Claritev

Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all. We work across the healthcare value chain to expose imbalanced and inefficient pricing practices. Led by deeply experienced analysts, negotiators and innovators, Claritev provides tech-enabled solutions and services fueled by proprietary data from over 40 years of experience. Today, along with machine learning and AI, we utilize a robust enterprise platform to deliver price transparency, improve payment accuracy, and drive more meaningful analytics and decision-making. Through Claritev, providers are able to make data-enabled decisions to optimize their service offerings, market position and ultimately deliver high-quality care. Payors and third-party administrators can deliver greater flexibility and value to plan sponsors. Employers can drive cost-efficient benefit design and patients can finally afford the care they need. By focusing on customized solutions that that improve transparency, affordability and quality for all key players, we’re igniting a more competitive marketplace — one that lowers overall costs while improving quality. Claritev brings the transparency our nation needs to see its way to a better healthcare system.

Assistant VP, Reference Based Pricing (RBP)

Vice PresidentVice PresidentFull TimeTeam 2,715

Location

Kansas

Posted

37 days ago

Salary

$160K - $175K / year

Bachelor Degree9 yrs expEnglish

Job Description

Job Summary & Responsibilities At Claritev , we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward! Job Summary: The Assistant Vice President (AVP) of Reference‑Based Pricing leads a high‑revenue, mission‑critical business unit responsible for operational performance, service delivery, and strategic growth across the RBP portfolio. This role oversees complex cost centers and functions, drives revenue and margin performance, and partners closely with product, technology, legal, and regulatory teams to advance the company’s RBP strategy. The AVP serves as a senior operational leader with deep healthcare expertise, strong financial acumen, and the ability to influence both internal and external stakeholders in a highly regulated environment. Job Roles & Responsibilities: Lead daily operations for high‑revenue RBP business units, ensuring quality, efficiency, and delivery against client and regulatory expectations. Own revenue performance, including annual budget achievement, margin optimization, and multi‑year growth planning. Develop and execute growth strategies in partnership with product, technology, sales, legal, and regulatory teams. Drive operation excellence through established/improved KPIs for productivity, cost‑to‑serve, cycle time, customer experience, and quality. Translate business needs into technical and service requirements, influencing automation, platform enhancements, and digital transformation initiatives. Ensure compliance with HIPAA regulations and requirements. Demonstrate Company’s Core Competencies and values. Preferred Qualifications Job Requirements Must have at least 10 years of operational management/leadership experience; including 7 years in healthcare (insurance companies, TPA, HMO, managed care, or similar) ecosystem. Proven track record managing high‑revenue business units and delivering strong financial performance. Demonstrated success building and scaling large operational teams (50–100+ employees). Extensive experience managing client escalations, appeals, and litigation‑related issues within healthcare operations. Deep understanding of regulatory and legal frameworks impacting large healthcare organizations. Experience partnering on technical roadmaps and driving technology‑enabled operational strategies. Strong negotiation, communication, analytical, and organizational skills. Ability to collaborate effectively with internal teams and external stakeholders, including clients, regulators, and legal entities. Knowledge of healthcare and managed care products, including RBP methodologies. Ability to travel as needed. Bachelor’s degree required; advanced degree preferred. COMPENSATION The salary range for this position is $160K-175K. Specific offers consider a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401 k, and bonus opportunity. BENEFITS We realize that our employees are instrumental in our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.  Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities. Your benefits will include: Medical, dental and vision coverage with low deductible & copay Life insurance Short and long-term disability Paid Parental Leave 401(k) + match Employee Stock Purchase Plan Generous Paid Time Off – accrued based on years of service WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service 10 paid company holidays Tuition reimbursement Flexible Spending Account Employee Assistance Program Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits . EEO STATEMENT Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here . APPLICATION DEADLINE We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted. #LI – VG1

Job Requirements

  • Partner with product and technology leaders to shape the technical roadmap and drive scalable, technology‑enabled operations.
  • Serve as an external‑facing leader for clients, regulators, and strategic partners; manage escalations, appeals, and complex service issues.
  • Ensure operational compliance with regulatory and legal requirements, including HIPAA.
  • Lead, develop, and scale teams of 50–100+ employees, fostering engagement, accountability, and high performance.
  • Direct financial planning and budgeting for assigned cost centers, balancing cost control with service excellence.
  • Sponsor Agile development initiatives and major client implementations.
  • Communicate performance, risks, and strategic updates to executive leadership.

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