Jobs at Claritev

Lead development and execution of change management strategies for enterprise transformation (Oracle HCM). Assess readiness, engage stakeholders and leaders, support communications and training, measure adoption, and build scalable change capability. Mentor junior staff and deliver reporting and continuous improvement to sustain adoption and business outcomes.

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.

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.

Investigate and develop health insurance subrogation cases by researching claim systems, placing outbound calls, sending correspondence, documenting findings, coordinating with legal and team members, and ensuring compliance with HIPAA and state/federal laws to maximize recoveries.

Provide white-glove IT support to C-level executives across office, home, and remote environments. Manage and troubleshoot Windows and Apple devices, collaboration tools, conferencing systems, VPN/RSA access, networking, and executive meeting tech. Maintain confidentiality, HIPAA compliance, documentation, and coordinate with IT teams while supporting after-hours and high-pressure situations.

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

Negotiate pre-payment discounts on healthcare claims by contacting providers, researching claims, presenting proposals, handling counteroffers, and updating provider records. Manage high-volume claims, meet performance metrics, handle post-closure inquiries, ensure HIPAA compliance, and collaborate across teams. Up to 40% phone time; may include ACD phone responsibilities.

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 enterprise strategy, modernization, and operational excellence for SAP Finance and HCM platforms. Drive Oracle HCM implementation, cloud migrations, automation, GenAI/analytics adoption, integrations, governance, and SOX/SOC compliance. Partner with Finance and HR, manage vendors and budgets, lead delivery teams, and oversee change management, adoption, and talent development.