The Ideation Manager role provides direct people leadership for a team of Concept Ideation Analysts and is accountable for team performance, talent development, workload management, employee engagement, and delivery against business priorities. The role requires an experienced manager with strong knowledge of Payment Integrity, healthcare claims, and the concept development lifecycle. This leader ensures high-quality analysis, alignment across stakeholders and clients, and effective execution of priorities while strengthening business analysis practices and team capability. The role also champions process improvement, AI adoption, and automation opportunities that enhance efficiency, quality, and scalable ways of working.
Why You'll Love Working at ClarisHealth
We believe our team deserves the best, and we’re proud to offer a comprehensive benefits package designed to support your success, both at work and in life. Here’s what you can look forward to:
- Medical, Dental, and Vision Insurance – Enjoy medical, dental, and vision insurance that begins on your first day, ensuring your health and wellness are always supported.
- 401(k) with Matching and Immediate Vesting – Secure your financial future with a company match and instant vesting.
- Company-Paid Short-Term Disability (STD) – Added security for unforeseen circumstances.
- Company-Paid Personal Financial Advising – Expert guidance to help manage your finances.
- New Hire Stipend – A one-time stipend to purchase home office supplies (laptop and charging cable provided by the company).
- Pet Insurance Options – Choose from two carrier options to keep your furry friends covered.
- Paid Holidays – 9 company holidays plus 2 floating holidays for added flexibility.
- Virtual Counseling and Telemedicine – Company-paid access to mental health and medical support from the comfort of your home.
- Paid Parental Leave – Time to focus on family during this special chapter.
- Generous Vacation & Wellness Time – 4 weeks of vacation beginning accrual on day one, plus 1 additional week for wellness.
- Professional Development Stipend – After one year, enjoy a $500 annual stipend to invest in professional growth (e.g., certifications, webinars).
Primary Responsibilities:
- Lead and develop a team of Concept Ideation Analysts: Provide direct people leadership, including performance management, regular coaching, career development, talent planning, employee engagement, and recognition. Establish clear expectations and create an inclusive, accountable, and high-performing team culture.
- Build team capability: Assess current and future capability needs, identify skill gaps, develop growth plans, and create opportunities that strengthen Payment Integrity and business analysis expertise across the team.
- Apply Payment Integrity expertise: Use knowledge of healthcare claims, reimbursement, coding, policy, provider billing, and payment integrity methodologies to guide analysis, challenge assumptions, assess concept opportunities, and support accurate, actionable recommendations.
- Communicate with clarity and influence: Translate complex business needs, analysis findings, and strategic priorities into clear messages for leadership, client, and team members
- Set direction and priorities: Balance team capacity, prioritize work, and align resources to meet department objectives and evolving business needs
- Promote consistency, process improvement, and innovation: Establish and reinforce standard business practices, tools, and processes that improve quality, efficiency, and collaboration while reducing manual effort and modernizing how the team operates.
- Advance AI adoption and automation: Lead the evaluation and adoption of AI-enabled tools, automation opportunities, and more efficient ways of working that improve productivity, reduce rework, and support scalable delivery.
- Build client relationships and executive confidence: Develop trusted partnerships and present updates, recommendations, and team insights with confidence, professionalism, and strong executive presence.
Capabilities for Success
- People Leadership: Demonstrates successful experience directly managing employees, setting expectations, providing differentiated performance feedback, developing talent, leading through change, and building an engaged and accountable team.
- Payment Integrity Acumen: Understands healthcare claims, provider billing, reimbursement methodologies, coding and policy considerations, and the processes used to identify, validate, prevent, or recover inappropriate payments.
- Communication Excellence: Communicates clearly and effectively across all levels, adapting messages for clients, leadership, peers, and team members.
- Strategic Prioritization: Balances competing priorities, aligns team efforts to business goals, and makes sound decisions in a dynamic environment.
- Business Analysis Rigor: Promotes analytical thinking, structured problem solving, and consistent delivery of high-quality outputs.
- Continuous Improvement, AI & Automation Mindset: Identifies opportunities to improve team processes, adopt AI-enabled solutions, and leverage automation to enhance efficiency, consistency, and effectiveness.
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 with accountability for employee performance, coaching, development, and engagement
- 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, validate opportunities, determine root causes, and support solution development
- Demonstrated experience working across highly collaborative, cross-functional environments and building strong partnerships with multiple stakeholder groups
- 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, balance team workloads, and deliver results in a matrixed environment
Preferred Qualifications:
- 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
About ClarisHealth
ClarisHealth, based in Nashville, Tenn., provides health plans and payers with a better way to drive claims payment accuracy. Its proprietary, A.I.-powered enterprise technology platform Pareo® allows health plans across the U.S. to reduce manual work, gain insights into operational performance across lines of business, and accelerate their strategy to overpayment prevention – at a significantly reduced cost.
Company Culture
Our company values help everyone move in alignment toward this mission. We are …
- Compassionate. We practice servant leadership, encourage inclusion and engagement, and actively acknowledge and celebrate each other’s contributions.
- Communicators. We listen first with an emphasis on understanding. We seek solutions to problems, and practice radical candor with positive intent.
- Challengers. We get the right stuff done right, create clarity from complexity, take accountability and ownership, and we challenge ourselves daily.
- Connectors. We bridge teams, ideas and clients so the whole moves as one.
ClarisHealth embraces a supportive working culture of creativity and innovation internally termed “Got Your Back.” We live out this #GYB spirit every day by working together with team members, clients, and other partners to achieve shared goals.
For more information about ClarisHealth and our culture, please visit us at https://www.clarishealth.com/careers/.
Other
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.
EOE, including Disability/Veterans; anyone needing accommodation to complete the interview process should notify the People Operations team.
5+ years healthcare experience, 3+ years in payment integrity or related, 3+ years direct people management, experience with medical claims, coding, reimbursement, and leading change.
Key Responsibilities
- leading team
- managing performance
- driving process improvement
Skills & Tools
Pareo
Job Details
- Category: Project and Program Management
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — Franklin, Tennessee, United States
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Retirement plan
- Generous parental leave
About ClarisHealth
A healthcare technology company providing AI-powered claims payment accuracy solutions. — Industry: Information Technology