Jobs at Claritev

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.

Process accurate, timely payroll for multi-state employees including deductions, taxes, garnishments, timekeeping, audits, reports, and payroll issue resolution. Support payroll implementations, quarter/year-end tax tasks, HIPAA compliance, and continuous process improvements during a 3–6 month temporary assignment.

Temporary role to review, research, and prepare No Surprise Act client and provider submissions. Perform data entry, claims research, documentation, outreach, and routing while meeting production and quality standards and ensuring HIPAA compliance.

The Payroll Manager oversees payroll operations for multi-state employees, ensures accurate payroll processing, manages HRIS, and leads the payroll team while maintaining compliance and data integrity.

The Claims Resolution Specialist manages healthcare claims negotiations for cost savings, engages providers, and maintains departmental performance metrics while ensuring compliance with HIPAA protocols.

Execute and document business acceptance tests for systems, AI/ML tools, and automation. Validate workflows (NSA/Surprise Bill, arbitration), log defects, support fixes, and ensure regulatory and operational readiness including HIPAA compliance.

Lead design and delivery of end-to-end revenue cycle solutions (patient access, coding, billing, claims, AR). Drive program planning and go-live readiness, translate business needs into compliant system designs, guide EHR and financial system integrations, support testing and stabilization, ensure payer/regulatory compliance, mentor team members, and identify process improvements to optimize performance.

Lead and manage the Arbitration/Dispute Resolution department, overseeing staff, policies, budgets, client relationships, compliance (HIPAA), performance metrics, process improvements, and cross-functional coordination to meet service and quality standards.

The Dispute Resolution Specialist II manages arbitration cases, evaluates disputes, drafts persuasive briefs, and coordinates information for Independent Dispute Resolutions while ensuring HIPAA compliance.