Help bend the cost curve in healthcare by managing complex arbitration cases and building persuasive IDR submissions. If you’re sharp with analysis, deadlines, and documentation, this role puts you in the driver’s seat on high-impact disputes.
About Claritev
Claritev is a healthcare organization focused on reducing healthcare costs through technology, data, and innovation. They emphasize service excellence, accountability, and collaboration across stakeholders while operating in a fast-moving environment.
Schedule
- Remote (U.S.)
- Standard business hours environment with strict federal/state filing deadlines
- High-detail work: intake, research, documentation, and cross-team coordination
What You’ll Do
- Manage an arbitration caseload, including determining appropriate client plan payment offers
- Draft persuasive briefs and offers for arbitration packages in line with federal regulations
- Conduct due diligence and research using online sources, portals, and internal systems
- Coordinate with internal departments to gather clinical and supporting documentation for IDR submissions
- Review and analyze clinical and provider-submitted documents (moderate to high complexity)
- Meet filing deadlines and required turnaround times for IDR cases
- Communicate clearly across email/phone/written channels and maintain detailed case records
- Outreach to clients to obtain missing data needed for arbitration packages
- Maintain productivity and quality standards while protecting privacy under HIPAA
- Collaborate across departments and ensure compliance throughout the process
What You Need
- High school diploma/GED + 4 years of healthcare operations experience (Bachelor’s preferred)
- Strong organizational and analytical skills with independent decision-making ability
- Proven problem-solving skills and ability to manage multiple priorities and timelines
- Comfort working in a fast-paced, rapidly changing environment
- Strong business judgment and the ability to learn quickly
- Proficiency in Microsoft Word, Excel, and Outlook
- Clear, concise written and verbal communication skills
- Ability to work at a computer for extended periods in a standard office/home office setup
Benefits
- $19–$21/hour expected pay range + bonus opportunity
- Health insurance (medical, dental, vision)
- 401(k) with match
- Employee Stock Purchase Plan
- Paid parental leave
- Short- and long-term disability + life insurance
- Generous PTO (accrues with tenure)
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Sick time benefits (state rules may vary)
If you’ve got the mix of healthcare ops experience and “deadline-proof” execution, apply while it’s still hot.
Own the caseload. Build the case. Deliver clean, compliant outcomes.
Happy Hunting,
~Two Chicks…