ClarisHealth

💙 This month's #GotYourBack story is about Andrew Walters! Here's what a fellow team member had to say about how he demonstrates #GYB. "Andrew embodies the qualities and values that make our company thrive, and his contributions are felt across all levels of the organization. His extensive knowledge and expertise are unmatched, and he consistently shares his insights and wisdom with his team. In addition to his role as a mentor, Andrew takes on a substantial workload, balancing his responsibilities as both an individual contributor and a manager with direct reports. Andrew is a super collaborator, always eager to work with others to achieve the best results. His positive can-do attitude is infectious, creating an encouraging and uplifting environment for everyone around him." Want to learn more about what it's like to work with a team that takes pride in supporting each other - and our #healthplan clients? Explore our #culture at: https://hubs.ly/Q02M2hzw0

So. Many. Vendor Portals. Just to track and manage audit inventory. Not to mention having to email back and forth. Or wait on spreadsheets to be updated. That's what the #paymentintegrity team at a large Medicaid MCO experienced. Resulting in lost time, and inability to truly get a handle on total program value. But that was before Pareo. "Pareo integrates all needed data onto a single platform for easy access to audit results. Combined with automated processing of claims inventory, teams can make overpayment determinations as quickly as possible. Audits that don’t pass Pareo’s validation criteria are rejected automatically, and audits meeting certain criteria can be auto-approved. Audits requiring review are routed efficiently and automatically through Pareo." And the integrated platform approach opens up opportunity to automate even more of the audit review process. They expect this will reduce the time being spent on this work, as they will no longer have to work with multiple different screens and applications. Everything is in one place with Pareo. #testimonial #enterpriseplatform

Here's one myth in #paymentintegrity that just won't go away: "The only way to increase Payment Integrity value is to add more vendors or auditors." It persists because more resources can still ➡️ more savings. But... The next phase in our industry’s evolution is moving away from solely focusing on “find payment error and recover or avoid”. Now, best in class #healthplan operations deploy measures that re-assert control over their strategies and promote harmony: 🔄 Leveraging automation and integration across the operation ⬇️ Reducing denials and appeals ⬆️ Gaining efficiencies to achieve industry-leading ROI Leading to a new way: "Less hire. More DIYer." Want more tips to modernize your strategy? We're sharing more details in our monthly #newsletter, dropping this week. 📬 Subscribe to get the insights straight to your inbox at https://hubs.ly/Q02LV7hK0 #mythbusted

Team ClarisHealth has what it takes to go for the gold 🥇 ... ...in Olympics #trivia, that is! What better way to wind down another week of serving our #healthplan clients than a round of friendly competition? We may be a #remotefirst company, but we welcome every chance to connect through our #GotYourBack culture and have fun with our colleagues. Does this sound like a #culture where you could be challenged to do your best work? We're #nowhiring for priority positions. Explore positions and easy apply now at: https://hubs.ly/Q02LnLwR0 #GYB

It's budget season. Have you made your case to attend the all-new Power of Payment Integrity Conference in Nashville? Once again, there is NO registration fee for the industry's only conference exclusively for #healthplans. But space will be limited, so we want you to be ready to secure your spot as soon as registration opens next month. Here are the top 3 reasons you can't miss out: 1️⃣ Networking - free from vendor influence 2️⃣ 25+ educational sessions especially for #paymentintegrity 3️⃣ Practical solutions you can put into action immediately - no matter your current tech stack or strategies Keep up to date with the latest on #POPConference 2025 at https://hubs.ly/Q02Lbq8L0

5 years in a row on the #Inc5000! It's an accomplishment fewer than 1% of honorees have achieved. And it's all thanks to the hard work of Team ClarisHealth and the dedication of our #healthplan partners. Our CEO Jeff McNeese said about the ranking: "It is a significant milestone to rank on this list even once. To rank five years in a row is an incredible honor. Year after year, the hard work, resilience and ingenuity of our team never ceases to amaze me. They are laser focused on our mission to create a better way to drive claims payment accuracy, and working together with our health plan clients, they are accomplishing just that." View the full release at https://hubs.ly/Q02L4GcJ0 #paymentintegrity #hypergrowth

How does the Pareo platform get into the hands of #paymentintegrity experts at the nation's top health plans? The ClarisHealth Operations team is on the front lines of making that happen. And just last week they gathered from across the country for a multi-day strategy session in our #headquarters. We may be a #remotefirst company. But we welcome opportunities for in-person time focused on... 💙 Fostering #enterprisetechnology project delivery best practices 💙 Increasing Pareo knowledge 💙 Extending inter-departmental collaboration with Product, Engineering, Growth and others All centered around one goal: Creating highly satisfied #healthplan clients with best-in-class payment integrity operations. It's all part of our mission to create a better way to drive healthcare claims #paymentaccuracy. And we're having a great time getting it done 😎 #startuplife

Stop me if you've heard this one before: "In 2025, you need to increase medical savings and cut administrative costs." It's a challenge many payment integrity leaders face as they build their annual plans. Especially as they grow and mature. Over time, economies of scale stabilize and #paymentintegrity must shift from focusing on medical spend to reducing administrative costs. As one of our expert contributors at #POPConference put it, “Once you’ve caught all the big fish, the focus becomes incremental savings – what can you do from an admin perspective.” Their solution? Using the data insights generated by the program to communicate - and find - more value. Including... 💎 Looking for opportunities to streamline processes 💎 Focusing on vendor and program performance 💎 Better leveraging existing expertise All cut administrative costs and add value to the bottom line to their #healthplan. How does your program find balance? #BestPractices

Team ClarisHealth is bringing it for the Last Splash celebration of summer! First up on the week of virtual activities: it's #trivia time (with a beachy theme, of course). And lesson learned: They really know their stuff - in #paymentintegrity #technology AND aquatic critters and beach movies. 🐬🐠🍹⛱️🌴 As a #remotefirst company, finding ways to connect through our #GotYourBack culture is especially important. Does this sound like a #culture where you could be challenged to do your best work? We're #nowhiring for priority positions. Explore positions and easy apply now at: https://hubs.ly/Q02Jtnjf0 #GYB

Time + Expert resources. Most #paymentintegrity leaders don't have enough of either. But... With important data scattered across vendor portals, spreadsheets and other point solutions, you have to: Take time to gather raw data from everyone, everywhere AND Pull a business analyst resource to generate reports. All so you can access insights that are sometimes weeks out of date. Pareo serves up timely metrics for accurate reporting, and role-based dashboards to scale business intelligence across vendors and #healthplan teams so you can: See actionable business intelligence and analytics across all lines of business - all in one place WITHOUT monopolizing specialized resources. Do you have the insights you need to take control of your programs? Check your #strategy in just 30 minutes in this executive session. Now available to watch #ondemand: https://hubs.ly/Q02JvyBk0 #testimonial #enterprisetechnology