Valenz

Role Description As a Clinical Bill Review Analyst, you’ll review claims upfront and take a deeper dive to catch billing discrepancies, unbundled charges, and other errors based on standard billing practices and coding guidelines. You’ll help identify savings opportunities and share timely, actionable insights with internal teams and leadership to support the best outcomes for our clients. This role calls for strong communication, solid problem-solving skills, and a high level of attention to detail and organization. - Review medical bills to identify appropriate billing, coding, and savings opportunities. - Analyze and resolve claim discrepancies that require a deeper level of expertise beyond initial review. - Collaborate with the Negotiation team to resolve more complex claim issues and secure additional savings. - Communicate findings to clients through detailed Bill Review Reports and assist in discussing complex bill-related inquiries. - Evaluate and respond to bill reconsideration requests, including those requiring additional research or analysis. - Handle escalated provider inquiries, resolve disputes, and conduct direct negotiations for billing discrepancies. - Provide guidance and mentor junior analysts in claim review best practices. - Assist in identifying trends in billing issues, proposing system/process improvements, and contributing to policy development. - Support training efforts by educating internal teams and clients on changes to codes, edits, and bill review procedures. - Work cross-functionally with internal teams to identify and implement process efficiencies that improve savings and client satisfaction. - Ensure compliance with HIPAA and other regulatory standards. - Perform other duties as assigned. Qualifications - 3+ years of auditing, claims, review and/or billing experience within a healthcare organization. - CPC and/or CIC certification. - Working knowledge of industry coding, ICD-10, CPT, HCPCS Revenue codes etc. - Excellent communication skills, both verbal and written. - Knowledge of CMS guidelines. Requirements - A plus if you have experience in DRG validation. - Knowledge of Health Insurance, Medicare guidelines and various healthcare programs. - RevCycle Pro, Encoder Pro, and/or SuperCoder software experience. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA. - 401K with company match and immediate vesting. - Flexible working environment. - Generous Paid Time Off to include vacation, sick leave, and paid holidays. - Employee Assistance Program that includes professional counseling, referrals, and additional services. - Paid maternity and paternity leave. - Pet insurance. - Employee discounts on phone plans, car rentals and computers. - Community giveback opportunities, including paid time off for philanthropic endeavors.

Role Description As an Intake Coordinator, you will receive inbound calls, faxes, and web requests from providers and/or clients. You will initiate and facilitate the authorization process in accordance with established health plan policies and procedures. - Document demographic information obtained from telephonic, fax, or emailed requests within the care management system. - Make outbound calls to follow up on discharge information or request updated clinical information as necessary for concurrent review. - Screen inquiries to determine the services that require certification at the time of the inquiry. - Obtain clinical information and forward the caller to the clinical staff for completion of the review. - Provide certification based upon scripted clinical algorithms or benchmark Length of Stay. - Collaborate and effectively communicate with internal and external partners. - Stay up to date on Summary Plan Documents and other related resources related to service requests. - Ensure applicable URAC standards, Confidentiality/HIPAA standards, and internal policies, practices, and productivity metrics are met. - Performs other related duties as assigned by supervisor. - Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. Qualifications - 2+ years of experience in high-volume call center or customer support environment. - High attention to detail while maintaining courteous, accurate, and timely relations with our partners and members. - Strong problem-solving skills. - Excellent communication skills, both verbal and written. - GED or High School Diploma. - A plus if you have: - Medical, claims, or collection call center experience. - Medical Terminology Certification. - Microsoft Office Suite experience. Requirements - This is a fully remote position, and we’ll provide all the necessary equipment! - You’ll need a quiet workspace that is free from distractions. - Reliable internet connection—if you can use streaming services, you’re good to go! - Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA. - 401K with company match and immediate vesting. - Flexible working environment. - Generous Paid Time Off to include vacation, sick leave, and paid holidays. - Employee Assistance Program that includes professional counseling, referrals, and additional services. - Paid maternity and paternity leave. - Pet insurance. - Employee discounts on phone plans, car rentals and computers. - Community giveback opportunities, including paid time off for philanthropic endeavors.

Role Description As a Member Advocate, you’ll serve as a trusted resource for members navigating healthcare decisions through the Valenz Bluebook platform. You’ll help members better understand healthcare costs, identify quality care options, and maximize available incentives while delivering a supportive, high-touch experience across phone, email, and chat. This role plays an important part in improving member engagement and satisfaction by making healthcare navigation simpler, more transparent, and easier to access. - Serve as a trusted resource for members by helping them navigate healthcare decisions, understand healthcare costs, and identify quality care options through the Valenz Bluebook platform. - Deliver a high-touch, member-focused experience across phone, email, and chat, ensuring every interaction is supportive, informative, and solution-oriented. - Guide members through provider searches, treatment planning, healthcare pricing comparisons, and available rewards opportunities to support informed care decisions. - Educate members on incentive programs and explain how selecting Fair Price (Green) providers can help reduce healthcare costs and unlock rewards. - Support members with account-related needs, including login assistance, access issues, and general platform navigation. - Collaborate closely with the Member Concierge team to triage more complex cases and ensure members are connected to the appropriate level of support. - Maintain accurate documentation of member interactions, case details, and outcomes within internal systems. - Partner with internal teams, including Engagement, Product, and Rewards, to share member feedback and contribute to ongoing member experience improvements. - Participate in cross-functional meetings and initiatives as a voice of the member, helping identify trends, pain points, and opportunities for improvement. - Perform other duties as assigned. - Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. Qualifications - 1+ year of experience in customer support, member services, healthcare navigation, call center operations, or another customer-facing role focused on problem-solving and service. - Strong communication skills across phone, written, and digital channels. - Excellent customer service instincts with the ability to build trust and create positive member experiences. - Strong critical thinking, problem-solving, and active listening skills. - High level of organization, attention to detail, and accountability. - Ability to manage sensitive information with confidentiality and professionalism. - Comfortable learning new systems and technology platforms in a fast-paced environment. Requirements - A plus if you have experience supporting members, patients, or customers within healthcare, health insurance, benefits, or healthcare navigation environments. - Experience with Salesforce or similar CRM platforms. - Bachelor’s degree. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA. - 401K with company match and immediate vesting. - Flexible working environment. - Generous Paid Time Off to include vacation, sick leave, and paid holidays. - Employee Assistance Program that includes professional counseling, referrals, and additional services. - Paid maternity and paternity leave. - Pet insurance. - Employee discounts on phone plans, car rentals, and computers. - Community giveback opportunities, including paid time off for philanthropic endeavors.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As the VP of Revenue Operations, you will provide strategic leadership across Sales Operations and Client Success Operations, owning the full revenue lifecycle from pipeline creation through retention and expansion. This role ensures tight alignment between Sales, Client Success, Marketing, Finance, and Operations to deliver predictable growth, strong customer outcomes, and long-term revenue durability. You will design and scale the processes, systems, and analytics that govern how revenue is acquired, retained, and expanded—partnering closely with executive leadership to improve customer value, operational efficiency, and revenue performance across all business segments. Things You’ll Do Here: Revenue Operations Strategy & Executive Leadership - Owns the end-to-end revenue operations strategy across new sales, renewals, expansion, and retention, ensuring consistent execution across the entire customer lifecycle. - Serves as a strategic advisor to executive leadership on revenue health, customer performance, operational readiness, and go-to-market strategy. - Establishes enterprise-wide operating rhythms, performance expectations, and accountability models across Sales and Client Success functions. Client Success & Post-Sale Revenue Operations - Partners with Client Success Operations, ensuring scalable structure around onboarding, renewals, customer health measurement, and expansion readiness. - Drives standardized renewal and retention processes, including forecasting, risk identification, and renewal execution. - Partners with Client Success leadership to define and track customer health metrics, satisfaction indicators, and retention drivers. - Ensures post-sale motions are operationalized to support net revenue retention and long-term account growth. Sales Operations & Pipeline Management - Leads Sales Operations strategy, including pipeline management, forecasting accuracy, deal governance, and quota attainment support. - Establishes standardized sales processes and performance metrics that improve predictability and pipeline quality. - Partners with Marketing to align lead generation, qualification, and sales enablement efforts to revenue outcomes. Forecasting, Analytics & Performance Management - Develops and maintains integrated forecasting models covering new business, renewals, and expansion revenue in partnership with Finance. - Tracks revenue performance against targets, including ramp, deal valuation, renewal risk, and variance analysis. - Defines and monitors KPIs that measure efficiency, productivity, customer retention, and revenue attainment across functions. - Leverages analytics to identify growth opportunities, mitigate churn risk, and inform executive decision-making. Systems, Pricing & Revenue Enablement - Owns CRM and revenue technology strategy (Salesforce.com, Loopio, Outreach, CPQ tools), ensuring adoption, data integrity, and scalability across sales and client success teams. - Manages pricing desk operations and deal governance processes. - Ensures revenue systems support both pre-sale execution and post-sale visibility. Team Leadership & Cross-Functional Partnership - Builds, mentors, and scales a high-performing Revenue Operations team spanning Sales Ops and Client Success Ops. - Collaborates closely with Finance on compensation design, forecasting accuracy, and revenue modeling. - Drives cross-functional alignment across Sales, Client Success, Marketing, Product, and Operations to maximize customer acquisition, retention, and expansion. - Performs other related duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - Bachelor’s degree in Business, Finance, Marketing, or a related field. - 10+ years of progressive experience in Revenue Operations or Sales Operations roles, with at least 5 years in senior leadership positions overseeing forecasting, pipeline management, and revenue performance across the full customer lifecycle. - Proven success supporting revenue growth within healthcare technology or services environments (payer, employer-sponsored, or adjacent health benefits). - Strong financial acumen with demonstrated ownership of revenue forecasting, pipeline analytics, renewal modeling, and performance reporting. - Deep expertise with CRM and revenue enablement platforms (Salesforce.com, Loopio, Outreach, CPQ tools). - Experience serving as a primary owner of rev-ops analytics dashboards and reporting platforms (such as Power BI), with deep familiarity, hands-on daily use, and responsibility for ongoing refinement and adoption. - Strong analytical mindset with the ability to translate data into clear, strategic recommendations. - Demonstrated ability to partner effectively with Sales, Marketing, Finance, Product, and executive stakeholders. - Executive presence with strong communication and presentation skills and the ability to align teams around shared objectives. A plus if you have: - MBA Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Data Engineer I, you’ll play a hands-on role in building and supporting scalable data pipelines within our cloud-based Lakehouse environment (Azure Databricks, Delta Lake), leveraging tools like Spark and PySpark. You’ll help bring in healthcare data from a variety of sources, ensuring it’s accurate, reliable, and ready to support analytics and reporting needs across the organization. You’ll also partner closely with the broader Analytics team to make sure data is delivered in a way that’s clear and actionable. Over time, you’ll build expertise in managing large, complex datasets and contribute to evolving our data architecture to support new and emerging data sources as the business grows. Things You’ll Do Here: - Create and maintain processes to acquire, validate, and enrich data from various sources. - Support the migration of on-premise data systems (SQL Server) to a cloud-based lakehouse architecture (Azure Databricks, Delta Lake), including data transformation and pipeline re-architecture. - Develop and optimize ETL/ELT pipelines using PySpark and Spark SQL. - Implement Lakehouse + Delta architecture best practices to ensure a standardized and scalable way that we store and process our data, including schema enforcement, ACID transactions, and data versioning. - Orchestrate data pipelines using Databricks Workflows (Jobs) or similar tools. - Implement data quality frameworks, validation checks, and monitoring for pipeline reliability. - Optimize performance and cost of data pipelines. - Collaborate on CI/CD practices for data pipelines, including testing, deployment, and versioning. - Partner with data analysts, data scientists, and business stakeholders to identify new sources of data and estimate feasibility of acquiring specific data sources. - Design and implement data models to support analytics, reporting, and data warehousing use cases. - Take an active role in agile processes. - Perform other duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - 1+ years of work experience in a data engineering role. - Bachelor’s degree or greater in a quantitative field such as statistics, mathematics, engineering, computer science, finance, or economics or equivalent practical experience - Hands-on experience with Databricks (Spark, PySpark, Delta Lake) and/or migrating RDBMS systems to a data lakehouse. - Experience working the most common types of healthcare data (medical claims, eligibility, provider network rosters, Rx claims, etc) from a variety of sources. - Strong organizational skills and time management capacity to balance multiple projects with limited supervision. - Ability to build (and re-evaluate) a process from the ground up. - Strong investigative skills with ability to search beyond the initial results. - High attention to detail, with overwhelming desire to test and double-check your own results. - Comfortable working with messy data and ambiguous results - Hands-on experience with SQL and Python (including PySpark) for distributed data processing. - Experience building and optimizing large-scale distributed data pipelines for both batch and streaming ingestion. - Our data platform is undergoing a transformation from a traditional on-premise architecture to a modern cloud-based lakehouse on Azure. Technologies used: - Cloud & Modern Data Platform: - Azure (Blob Storage / Data Lake Storage, Synapse Analytics) - Databricks (Spark, PySpark, Delta Lake, Databricks Workflows) - Delta Lake architecture (ACID transactions, schema enforcement, time travel) - Data Engineering & Development: - Python (including PySpark), SQL - Data pipeline orchestration and workflow management - Version control (Git, Azure DevOps) - Legacy / Transitional Systems: - SQL Server (on-premise RDBMS) - .NET / C#-based data processing applications - Migration from traditional ETL and relational systems to cloud-based lakehouse architecture Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Data Engineer III, you’ll be responsible for designing, building, and evolving scalable data systems that power analytics, product, and operational decision-making across the organization. You will operate as a senior individual contributor with end-to-end ownership of complex data initiatives, contributing directly to the architecture and evolution of our Databricks-based Lakehouse platform on Azure. Things You’ll Do Here: - Own the design and implementation of scalable, production-grade data pipelines using Databricks, PySpark, SQL, and Python Operationalize machine learning workflows and feature pipelines. - Own and deliver complex, cross-functional data initiatives end-to-end, from ingestion and data modeling through production deployment and ongoing monitoring. - Design robust, reusable ETL frameworks using Delta Lake best practices (incremental processing, merge/upserts, schema evolution). - Diagnose and resolve performance challenges in distributed Spark workloads (data skew, shuffle, memory pressure, inefficient execution plans). - Build and enforce strong data quality practices, including validation frameworks, observability, and automated alerting. - Design and evolve data models across medallion architecture layers to support analytics and downstream applications. - Implement modern data ingestion patterns, including API-driven, event-based, and AI-assisted ingestion workflows. - Partner with analytics, architecture, and engineering teams to support advanced data use cases, including feature engineering and emerging machine learning workflows. - Evaluate and adopt new capabilities within Azure and Databricks (e.g., MLflow, Unity Catalog enhancements, platform optimizations) to improve scalability and developer productivity. - Contribute to architectural decisions and platform standards, balancing short-term delivery with long-term maintainability. - Write high-quality, well-tested, and maintainable code; lead by example through thoughtful code reviews. - Act as a go-to resource for diagnosing and resolving complex production issues across systems. - Mentor and elevate other engineers through collaboration, design discussions, and technical guidance. - Perform other duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - 4+ years of experience in data engineering or a related field, with a track record of delivering production-grade data systems - Strong hands-on experience with Databricks, Spark/PySpark, and distributed data processing at scale - Deep understanding of Delta Lake and modern Lakehouse architecture patterns - Proficiency in Python and SQL for large-scale data transformation and performance optimization - Proven experience building incremental, idempotent, and highly reliable data pipelines - Strong experience diagnosing and optimizing Spark workloads (partitioning strategies, AQE, caching, file sizing, query tuning) - Experience designing data models for analytics and downstream consumption (medallion architecture, dimensional modeling, or similar) - Experience implementing data quality, validation, and observability frameworks in production environments - Familiarity with CI/CD, version control, and modern DataOps practices - Experience supporting or integrating with machine learning workflows (feature pipelines, model inputs/outputs, or ML lifecycle support) - Familiarity with AI/ML concepts as applied to data engineering (intelligent ingestion, anomaly detection, automation) - Demonstrated ability to evaluate and adopt new technologies within cloud ecosystems (Azure, Databricks) - Strong communication skills and ability to collaborate with both technical and non-technical stakeholders A plus if you have… - Familiarity with event-driven architectures (e.g., streaming, message queues, or event hubs) - Experience working with healthcare data (claims, eligibility, provider, or clinical datasets Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Sr. Data Analyst, you’ll take the lead on complex data implementations, with a strong focus on maintaining data integrity and keeping processes and workflows running smoothly. You’ll dig into data pipelines to identify opportunities for improvement and play a key role in building, documenting, and scaling data workflows across the organization. Things You’ll Do Here: - Lead and manage end-to-end data-driven projects, ensuring clear scoping, internal and external stakeholder alignment, timelines, and successful delivery. - Develop and maintain comprehensive documentation for data workflows, pipelines, reporting logic, and systems definitions. - Act as a primary liaison between technical teams and business stakeholders, translating complex data concepts into clear, actionable insights. - Design and implement standardized processes and frameworks for data intake, data quality and validation, reporting, and delivery. - Oversee and improve data workflows across teams, identifying inefficiencies and driving process optimization for sustainability and scalability. - Facilitate cross-functional collaboration across Analytics, Engineering, Product, Data Integration, and Client Delivery teams. - Lead project tracking and communication, proactively managing risks, dependencies, and stakeholder expectations. - Work within Databricks and related data platforms to support, document, and optimize data workflows and pipelines. - Work within Azure DevOps to identify, track and maintain individual and team initiatives. - Act as a subject matter expert in data governance, data pipeline documentation standards, and technical best practices. - Mentor team members on data policies, documentation standards, product scalability, and workflow efficiency. - Conduct root cause analysis on complex data issues and ensure findings are documented and incorporated into process improvements. - Ability and willingness to dive into data independently to validate outputs, troubleshoot issues, and support analysis. - Perform other duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - Bachelor’s degree in Data Science, Statistics, Computer Science, Business Analytics, or a related field. - 5+ years of experience in data analysis, data operations, analytics, or a related role with demonstrated ownership of complex projects. - Advanced proficiency in SQL for complex querying, optimization, and data validation. - Strong experience with Databricks (or similar cloud data platforms), including working with large-scale datasets and supporting ETL workflows. - Strong experience with data visualization tools such as Tableau, Power BI, or Looker. - Experience working in cloud environments such as Microsoft Azure or AWS. - Advanced Excel skills, including complex formulas, pivot tables, and analytical modeling. - Proven experience working with ETL processes and data pipelines, with a strong emphasis on documentation, workflow orchestration, and operational reliability. - Demonstrated experience managing and documenting complex, cross-functional data workflows from initiation through delivery in a clear and scalable way. - Exceptional ability to communicate technical concepts to non-technical audiences and drive stakeholder alignment. - Strong analytical, problem-solving, and critical-thinking skills, with the ability to navigate ambiguity and bring structure to complex problems. A plus if you have: - Experience with automated data validation tools like Great Expectations, Soda, or Monte Carlo - Experience working with healthcare data, medical claims systems, and/or benefit plan design documentation - Experience or working knowledge of the No Surprises Act, Transparency in Coverage Rule, and Machine-Readable Files (MRFs) Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As the Manager of Operational Excellence, you’ll help drive process improvement efforts across the organization and turn strategy into action. You’ll leverage Lean and Six Sigma methodologies to ensure consistent execution of key initiatives, from optimizing internal workflows to supporting client implementation readiness. Things You’ll Do Here: - Lead enterprise-wide continuous improvement initiatives utilizing Lean Six Sigma and DMAIC methodologies to drive measurable efficiencies, enhance quality, reduce waste, and optimize operational performance. - Design and implement scalable process improvements that strengthen accuracy, throughput, and compliance in payment integrity operations, ensuring alignment with regulatory requirements, client expectations, and organizational performance goals. - Leverage technology, data analytics, and automation tools to streamline workflows, reduce manual touchpoints, improve cycle times, and enhance reporting transparency. Partner with technical teams to evaluate and implement process automation solutions that support sustainable operational gains. - Facilitate cross-functional workshops and working sessions, including value stream mapping, process mapping, and root cause analysis (RCA), to uncover operational gaps, identify bottlenecks, and prioritize high-impact improvement opportunities. - Collaborate closely with Implementation, Client Success, Product, and Core Operations teams to design, document, and operationalize end-to-end workflows supporting new client onboarding, product enhancements, and service expansions within the Payment Integrity portfolio. - Establish standardized operating procedures (SOPs) and governance frameworks to ensure process consistency, scalability, and repeatability across pre-payment and post-payment integrity functions. - Identify, assess, and mitigate operational risks that may affect service delivery, financial outcomes, regulatory compliance, or client experience, implementing controls and monitoring mechanisms to ensure ongoing stability and performance. - Develop and maintain comprehensive project documentation, including charters, business cases, stakeholder analyses, process documentation, KPIs, dashboards, and post-implementation reviews to ensure transparency and accountability. - Define and track key performance indicators (KPIs) to measure operational effectiveness, quantify improvement impact, and support data-driven decision-making across the Payment Integrity vertical. - Champion a culture of continuous improvement, providing coaching and guidance to operational leaders and frontline teams to build internal capability in problem-solving, process discipline, and performance optimization. - Perform other duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - 5+ years in an operational excellence or continuous improvement role leading and executing DMAIC projects. - 3+ years of experience in healthcare administration, health insurance, or equivalent, leveraging healthcare technology to automate processes. - Exceptional communication skills, both written and verbal, with strong presentation abilities in-person and virtually. A plus if you have: - Bachelor’s degree in business administration, healthcare administration, or related field. - Six Sigma Green Belt certification. - Experience supporting large-scale process transitions. - Experience supporting client implementations. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Supervisor of Utilization Management, you will lead a team of utilization review nurses by providing guidance, mentorship, and training to ensure timely, high-quality clinical reviews. Using your leadership and clinical expertise, you will collaborate with organizational leaders to refine utilization management policies, support adherence to evidence-based guidelines, and promote a culture of continuous improvement. In this role, you will conduct clinical reviews, ensure regulatory compliance, and facilitate communication with providers and payers. You will also monitor team performance, coach staff for professional growth, and identify opportunities for quality improvement and cost containment, while consistently upholding professional and ethical standards. Things You’ll Do Here: - Supervise and support a team of Utilization Review Nurses, providing guidance, mentorship, and ongoing training. - Collaborate with leadership to develop, implement, and maintain UM policies, procedures, and clinical guidelines. - Monitor team performance against established productivity and quality goals, ensuring timely and accurate work. - Deliver clear communication, coaching, and educational support to enhance team performance and compliance. - Conduct clinical reviews to assess medical necessity and appropriateness of services, referring to Case Management or other programs as needed. - Evaluate treatment plans and medical records to ensure alignment with evidence-based criteria and best practices. - Ensure timely communication of utilization decisions with healthcare providers, payers, and clients. - Collaborate with providers and internal teams to promote efficient resource use and identify opportunities for quality improvement and cost containment. - Ensure compliance with regulatory requirements and accreditation standards including Medicare, Medicaid, and URAC. - Maintain complete, accurate documentation of all UM activities and decisions. - Stay current with industry regulations, standards, and emerging best practices in utilization management. - Uphold strict confidentiality and demonstrate high standards of professional and ethical conduct. - Perform other duties as assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - 5+ years of Utilization Management or Quality Improvement experience in managed care. - 2+ years of clinical experience in an acute care or surgical hospital setting. - Active RN license in the state of residence. - Proficient in ICD-10, CPT, HCPCS, Revenue codes, and CMS/URAC guidelines. - Familiar with evidence-based criteria such as MCG and health plan policies. - Strong relationship-building skills with clear, effective communication. - Able to thrive in a fast-paced, detail-oriented, deadline-driven environment. A plus if you have: - Health insurance experience - Prior leadership experience - MCG certification - Compact State Nursing License Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As an Sr. Sales Executive at Valenz, you will be responsible for driving net-new enterprise growth of our Payment Integrity solutions within large national and regional health plans and TPAs. This role focuses on developing and executing strategic sales plans to identify, pursue, and close complex, multi-stakeholder opportunities. You will lead consultative, value-driven conversations with senior payer executives, positioning Valenz as a long-term strategic partner focused on measurable financial impact, claims accuracy, and operational efficiency. You will collaborate cross-functionally to deliver competitive solutions and ensure a seamless transition from sale to implementation. Your territory will be East of the Mississippi. Things You’ll Do Here: Drive Enterprise Growth - Develop and execute a strategic territory plan focused on acquiring large national and regional health plans and TPAs, with an emphasis on net-new logo growth and enterprise expansion. - Identify, qualify, and close complex enterprise opportunities for Valenz Payment Integrity solutions, including claims review, bill review, and cost containment services. - Own the full enterprise sales cycle from prospecting and discovery through proposal development, contract negotiation, and implementation handoff. - Maintain disciplined pipeline management, accurate forecasting, and detailed CRM documentation to ensure revenue visibility and predictability. Lead Consultative Sales Engagements - Lead consultative sales engagements aligned to enterprise priorities such as medical cost reduction, claims accuracy, regulatory compliance, and operational efficiency. - Drive value-based sales discussions supported by analytics, ROI modeling, and competitive differentiation within the payment integrity landscape. - Navigate multi-stakeholder buying environments across Claims, Finance, Actuarial, Network Management, Operations, Procurement, and Executive leadership. - Develop and deliver executive-level presentations, RFP responses, and finalist pitches that clearly articulate measurable financial impact. Build Strategic Relationships - Build and cultivate executive-level relationships (CFO, COO, CIO, SVP of Claims, VP of Network, and other senior leaders) to position Valenz as a strategic partner. - Partner with clinical, analytics, legal, finance, product, and operations teams to design customized solutions that meet complex client requirements. - Identify cross-sell and upsell opportunities within enterprise clients in partnership with internal stakeholders. Represent the Market and the Brand - Monitor industry trends, regulatory changes, and competitive activity within the health plan and TPA markets to inform sales strategy. - Represent Valenz at national conferences, industry forums, and executive networking events to enhance brand presence and generate strategic opportunities. - Serve as a market-facing subject matter resource on payment integrity, bringing insight and best practices to sophisticated payer organizations. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: - 10+ years of enterprise sales experience within healthcare, with a focus on complex solution selling into health plans and/or TPAs. - Proven success closing large, multi-year enterprise contracts in payment integrity, claims review, bill review, or broader medical cost containment solutions. - Demonstrated ability to navigate formal RFP processes, procurement negotiations, and complex contracting environments. - Established executive-level relationships and credibility engaging senior payer leaders (CFO, COO, CIO, SVP of Claims, and related roles). - Strong understanding of payer operations, claims workflows, reimbursement models, and medical cost drivers. - Experience managing long, consultative sales cycles across multi-stakeholder buying groups. A plus if you have… - Experience selling performance-based or shared-savings arrangements. - Knowledge of CMS guidelines, commercial claims adjudication processes, or clinical audit methodologies. - Experience selling pre-pay and post-pay payment integrity solutions. - Familiarity with stop-loss dynamics, reference-based pricing, or value-based plan designs. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! - Work Environment: You’ll need a quiet workspace that is free from distractions. - Technology: Reliable internet connection—if you can use streaming services, you’re good to go! - Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. - Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits - Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. - Spending account options: HSA, FSA, and DCFSA - 401K with company match and immediate vesting - Flexible working environment - Generous Paid Time Off to include vacation, sick leave, and paid holidays - Employee Assistance Program that includes professional counseling, referrals, and additional services - Paid maternity and paternity leave - Pet insurance - Employee discounts on phone plans, car rentals and computers - Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.