Clarishealth62

Ideation Manager

Remote First (Franklin, TN). Posted 16 days ago

The role

The Ideation Manager provides direct people leadership for a team of Concept Ideation Analysts. This role is accountable for team performance, talent development, workload management, and delivery against business priorities.

What you will do

  • Lead and develop a team of Concept Ideation Analysts
  • Build team capability and identify skill gaps
  • Apply Payment Integrity expertise to guide analysis
  • Communicate business needs and findings to leadership and clients
  • Set direction and prioritize team workload
  • Promote consistency, process improvement, and innovation
  • Advance AI adoption and automation
  • Build client relationships and executive confidence

Required qualifications

  • 5+ years of experience in healthcare
  • 3+ years within Payment Integrity, claims operations, healthcare analytics, or a closely related function
  • 3+ years of direct people-management experience
  • Demonstrated experience leading teams through organizational, process, or technology-enabled change
  • Experience with medical claims, coding guidelines, reimbursement methodologies, provider data, and healthcare policy
  • Experience using data and analysis to identify payment issues and support solution development
  • Demonstrated experience working across highly collaborative, cross-functional environments
  • Experience establishing or improving team processes, standards, or operating practices
  • Experience leading or supporting process improvement, AI adoption, automation, or technology-enabled transformation efforts
  • Working knowledge of healthcare claims, provider billing, reimbursement, coding, policy, and payment accuracy concepts
  • Proven ability to manage priorities and deliver results in a matrixed environment

Nice to have

  • Experience leading multidisciplinary Payment Integrity teams
  • Experience with prepayment and post-payment concept development
  • Knowledge of the end-to-end concept development lifecycle
  • Proven exposure to continuous improvement initiatives and emerging tools such as AI or automation solutions

Benefits

  • Medical, Dental, and Vision Insurance starting on first day
  • 401(k) with Matching and Immediate Vesting
  • Company-Paid Short-Term Disability (STD)
  • Company-Paid Personal Financial Advising
  • New Hire Stipend for home office supplies
  • Pet Insurance Options
  • 9 company holidays plus 2 floating holidays
  • Virtual Counseling and Telemedicine
  • Paid Parental Leave
  • 4 weeks of vacation beginning accrual on day one
  • 1 additional week for wellness
  • $500 annual professional development stipend after one year

Before you apply

  • Applicants must be currently authorized to work in the United States on a full-time basis
  • ClarisHealth is not able to sponsor applicants for work visas

About the company

ClarisHealth, based in Nashville, Tenn., provides health plans and payers with a better way to drive claims payment accuracy using its proprietary, A.I.-powered enterprise technology platform Pareo®.

Ideation Manager at Clarishealth62 | JobZoey