Lead a high impact COB team that protects members, clients, and revenue by making eligibility and Coordination of Benefits decisions accurate, fast, and compliant. If you’re the kind of leader who can run production, coach people, and keep HIPAA tight, this is your lane.
About Claritev
Claritev is a healthcare technology and data company focused on bending the cost curve for all. They partner with clients to improve outcomes through smarter operations, accountability, and innovation.
Schedule
Remote, United States
Standard business hours expected (specific time zone not listed)
High Risk Role due to exposure to PHI (strict confidentiality required)
What You’ll Do
⦁ Lead day to day COB production: prioritize, monitor, and distribute work across your team(s) to meet quality and SLA targets
⦁ Manage people operations: hiring, training, performance reviews, time off approvals, coaching, and corrective action when needed
⦁ Own offshore contractor coordination: staffing fit, assignments, training coordination, hour approvals, and issue resolution with vendor management
⦁ Partner with senior leadership to develop and implement policies, procedures, and production strategies tied to KPIs and recovery forecasts
⦁ Ensure compliance with CMS, NAIC, and state COB guidelines, plus internal standards and client expectations
⦁ Handle escalations: investigate client issues, resolve complaints, and document outcomes
⦁ Drive continuous improvement by tracking trends, auditing workflows, and tightening COB/OHI processes
⦁ Maintain airtight HIPAA handling and set the standard for PHI confidentiality across the team
What You Need
⦁ High school diploma (minimum) plus 5+ years in healthcare or insurance operations (COB, eligibility, or claims), including 2+ years in a supervisory or leadership role
⦁ Strong client focus and a track record of hitting production and quality goals
⦁ Solid understanding of COB rules, methodologies, and audit tactics, with comfort enforcing compliance standards
⦁ Strong organization, analytical thinking, and decision-making skills with the ability to manage multiple priorities
⦁ Proficiency with Microsoft Office, including Excel
⦁ Ability to work extended periods at a computer in a standard remote office setup (ADA language included in posting)
Benefits
⦁ Salary range: $65,000 to $72,000 annually, plus bonus opportunity
⦁ Medical, dental, and vision coverage with low deductible and copay
⦁ 401(k) with match + Employee Stock Purchase Plan
⦁ Paid parental leave + life insurance + short and long-term disability
⦁ Generous PTO (accrual increases with tenure) + 10 paid company holidays
⦁ Tuition reimbursement + FSA + EAP + sick time benefits (state dependent)
Roles like this don’t stay open long. If you’ve led COB teams and you’re ready to own outcomes, move on it.
You’re not just supervising a queue. You’re running a compliance-critical operation that directly impacts client trust and recoveries.
Happy Hunting,
~Two Chicks…