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CERIS Tech Stack

Healthcare claims payment integrity for payers and state agencies

Hospitals and Health Care Fort Worth, Texas 501–1,000 employees Founded 1990 Public Company

CERIS operates as a CorVel subsidiary serving health plans, state Medicaid agencies, and managed care organizations on claim payment accuracy and overpayment recovery. The tech stack is compliance-heavy (HITRUST, NIST, OneTrust, ServiceNow) and Microsoft-centric, reflecting a regulated, process-driven operation. Active hiring is concentrated in healthcare operations roles—16 of 41 open positions—alongside a small sales team, suggesting a direct-sales or managed-services model targeting state and commercial payers.

Tech Stack 13 technologies

Core StackServiceNow OneTrust Salesforce Windows Outlook Word PowerPoint Internet Explorer Microsoft Office Excel HITRUST NIST Teams

What CERIS Is Building

Challenges

  • Accurate reimbursement
  • Identifying potential savings
  • Reducing billing errors
  • Identifying overcharges
  • Inaccurate provider data
  • Improving claim accuracy
  • Identifying billing errors
  • Streamlining payment integrity processes
  • Closing remediation gaps
  • Monitoring regulatory changes

Active Projects

  • Appeals and rebuttals
  • Next generation services supporting strategic initiatives with prepayment and post payment solutions
  • Development of standard operating procedures for ppi team
  • Implementation of cms policy best practices
  • Process improvement initiatives for payment integrity
  • Compliance automation initiatives
  • Compliance metrics dashboards
  • New services implementation
  • Contract renewal management
  • Account service instruction development

Hiring Activity

Steady40 roles · 15 in 30d

Department

Healthcare
16
Ops
10
Sales
3
Support
3
Finance
1
Product
1
Security
1

Seniority

Mid
19
Senior
6
Junior
4
Lead
3
Director
1
Manager
1
VP
1
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About CERIS

CERIS helps healthcare payers prevent improper claim payments and recover overpayments through pre- and post-payment integrity services. The company serves state agencies, commercial health plans, managed care organizations, and third-party administrators nationwide. Core service areas include itemization review, clinical review, implant cost review, high-cost drug review, and fraud/waste/abuse detection. Current project focus spans appeals and rebuttals, prepayment and postpayment solutions, compliance automation, and payment integrity process standardization—reflecting operational maturity and regulatory expansion.

HeadquartersFort Worth, Texas
Company Size501–1,000 employees
Founded1990
Hiring MarketsUnited States

Frequently Asked Questions

What is CERIS's tech stack?

CERIS uses Windows, Microsoft Office (Outlook, Excel, Word, PowerPoint), ServiceNow for IT service management, OneTrust for compliance, Salesforce for CRM, and HITRUST/NIST for healthcare security standards.

What does CERIS work on?

Current projects include appeals and rebuttals, prepayment and postpayment claim solutions, claims accuracy improvement, compliance automation and metrics dashboards, and payment integrity process standardization for state and commercial health plans.

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