If you like high-stakes paperwork, tight deadlines, and building a clean argument from messy data, this job is basically your playground. You’ll manage a caseload of Independent Dispute Resolution (IDR) arbitration cases, decide what the plan should offer, and draft persuasive briefs that hold up under federal or state rules.
About Claritev
Claritev is a healthcare technology and services company focused on lowering healthcare costs. They lean hard into service excellence, accountability, innovation, and a culture that expects you to own outcomes.
Schedule
- Work From Home (United States)
- Schedule not listed in the posting (role is deadline-driven and production-focused)
What You’ll Do
- Manage an arbitration caseload for provider disputes (IDR)
- Determine appropriate plan payment offers for arbitration cases
- Draft persuasive briefs and documented arguments for arbitration packages (per federal regulations)
- Conduct due diligence and research (online, portals, apps) to support case analysis
- Partner with other departments to obtain needed info and submit complete IDR packages
- Review and analyze clinical and provider-submitted documentation (moderate to high complexity)
- Meet federal filing deadlines and turnaround times
- Track and document communications and case activity with detailed accuracy
- Reach out to clients to collect missing data for arbitration packages
- Hit productivity and quality standards
- Maintain privacy and compliance under HIPAA
What You Need
- High school diploma or GED required
- 4+ years experience in healthcare operations
- Bachelor’s degree preferred (related field)
- Strong organizational + analytical skills with confident independent decision-making
- Ability to manage multiple priorities and deadlines in a fast-changing environment
- Solid business judgment and proactive problem-solving
- Strong written communication (you’ll be writing briefs, so this matters)
- Proficiency in Microsoft Word, Excel, and Outlook
- Comfort with extended computer-based work (sitting, typing, screens)
Benefits
- Pay: $19–$21/hour (based on experience, location, internal equity)
- Bonus opportunity
- Medical, dental, vision
- Life insurance
- Short and long-term disability
- Paid parental leave
- 401(k) + match
- Employee Stock Purchase Plan
- PTO (accrues with tenure)
- 10 paid holidays
- Tuition reimbursement
- FSA
- EAP
- Sick time (varies by state; baseline one hour per 30 worked up to 40/year)
Real talk: this is not “customer service with a headset.” This is closer to “mini case attorney without the bar card.” If writing tight arguments and defending a position sounds fun, apply. If you hate documentation and deadlines, don’t let the title fool you.
Happy Hunting,
~Two Chicks…