Ideation Manager

ClarisHealth•Franklin, TN

About The Position

The Ideation Manager directly leads 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 calls for an experienced manager with strong knowledge of Payment Integrity, healthcare claims, and the concept development lifecycle. The manager 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 to improve efficiency, quality, and scalability. ClarisHealth provides health plans and payers with claims payment accuracy solutions. Its AI-powered enterprise platform, Pareo®, is designed to reduce manual work, improve operational insights across lines of business, and accelerate overpayment prevention strategies. The company describes its culture as supportive, creative, and innovative, with a “Got Your Back” approach to working with team members, clients, and partners. Applicants must be currently authorized to work in the United States on a full-time basis. ClarisHealth is unable to sponsor work visas.

Requirements

At least 5 years of experience in healthcare.
At least 3 years of experience 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.
Demonstrated 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.

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; establish clear expectations and an inclusive, accountable, high-performing team culture.
Assess current and future team capabilities, identify skill gaps, develop growth plans, and strengthen Payment Integrity and business analysis expertise.
Apply Payment Integrity expertise in healthcare claims, reimbursement, coding, policy, provider billing, and payment integrity methodologies to guide analysis, assess opportunities, challenge assumptions, and support accurate, actionable recommendations.
Communicate complex business needs, analysis findings, and strategic priorities clearly to leadership, clients, and team members.
Set team direction, balance capacity, prioritize work, and align resources with department objectives and changing business needs.
Establish and reinforce consistent business practices, tools, and processes that improve quality, efficiency, and collaboration and reduce manual effort.
Lead evaluation and adoption of AI-enabled tools and automation opportunities to improve productivity, reduce rework, and support scalable delivery.
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.
Use data and analysis to identify payment issues, validate opportunities, determine root causes, and support solution development.
Work across cross-functional environments and build partnerships with stakeholder groups.
Establish or improve team processes, standards, and operating practices; lead or support process improvement, AI adoption, automation, or technology-enabled transformation.

Benefits

Medical, dental, and vision insurance beginning on the first day.
401(k) with company matching and immediate vesting.
Company-paid short-term disability.
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 through two carriers.
Nine company holidays plus two floating holidays.
Company-paid virtual counseling and telemedicine.
Paid parental leave.
Four weeks of vacation, accruing from day one, plus one additional week for wellness.
After one year, a $500 annual professional development stipend.