Jobs at Claritev

Design, develop, and maintain analytics applications and complex SQL Server systems to detect fraud, waste, and abuse in healthcare claims. Create reporting and predictive analytics, analyze source data, optimize stored procedures, coordinate cross-functional projects, mentor junior staff, ensure HIPAA compliance, and provide technical leadership across the Payment Integrity Reporting and Analytics ecosystem.

Lead category management and strategic sourcing across IT, Professional Services, BPO, and Corporate Services. Build client relationships, develop sourcing playbooks, manage cross-functional sourcing and contracting, optimize supplier base, drive process improvements, support ESG and HIPAA compliance, and develop vendor capacity while managing team capabilities and enterprise procurement initiatives.

The Principal Applied Scientist will lead advanced analytics and ML models for finance, collaborating with various departments to drive financial insights and improvements.

The Senior Talent Business Partner serves as a strategic advisor on talent acquisition and workforce planning while ensuring alignment with business objectives and culture. Responsibilities include performance management, talent development, and data analytics to drive organizational effectiveness and foster growth.

The Temporary Provider Data Analyst maintains provider demographic data and updates provider records, responds to ad hoc requests, conducts data investigations, and ensures compliance with HIPAA regulations.

Investigate and analyze claim appeals, coordinate with coders, process claim adjustments, manage claim inventory and documentation, perform data entry and database maintenance, support special projects, ensure HIPAA compliance, and collaborate across departments to resolve issues.

The Director of Client Success leads the team to optimize customer engagement strategies and reduce churn while driving business growth through innovative products.

This role involves leading the development and deployment of data engineering solutions, collaborating with different teams, and ensuring data quality and compliance while managing complex data pipelines and workflows.

Manage an SRE team to ensure system reliability, reduce technical debt, participate in on-call rotations, drive capacity planning, performance analysis, instrumentation, cross-team collaboration, training, and HIPAA compliance while evangelizing SRE practices across product and operations.

Investigate and manage privacy breaches and inadvertent disclosures, ensure HIPAA and state/federal privacy compliance, coordinate corrective actions, prepare documentation and quarterly reports, act as business analyst and project manager for regulatory filings, identify and mitigate risk, and collaborate across stakeholders to implement privacy and compliance solutions.

Design, develop, and implement SQL Server/T-SQL applications and complex queries. Build, review, and maintain ETL processes using SSIS/SSRS, develop stored procedures, and tune large-volume databases across development, UAT, and production environments. Work within Scrum; telecommuting permitted. No visa sponsorship.

Design, develop, and implement business rules and decision logic using IBM ODM. Translate requirements into technical solutions, build decision tables and trees, integrate ODM with systems via APIs and web services, and perform performance tuning and optimization. Use IBM Decision Center, Rule Designer, and Decision Validation Services (DVS).

Lead AI operations engineering to design, build, and scale OCI-based GenAI infrastructure and MLOps pipelines. Architect hybrid GPU deployments, automate training-to-inference workflows, deploy multimodal LLM services, ensure HIPAA-compliant AI systems, drive OCI-focused R&D, and mentor junior engineers.

Design, develop, test, and maintain complex Java/J2EE applications and Web Services using Spring/Spring Boot, SOAP and REST. Analyze user needs, perform technical requirement reviews, and evaluate software. Maintain and enhance Oracle SQL-backed systems.

Manage technical implementation of EDI and Web Services trading partners for a health insurer. Provide HIPAA-compliant guidance on MPI and EDI protocols, conduct system testing, and perform in-depth analysis to support claims processing and interoperability.

Define and execute enterprise data architecture and integration; develop information-sharing strategy and reference architecture; build analytics solutions using AWS and Databricks; implement data mesh, API strategy, and microservices; lead and manage data governance programs using Unity Catalog; apply DevOps practices with Terraform.

Senior Data Engineer responsible for designing, building, and maintaining scalable data pipelines, integrations, and data warehouses. Collaborate with architects, data science, and business teams to transform and prepare data for analytics and ML, ensure data quality, governance, HIPAA compliance, and mentor junior engineers.

Manage daily operations and staff of Support Services, including staffing and inventory management, machinery troubleshooting, process and policy development, performance metrics, HIPAA compliance, cross-department collaboration, project management, and employee hiring/training.

Responsible for IT vendor relationships, leading sourcing initiatives, conducting market research, managing vendor lifecycle, and ensuring compliance with contracts and standards.

Lead AI initiatives by identifying opportunities and executing AI-driven solutions within healthcare, ensuring alignment between business needs and technical feasibility.