Ideation Manager

ClarisHealth•Franklin, TN

About The Position

The Ideation Manager 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 strong knowledge of Payment Integrity, healthcare claims, and the concept development lifecycle. The manager guides high-quality analysis, aligns stakeholders and clients, and supports effective execution of priorities while strengthening business analysis practices and team capability. The role also champions process improvement, AI adoption, and automation opportunities to improve efficiency and quality and enable scalable ways of working. The manager builds client relationships, communicates analysis and strategic priorities clearly, establishes consistent team practices, and balances team capacity against evolving business needs. ClarisHealth provides health plans and payers with claims payment accuracy solutions. Its proprietary, AI-powered enterprise platform, Pareo®, helps health plans reduce manual work, gain operational insights across lines of business, and advance overpayment prevention strategies at reduced cost. The company describes its culture as supportive, creative, and innovative, guided by values of compassion, communication, challenge, and connection.

Requirements

  • At least 5 years of experience in healthcare.
  • At least 3 years in Payment Integrity, claims operations, healthcare analytics, or a closely related function.
  • At least 3 years of direct people-management experience, including 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.
  • Experience working collaboratively across functions and building 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.
  • Ability to manage priorities, balance team workloads, and deliver results in a matrixed environment.
  • Applicants must be currently authorized to work in the United States on a full-time basis; ClarisHealth cannot sponsor work visas.

Nice To Haves

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

Responsibilities

  • Lead and develop Concept Ideation Analysts through performance management, coaching, career development, talent planning, engagement, and recognition.
  • Set clear expectations and foster an inclusive, accountable, high-performing team culture.
  • Assess team capabilities and skill gaps, develop growth plans, and strengthen Payment Integrity and business analysis expertise.
  • Apply Payment Integrity knowledge to guide analysis, challenge assumptions, assess concept opportunities, and support accurate, actionable recommendations.
  • Communicate complex business needs, analysis findings, and strategic priorities clearly to leadership, clients, and team members.
  • Balance team capacity, prioritize work, and align resources with department objectives and changing business needs.
  • Establish and reinforce standard business practices, tools, and processes to improve quality, efficiency, and collaboration and reduce manual effort.
  • Lead evaluation and adoption of AI-enabled tools, automation opportunities, and more efficient ways of working.
  • Build trusted client partnerships and present updates, recommendations, and team insights with professionalism and executive presence.
  • Lead teams through organizational, process, or technology-enabled change and promote continuous improvement.

Benefits

  • Medical, dental, and vision insurance beginning on the first day.
  • 401(k) with company matching and immediate vesting.
  • Company-paid short-term disability insurance.
  • Company-paid personal financial advising.
  • One-time new-hire stipend for home office supplies; laptop and charging cable provided by the company.
  • Pet insurance options.
  • Nine company holidays plus two floating holidays.
  • Company-paid virtual counseling and telemedicine.
  • Paid parental leave.
  • Four weeks of vacation beginning accrual on day one, plus one additional week for wellness.
  • A $500 annual professional development stipend after one year.
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