Ideation Manager

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Lead a team of Concept Ideation Analysts by providing direct people leadership.

• Oversee team performance, develop talent, manage workloads, enhance employee engagement, and ensure delivery aligns with business priorities.

• Mentor employees, manage their performance, support their career advancement, plan talent needs, and acknowledge their contributions.

• Set clear expectations and cultivate an inclusive, accountable, and high-performance team culture.

• Evaluate capability requirements, identify skill gaps, create growth plans, and enhance Payment Integrity and business analysis expertise.

• Utilize expertise in healthcare claims, reimbursement, coding, policy, provider billing, and Payment Integrity to guide analyses and evaluate concept opportunities.

• Simplify complex business requirements, analysis results, and strategic priorities for leadership, clients, and team members.

• Manage team capacity, prioritize tasks, and align resources with departmental objectives and business requirements.

• Establish and reinforce standardized business practices, tools, and processes to enhance quality, efficiency, and collaboration.

• Spearhead the evaluation and implementation of AI-enabled tools and automation opportunities.

• Develop trusted client partnerships and communicate updates, recommendations, and team insights to executives.

⛳️ Requirements

• A minimum of 5 years of experience in the healthcare field.

• At least 3 years of experience in Payment Integrity, claims operations, healthcare analytics, or a closely related field.

• Over 3 years of direct experience in people management, with responsibility for employee performance, coaching, development, and engagement.

• Proven experience leading teams through changes in organizational processes or technology.

• Familiarity with medical claims, coding guidelines, reimbursement methodologies, provider data, and healthcare policy.

• Proficient in utilizing data and analysis to identify payment issues, validate opportunities, assess root causes, and support solution development.

• Experience operating in highly collaborative, cross-functional environments and building alliances with diverse stakeholder groups.

• Background in establishing or enhancing team processes, standards, or operating practices.

• Experience in leading or supporting process improvement initiatives, AI adoption, automation, or technology-driven transformation efforts.

• Working knowledge of healthcare claims, provider billing, reimbursement, coding, policy, and payment accuracy concepts.

• Capacity to manage priorities, balance team workloads, and achieve results in a matrixed environment.

• Preferred: experience leading multidisciplinary teams focused on Payment Integrity.

• Preferred: experience in the development of prepayment and post-payment concepts.

• Preferred: understanding of the complete concept development lifecycle.

• Preferred: exposure to continuous improvement initiatives and AI or automation solutions.

• Must be legally authorized to work in the United States on a full-time basis.

• ClarisHealth is unable to sponsor applicants for work visas.

🏝️ Benefits

• Medical, dental, and vision insurance effective from the first day of employment.

• 401(k) plan with company matching and immediate vesting.

• Company-paid short-term disability insurance.

• Company-sponsored personal financial advising.

• Stipend for home office supplies for new hires.

• Provision of a laptop and charging cable by the company.

• Options for pet insurance.

• 9 company holidays plus 2 floating holidays.

• Company-funded virtual counseling and telemedicine services.

• Paid parental leave.

• 4 weeks of vacation that accrues from day one.

• An additional week dedicated to wellness time.

• $500 annual stipend for professional development after completing one year of service.