Healthcare pricing transparency and payment integrity platform
Claritev operates a healthcare data and technology platform built on legacy enterprise infrastructure (SAP, Oracle, Salesforce) while actively pursuing AI strategy implementation and workflow automation. The hiring acceleration across operations and sales—paired with projects centered on pricing strategy integration and detection automation—suggests a scaling phase focused on converting proprietary healthcare cost data into sellable, automated solutions. Internal pain points cluster around compliance (HIPAA, NSA) and operational friction (billing errors, overpayment prevention, analyst toil), indicating the platform is moving from manual, labor-intensive analysis toward detection and automation.
Claritev is a public healthcare technology company that builds data and pricing transparency solutions for payors, providers, employers, and third-party administrators. The platform surfaces inefficient and imbalanced pricing practices across the healthcare value chain, using proprietary cost data accumulated over 40 years alongside machine learning and AI to drive price transparency, improve payment accuracy, and support cost management decisions. The company serves multiple stakeholder groups—providers optimizing service offerings, payors delivering plan value, employers designing benefits, and patients accessing affordable care—through customized solutions that address claims processing, provider networks, payment integrity, and healthcare cost management. With 1,001–5,000 employees and active hiring across operations, sales, and healthcare business roles, Claritev operates at scale within the U.S. healthcare system.
SAP S/4HANA, Oracle, Salesforce, and Rhapsody/Mirth Connect for core healthcare workflows; Power BI for analytics; Python and C# for development; Linux, SQL, and SFTP for infrastructure; Microsoft Office suite for productivity.
Workflow automation, AI strategy implementation, pricing strategy integration into deal processes, detection automation roadmap, end-to-end integration architecture, and incident response coordination—alongside vendor lifecycle and metrics management projects.
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