If you’re sharp with details, calm under deadlines, and you can build a strong written argument that holds up under scrutiny, this role is a solid fit. You’ll manage complex provider dispute arbitration cases and own the intake, analysis, and submission process for Independent Dispute Resolution (IDR) packages under federal and state rules.
About Claritev
Claritev is a healthcare technology and operations company focused on bending the cost curve in healthcare. They emphasize service excellence, accountability, innovation, and a culture that supports growth while delivering results for internal and external stakeholders.
Schedule
- Remote (United States)
- Full-time
- Deadline-driven work tied to federal and state IDR filing timelines
What You’ll Do
⦁ Manage an arbitration caseload, including evaluating provider disputes and determining appropriate client payment offers
⦁ Draft persuasive briefs and offer rationales for arbitration packages in alignment with federal regulations
⦁ Conduct due diligence and research (online, portals, internal applications) to support case analysis and submissions
⦁ Coordinate with other departments to gather the data and documentation needed for IDR packages
⦁ Review and analyze clinical and provider-submitted documentation for moderate to high complexity cases
⦁ Track and meet strict federal filing deadlines and required turnaround times
⦁ Respond quickly to written and verbal communications, logging details and maintaining accurate case records
⦁ Outreach to clients to obtain missing data required for arbitration submissions
⦁ Maintain productivity and quality standards while protecting sensitive information
⦁ Ensure HIPAA compliance and collaborate across teams to drive clean, timely resolutions
What You Need
⦁ High school diploma/GED required (Bachelor’s preferred)
⦁ 4+ years of experience in healthcare operations
⦁ Strong analytical skills with confident independent decision-making
⦁ Excellent organization and time management with the ability to juggle multiple priorities and deadlines
⦁ Proactive problem-solving in a fast-paced, changing environment
⦁ Sound business judgment and ability to learn quickly with minimal supervision
⦁ Strong written and verbal communication that’s logical, clear, and concise
⦁ Proficiency with Microsoft Word, Excel, and Outlook
⦁ Comfort working at a desk for extended periods (standard office environment demands)
Benefits
⦁ Pay range: $19–$21/hour (based on experience, location, and internal equity)
⦁ Health insurance (medical, dental, vision with low deductible/copay)
⦁ 401(k) + match and bonus opportunity
⦁ Employee Stock Purchase Plan
⦁ Paid parental leave
⦁ Short and long-term disability and life insurance
⦁ Generous PTO (accrual increases with tenure; WA accrual noted in posting)
⦁ 10 paid company holidays
⦁ Tuition reimbursement, FSA, EAP, and sick time benefits (per eligibility/state law)
If you’re ready to own complex dispute work, hit tight deadlines, and build arbitration packages that stand on facts and clean logic, apply now.
This is a “details win cases” job. If that’s your kind of pressure, you’ll thrive here.
Happy Hunting,
~Two Chicks…