3 Claritev Software Jobs Hiring Near You

AtClaritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple- westrivetobend the cost curve in healthcarefor all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations.We are intentionally bold, we foster innovation, we nurture accountability, we championdiversity, andempower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward andUpward!!!

JOB SUMMARY: 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. In addition, this position is responsible for the development and oversight of the Request for Proposal (RFP) process related to Government Programs opportunities, ensuring thatClaritev network composition and metrics accurately represent the potential financial value to current and prospective Claritev customers.
JOB ROLES AND RESPONSIBILITIES:
1. Direct, develop, refine, and lead the HCE organization in business and provider information activities that will result in company growth and profitability.
2. 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.
3. 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.
4. Explore and implement where feasible, product and market specific exclusive arrangements with large national provider chains.
5. 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.
6. Direct the monitoring of program effectiveness and develop and enhance processes to increase the effectiveness of Claritev Network Development activities.
7. Oversee the analysis of industry best practices in order to develop and maintain market competitive provider reimbursement schedules.
8. Provide leadership for the Network Development area through long-range forecasting and planning, mid-range operating plan and real time management.
9. Partner in the development and execution of Claritev's Wrap Network development strategy.
10. Select, develop and evaluate staff to ensure the efficient operation of department.
11. 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.
12. Collaborate, coordinate, and communicate across disciplines and departments.
13. Ensure compliance with HIPAA regulations and requirements.
14. 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.
JOB SCOPE:
The AVP, Healthcare Economics has significant impact on the image, quality, and effectiveness of service to internal and external Claritev customers as well as on overall Network Development strategies and financial and operating business plans. An incumbent has a high level of exposure associated with and responsibility in managing the company's operations through directing a staff of administrative, professional, and managerial personnel. In addition, this job strategically partners with other leadership roles to plan strategies and programs to ensure efficient operations and achievement of business objectives.

JOB REQUIREMENTS (Education, Experience, and Training):
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

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

• Medical, dental and vision coveragewithlow deductible& copay

• Life insurance

• Shortand long-term disability

• Paid Parental Leave

• 401(k)+ match

• Employee Stock Purchase Plan

• Generous Paid Time Off- accrued based on years of service

• WACandidates:the accrualrateis 4.61 hours every other weekfor the first two years of tenure before increasing with additional 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$132k-200K. Specific offerstake into accounta 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

Claritevis an Equal Opportunity Employerand 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.Ifyou wouldlike more information on your EEO rights under the law, pleaseclickhere.

APPLICATION DEADLINE

We will generally accept applications for at least5calendar days from the posting date or as long as the job remains posted.

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