or ability to coach/mentor preferred. - Communication (written, verbal, listening), leadership, problem-solving, and organization skills. - Ability to engage staff at all levels to work toward unified goals and objectives. - Ability to prioritize their work and the work of others to meet rigorous productivity goals and standards. - Ability to present and speak publicly. - Ability to use software, hardware and peripherals related to job responsibilities including MS Office Suites, Microsoft Word, and Excel, etc. - Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier, and telephone. Requirements - Compensation: The salary range for this position is $23 to $26 per hour. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. EEO Statement Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. Application Deadline We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

United States
$23 - $26 / hour

VP, Technology - Strategic Enterprise Systems (SAP, HCM)

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Vice President2 days ago

Role Description Accountable for providing to the Corporation, and its customer base, all department services for the enterprise. Sets departmental direction for specialized suites and integration and directs definition, development or sourcing, testing, implementation, and support of specialized solutions for the company’s business needs. - Ensures achievement of business objectives set by corporate through planning, organizing and directing the department and/or procurement activities for the company. - Develop, maintain and forecast expense budget accounts for all areas contained within Department. Contribute to the centralized capital budgeting process. Analyzes financial reports and is accountable for producing all monthly variance reports for all cost centers under management. - Responsible for the identification of departmental solutions for the corporation, and for their sourcing or development, testing, implementation, and follow-up support. - Responsible for facilitating an effective business relationship between IST and other departments. - Formulates and administers all corporate technical application policies, procedures and standards for IST. Sets Corporate technical specialized direction, and its ultimate delivery. - Negotiates and executes contracts with vendors for applications, software and services with support from Legal Services and Finance as appropriate. Responsible for the vendor relationship and ultimate service delivery of business application packages. - Responsible for recognizing industry trends in hardware, software, communications, internet/intranet/extranet and specialized products and services that can increase competitive advantage and planning appropriate actions. - Remains current on technical and professional developments affecting all functions within Department. Advises department, divisional and corporate management of all new developments. - Coordinates professional development and technical training of the department to ensure skills are maintained and enhanced. Evaluating performance of staff members providing performance reviews and salary administration in accordance with corporate guidelines and policies. - Work with business areas, and other IST divisions, to deliver applications that support business objectives. Promotes and markets the services provided by the department in support of divisional and corporate objectives. - Assists the CIO on new projects as required. Participates in corporation and divisional committees as directed. - Select, develop, and evaluate staff to ensure the efficient operation of department. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company’s Core Competencies and values held within. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Please note due to the exposure of PHI sensitive data – this role is considered to be a High Risk Role. Qualifications - Minimum Bachelors degree in Computer Science, or related field - Master’s degree in Computer Science or Computer Information Systems is desired. - Minimum 15 years overall IST business/management experience. Health Care industry experience a plus. - Minimum 5 years experience in directing and managing department activities in a large, integrated business environment - Required licensures, professional certifications, and/or Board certifications as applicable - Knowledge and experience using multiple platforms, operating systems, and development technologies - In-depth knowledge of client/server architecture and standards, internet, intranet and extranet. - Communication (written, verbal and listening), planning, organizing, analytical, problem solving, leadership, and decision making skills. - Proven ability to understand or learn the operations and needs of various business units sufficient to strategize, advise, and partner with those units. - Proven contract and vendor negotiation expertise. - Ability to translate needs of business organizations into planning process. - Ability to meet deadlines, work on multiple tasks and work well under pressure - Ability to direct and motivate people; and to serve as an example to others - Ability to effectively lead and direct others - Ability to convey information clearly and effectively - Ability to use hardware and software peripherals related to job responsibilities including MS Office Suites - Ability to travel as needed Company Description As an Equal Opportunity Employer, the Company will provide equal consideration to all employees and job candidates without regard to sex, age, race, marital status, sexual orientation, religion, national origin, citizenship status, physical or mental disability, political affiliation, service in the Armed Forces of the United States, or any other characteristic protected by federal, state, or local law.

United States

Senior Payroll Specialist

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Payroll8 days ago

Role Description The Temporary Senior Payroll Specialist is responsible for processing payroll accurately and timely, assisting employees with payroll-related questions, and running standard payroll reports. This role supports day-to-day payroll operations, including paycheck calculations, deductions, tax withholdings, garnishments, and timekeeping review, while ensuring compliance with company policies and federal, state, and local regulations. The Temporary Senior Payroll Specialist serves as a resource for employees and managers by resolving payroll inquiries and escalating issues as appropriate. Additionally, this position assists with payroll audits, reporting, and documentation to support an efficient payroll process. This is a temporary position expected to last approximately three (3) to six (6) months. The ideal candidate will have strong payroll processing experience, attention to detail, excellent customer service skills, and the ability to work effectively in a fast-paced environment. Qualifications - Minimum of five (5) years of progressive experience in payroll processing, including experience supporting payroll operations, payroll taxes, and employee payroll inquiries. Bachelor's degree preferred. - ADP EV6 and Enterprise E*time experience preferred. - Required licensures, professional certifications, and/or Board certifications as applicable (CPP preferred). - Experience with federal, state, and local/city payroll taxes. - Multi-state payroll experience and wage garnishment experience. - Knowledge of labor laws pertaining to payroll. - Knowledge of internal control procedures and processes related to payroll. - Intermediate Excel skills: Pivot Tables, VLOOKUP. - Attention to detail. - Strong customer service, communication (written, verbal, and listening), interpersonal, analytical, organization, and problem resolution skills. - Take responsibility for own actions; take ownership of issues and sees them through from beginning to end. - Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office. - Ability to perform arithmetic calculations. - Ability to adjust/alter workflow to meet deadlines. - Ability to process complex verbal and written instructions and translate them into logical problem-solving steps. - Ability to multitask, prioritize, adapt, and meet deadlines within a time-sensitive environment. - Ability to work in a team as well as independently. - Ability to maintain the highest level of confidentiality. - Ability to interact with internal and external contacts to exchange or obtain information. - Ability to solve moderately complex problems, gather and analyze information skillfully, and implement root cause analysis. - Must be able to work in a standard office environment, which requires sitting and viewing monitors for extended periods, and operating standard office equipment such as a keyboard, copier, and telephone. Requirements - Perform accurate payroll processing in accordance with established deadlines and procedures. - Balance earnings and deductions to control totals and correct out of balance conditions. - Maintain complete and accurate payroll files and ensure confidentiality of timekeeping and payroll information. - Audit and analyze payroll and related reports such as registers and other standard reports to identify issues or errors. - Create and prepare standard payroll reports, as well as ad-hoc reports. - Research and resolve issues as they arise; identify errors and fully execute the process to correct them. - Research and make recommendations related to multi-state payroll tax compliance issues, including interfacing with third-party payroll tax filing services and/or agencies. - Research and correct payroll errors, including balance adjustments and manual check processing for over/under payments. - Process off-cycles, termination pay, direct deposit reversals, stop payments, and other payroll adjustments. - Process wage garnishments, child support, and tax levies according to established standards (multiple states, knowledge of state and federal handling). - Set up, maintain, and administer the timekeeping system. - Develop techniques to improve the efficiency and accuracy of payroll-related processes and procedures. Create and maintain documentation of the payroll process. - Handle payroll-related customer inquiries effectively and accurately, ensuring all inquiries are addressed and/or resolved within a set service level agreement. - Collaborate, coordinate, and communicate across disciplines, departments, and levels within the organization. - Experience with software implementations and databases related to payroll and timekeeping. - Perform quarter-end and year-end tax balancing and processing. - Perform root cause analysis to determine the cause of system/processing errors and develop recommendations to address findings and prevent future errors. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate the company's core competencies and values. - Note: Due to the exposure to PHI sensitive data, this role is considered high risk. - The responsibilities outlined above are not all-encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Benefits - Medical, dental and vision coverage with low deductible & copay - Health Savings Account - 401(k) + match

United States
$25 - $30 / hour

Business Acceptance Testing Associate

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Business Analyst14 days ago

Role Description The Business Acceptance Testing (BAT) Associate is responsible for executing test plans, validating system functionality, and ensuring new applications, enhancements, and operational processes meet defined business and regulatory requirements. This role supports enterprise initiatives including NSA/Surprise Bill workflows, arbitration processes, automation enhancements, AI/ML-enabled tools, and digital transformation projects. The BAT Associate identifies defects, documents results and collaborates with cross-functional teams to ensure operational readiness and quality outcomes. - Execute test cases, scripts, and scenarios based on defined business requirements and regulatory expectations. - Validate system functionality and workflow impacts for initiatives related to NSA compliance, arbitration strategy, and Surprise Bill processes. - Test AI/ML-enabled tools, automation workflows, and data-driven applications to ensure accuracy and operational alignment. - Document test results, defects, and retesting outcomes with clarity and precision. - Collaborate with operational, technical, and analytics teams to clarify requirements and testing expectations. - Participate in test planning sessions and provide input on test coverage and risk areas. - Support defect resolution by reproducing issues, validating fixes, and escalating concerns as needed. - Assist in developing test documentation, including scripts, acceptance criteria, and workflow validations. - Ensure compliance with testing standards, governance, and quality expectations. - Maintain accurate records of testing activities and sign-offs for audit and compliance purposes. - Support operational readiness activities for system releases and enterprise-wide initiatives. - Ad hoc support to Team Leader as necessary. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company's Core Competencies and values held within. - Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. - Responsible for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly to reduce the potential for recurrence as required by applicable state and federal laws, regulations and MPI's Compliance Programs. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Qualifications - Minimum high school diploma and three (3) years' related experience in testing, quality assurance, operations, or system implementation. - Previous experience supporting initiatives related to NSA/Surprise Bill, arbitration strategy, or healthcare regulatory compliance preferred. - Strong understanding of data science applications in operational settings. - Strong working knowledge of Jira & Confluence. - Experience in cross-functional collaboration, including working with diverse teams. - Familiarity with data analytics, machine learning (ML), and artificial intelligence (AI) techniques. - Experience supporting enterprise-level transformation initiatives. - Strong understanding of operational workflows, system functionality, and business requirements. - Ability to follow structured processes and meet deadlines. - Required licensures, professional certifications, and/or Board certifications as applicable. - Communication (written, verbal and listening), leadership, team building, detail oriented, analytic, and interpersonal skills. - Ability to use hardware, software and peripherals related to job responsibilities including MS Office Suites Excel, PowerPoint, Visio and Word. - Ability to elicit trust and credibility as well as interface with all levels of the organization. - Ability to build relationships with internal and external customers. - Ability to formulate the solution and involve others in solving issues. - Ability to be comfortable with and manage in-person client interface. - Ability to commit to highest standards of quality and integrity. - Ability to represent the company in a positive and professional manner. - Ability to perform multiple tasks simultaneously and adapt to changing priorities in a positive and professional manner. - Ability to maintain ongoing collaboration with counterparts in the organization to ensure appropriate operational support, coordination of objectives and strategic planning. - Ability to travel, including overnight stays up to 10%. Requirements - Salary range for this position is $61-70K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. - This position is also eligible for health insurance, 401k and bonus opportunity. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. Company Description Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

United States
$61K - $70K / year

Director of Dispute Resolution

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Director14 days ago

Role Description This position is responsible for the oversight and direction of the Arbitration solution. Responsibilities include: - Providing leadership and decision-making to ensure high-quality service is provided to account management, clients, providers, IDR entities, CMS client's internal customers, and vendor relationships. - Managing or overseeing all activities with associated units, including developing and implementing policies and procedures on all related systems and workflows. - Achieving short and long-range business goals and ensuring operating efficiency. - Directing all facets of the department including staffing, goal setting, budget compliance, product evaluation, and enhancement. - Coordinating communication and activities between Operations, Sales and Marketing, Human Resources, Network Development, Quality Assurance, IT, and Legal departments. Qualifications - Bachelor Degree or minimum 5 years’ experience in the healthcare industry with 2 years in a leadership role with people management responsibilities. - Required licensures, professional certifications, and/or Board certifications as applicable. - Excellent organizational, analytical, and independent decision-making skills. - Demonstrated problem-solving skills with the ability to manage multiple priorities and meet associated timelines. - Knowledge of provider billing and collection practices. - Knowledge of effective negotiation principles. - Knowledge of commonly used medical data resources. - Strong communication (verbal and written), managerial, interpersonal, organizational, time management, customer service/sales, problem-solving, leadership, strategic, analytical, tactical, and execution skills. - Ability to prioritize and manage time effectively. - Ability to make decisions using limited or incomplete data. - Advanced proficiency with MS Office and ability to use software, hardware, and peripherals related to job responsibilities. Requirements - Direct management of performance to ensure competent staff delivers quality results, including training, mentoring, motivating, and overseeing staff performance. - Develop, implement, and manage both short- and long-term goals, objectives, policies, and procedures based on current and future trends and legislative requirements. - Compile, analyze, and report on trends to include performance improvement initiatives and exceptional client delivery. - Oversight and development of operational relationships and performance for clients, account management, and other stakeholders. - Identify opportunities for performance improvement and operational efficiencies. - Manage departmental and team budgets including expenses, cost containment, and profitability. - Provide direction and guidance to other levels of management, through delivery of instructions and direction to staff on individual cases. - Act as a subject matter expert internally for the Team and other departments within the Company. - Select, develop, and evaluate staff to ensure the efficient operation of the department. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company's Core Competencies and values held within. - Perform weekly Soft Audits on cases worked by team members and address performance issues. Benefits - Medical, dental, and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year.

United States
$140K - $160K / year

AVP, Public Sector Growth

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Vice President15 days ago

Role Description The AVP, Public Sector Growth and Strategy supports Claritev's expansion across federal, state, and local public sector health markets. This role focuses on strategic capture, solution shaping, client engagement, and partnership development. The AVP will identify and pursue new business opportunities, contribute to go-to-market planning, and help build delivery partnerships that align with Claritev's mission to improve healthcare outcomes through technology. - Support strategic capture efforts across federal agencies (VA, CMS, DoD, HHS) and state/local health departments. - Contribute to growth strategies for Claritev's public sector offerings, including analytics, payment integrity, compliance automation, and operational enablement. - Maintain and qualify a pipeline of opportunities, supporting stage-gated reviews and pursuit decisions. - Coordinate proposal development, pricing inputs, and SME engagement for priority bids. - Assist in establishing teaming agreements and OCI mitigation strategies to enhance competitive positioning. - Support development and expansion of delivery partnerships across healthcare and adjacent sectors. - Contribute to strategic planning for partnerships in healthcare technology services across public and commercial sectors. - Assist in negotiating and managing partnership agreements to support revenue and market growth. - Build and maintain relationships with key stakeholders in government and industry. - Collaborate across internal teams to align delivery capabilities with market needs. - Represent Claritev in select client engagements, industry events, and strategic initiatives. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company's Core Competencies and values held within. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Qualifications - 10-15+ years of experience in healthcare technology, government contracting, or business development, with exposure to public sector health markets. - Familiarity with federal health technology capture and proposal processes; experience with state/local markets a plus. - Understanding of healthcare data standards, regulatory frameworks, and public health operations. - Experience supporting teaming agreements and strategic partnerships. - Strong communication, collaboration, and strategic thinking skills. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Summer Hours. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. Company Description Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

United States
$180K - $200K / year
Job Closed

Revenue Cycle Architect

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Role Description The Senior Revenue Cycle Architect leads the design and delivery of end-to-end revenue cycle solutions for Professional Service clients. This role combines deep revenue cycle expertise with healthcare IT architecture and cross-functional leadership. Job Roles and Responsibilities - Program Leadership & Delivery: - Lead the revenue cycle workstream (patient access, billing, claims, AR) aligned with program goals. - Drive planning, execution, and delivery while managing risks, dependencies, and go-live readiness. - Solution Architecture & Design: - Design end-to-end revenue cycle solutions across patient access, coding, billing, and reimbursement. - Translate business needs into scalable, compliant system designs. - Guide system configuration and integrations across EHR and financial systems. - Stakeholder Collaboration: - Partner with finance, operations, and technical teams to define requirements and priorities. - Lead design sessions and communicate effectively with executive and technical audiences. - Implementation & Optimization: - Support testing, go-live, and stabilization activities. - Identify gaps and drive process improvements to optimize performance. - Subject Matter Expertise: - Serve as an SME in revenue cycle operations and payer regulations (Medicare, Medicaid, commercial). - Ensure compliance with CMS, HIPAA, and data governance standards. - Leadership: - Mentor team members and support strategic initiatives, proposals, and solution development. Qualifications - 8+ years combined experience, including: - 4+ years in healthcare IT (consulting, implementation, or client-facing). - 4+ years in revenue cycle operations or systems. - Experience designing end-to-end revenue cycle processes. - Experience with large healthcare transformation programs. - Hands-on experience with EHR systems (e.g., Oracle Health/Cerner, Epic). - Strong organizational, analytical, and leadership skills. Requirements - Experience with Oracle Health (Cerner) Patient Accounting. - Experience in government or public sector healthcare programs. - Familiarity with revenue cycle tools and healthcare integrations (HL7, APIs). - Relevant certifications (HFMA, CHFP, PMP, etc.). - Background in consulting, federal programs, or healthcare finance/clinical operations. Skills - Deep revenue cycle expertise and regulatory knowledge. - Strong solution architecture and integration experience. - Excellent problem-solving, communication, and stakeholder management skills. - Data analysis and performance optimization capabilities. Benefits - Medical (PPO & HDHP), dental and vision coverage. - Pre-tax Savings Account (FSA & HSA). - Life & Disability Insurance. - Paid Parental Leave. - 401(k) company match. - Employee Stock Purchase Plan. - Generous Paid Time Off -- accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Employee Assistance Program. - Sick time benefits -- for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year.

United States
$130K - $150K / year

AVP, Healthcare Economics

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Vice President18 days ago

Role Description The AVP, Healthcare Economics (HCE) is responsible for planning, developing, and directing all aspects of business and provider information supporting Claritev’s Network Development team. This position also oversees the Request for Proposal (RFP) process related to Government Programs opportunities. - Direct, develop, refine, and lead the HCE organization in business and provider information activities that will result in company growth and profitability. - Identify competitive areas and target these areas to make Claritev more competitive through a realignment of existing discount and penetration reporting to coincide with sales and marketing regions. - Use Metropolitan Statistical Analysis (MSA) statistics to assess strengths and weaknesses and to deliver performance reporting by product and provider type to inform targeted cost management improvement initiatives. - Explore and implement where feasible, product and market specific exclusive arrangements with large national provider chains. - Establish, implement, and maintain Network reporting standards to ensure that Claritev Executive Management, Network Development leadership and network contractors have reliable and accurate provider information on which to base current and future business decisions. - Direct the monitoring of program effectiveness and develop and enhance processes to increase the effectiveness of Claritev Network Development activities. - Oversee the analysis of industry best practices in order to develop and maintain market competitive provider reimbursement schedules. - Provide leadership for the Network Development area through long-range forecasting and planning, mid-range operating plan and real time management. - Partner in the development and execution of Claritev’s Wrap Network development strategy. - Select, develop and evaluate staff to ensure the efficient operation of department. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate commitment to the Company’s core values. Qualifications - Minimum bachelor’s degree in Statistics / Mathematics, or other quantitative discipline. - Minimum 8 years' experience in field related to healthcare economics and/or client consulting as well as leadership experience in a high-performance culture and people management experience. - Subject matter expertise with multiple and disparate MultiPlan administrative claims platforms strongly preferred. - High-level management skills in coaching and facilitating business competency. - Business acumen, customer awareness and ability to create value. - Communication (verbal and written), problem-solving, and organizational skills commensurate to level at which responsibilities are performed. - Ability to interface with upper management and field operational leaders. - Ability to lead and mentor individuals and teams. - Ability to build consensus, establish trust, communicate effectively and foster culture change. - Ability to use software and database applications applicable to performance of responsibilities. Requirements - Due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Summer Hours. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year. Compensation The salary range for this position is $132k-200K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. EEO Statement Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. Application Deadline We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

United States
$132K - $200K / year
Job Closed

Client Success Manager

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Manager23 days ago

Role Description The Client Success Manager I will support the Client Success team in ensuring the success and satisfaction of our healthcare payor clients. This role will assist in managing client relationships, driving product adoption, and ensuring that clients achieve their desired outcomes through our technology solutions. This role requires a basic understanding of the healthcare payor industry, strong communication skills, and a proactive approach to learning and problem-solving. Job Roles and Responsibilities - Client Support: Assist in building and maintaining strong relationships with key stakeholders at healthcare payor and provider organizations. - Onboarding and Training: Support the onboarding process for new clients, helping to ensure they are effectively trained and equipped to use our products and services. - Product Adoption: Help drive the adoption and utilization of our technology solutions, providing ongoing support and guidance to clients. - Performance Monitoring: Assist in monitoring client performance metrics and usage data to identify opportunities for improvement. - Issue Resolution: Act as a point of contact for client issues and escalations, working closely with internal teams to resolve problems in a timely manner. - Client Advocacy: Gather and relay client feedback to product development and other teams to enhance our offerings. - Reporting and Analysis: Assist in preparing and presenting regular reports on client status, performance, and satisfaction to internal and external stakeholders. - Continuous Improvement: Contribute to the identification and implementation of best practices for client success, helping to develop processes and tools that enhance the client experience. - Identify and communicate customer business needs and expectations to the Company's process owners for the development, enhancement, and implementation of all services. - Monitor market/competitive information and consult with assigned customers to develop and participate in customer specific sales strategies. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate commitment to the Company's core values. - Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Qualifications - Education: Bachelor's degree in Business, Healthcare Administration, clinical degree or a related field. Advanced degree preferred. - Experience: 2-4 years of experience in client success, account management, or a related role within the healthcare payor or technology industry. - Industry Knowledge: Strong understanding of the healthcare payor landscape, including key challenges and opportunities. - Communication Skills: Excellent verbal and written communication skills, with the ability to effectively convey complex information to diverse audiences. - Problem-Solving: Proactive and solution-oriented mindset, with the ability to navigate complex client issues and drive resolution. - Technical Proficiency: Familiarity with healthcare technology solutions and the ability to quickly learn new tools and systems. - Interpersonal Skills: Strong interpersonal skills, with the ability to build rapport and trust with clients and internal teams. - Analytical Skills: Ability to analyze data and metrics to drive decision-making and demonstrate value to clients. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Summer Hours. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. Compensation The salary range for this position is $89k to $120k. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity. EEO Statement Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. Application Deadline We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

United States
$89K - $120K / year
Job Closed

Director, Strategic Sourcing and Category Management

Claritev

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.

Role Description In this role, the successful candidate will focus on positioning our organization as a trusted partner to our internal clients to increase spend under management, standardize and streamline processes, and implement strategic sourcing strategies that deliver tangible value to the business while increasing internal client satisfaction. The leader is responsible for leading category managers and managing spend across: - IT (e.g., software/SaaS, hardware, telecom, staff augmentation) - Professional Services (e.g., Systems integration, Consulting, Audit, Tax, Marketing) - Business Process Outsource (BPO) - Corporate Services (e.g., HR, Contingent labor, Facilities) Qualifications - Bachelor's degree is required; MBA or further advanced degree is desirable - 10+ years of experience in Procurement - Strong knowledge of Indirect Procurement Categories: IT Services, Hardware, Software/SaaS, Professional Services, BPO, Corporate Services, HR Services - Experience with strategic sourcing methodologies, structured contract negotiations, and supplier performance management - Experience with leading cross-functional teams effectively, and rolling out enterprise initiatives - Proven influencing skills with stakeholders - Strong leadership and collaboration skills to build and maintain trusted relationships with leadership and peers - Strong verbal and written communication skills, with the ability to confidently present complex information to senior executives - Ability to think strategically and develop the organization's future state strategy - Strong Business Acumen -- the ability to understand challenges through the eyes of the business leaders - Broad-based understanding of core procurement areas of focus (spend management, category management and supplier management) - Broad-based understanding of IT/Technology procurement, sourcing strategies, and contract management - Financial planning and budget management experience - Proactively plan and lead multiple priorities effectively - Identify and drive change and continuous improvement opportunities - Comfortable with ambiguity and adapt to changing business needs and priorities - Strong process & project management experience - Highly analytical, data-driven thinking - Strong communication planning, visualization, and execution skills - Technical Skills - Microsoft Office (Power Point, Excel, Word, Visio), P2P solutions (Ariba, Coupa, etc.), Tableau, Power BI - Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone Requirements - Develop internal client relationships to gain insight & understanding of their strategic priorities, roadmaps, and business requirements - Develop category management organization, team member capabilities, strategic sourcing playbooks / processes - Lead, develop and manage sourcing and vendor management strategies across the enterprise to deliver value - Lead cross-functional sourcing teams and enterprise initiatives from strategy development through sourcing, contracting and implementation - Optimize and consolidate supply base across procurement categories - Define and implement process improvements that increase customer satisfaction, reduce cycle time and deliver efficiency gains while ensuring compliance with policies and mitigating supplier risk - Develop new vendors as needed to provide the capacity and sustainability required to support current and future needs - Facilitate and support ESG initiatives, by identifying, engaging, and developing diverse vendors - Collaborate, coordinate, and communicate across disciplines and departments - Ensure compliance with HIPAA regulations and requirements - Demonstrate Company's Core Competencies and values held within - Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary Benefits - Medical, dental and vision coverage with low deductible & copay - Life insurance - Short and long-term disability - Paid Parental Leave - 401(k) + match - Employee Stock Purchase Plan - Generous Paid Time Off – accrued based on years of service - 10 paid company holidays - Tuition reimbursement - Flexible Spending Account - Employee Assistance Program - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

United States
$150K - $160K / year
Job Closed

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