Business Acceptance Testing Team Leader (NSA / Arbitration Strategy) at Claritev
United States
$83k - $95k
<p><strong><em><u>Business Acceptance Testing Team Leader (No Surprises Act / Arbitration Strategy)</u></em></strong></p> <p><em><u> </u></em></p> <p><span>At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive <em>to <strong>bend the cost curve in healthcare</strong></em> for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. </span><span>We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.</span></p> <p><span>Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!</span></p> <p> </p> <p><strong><u><span>JOB SUMMARY</span></u></strong></p> <p><em>The Business Acceptance Testing (BAT) Team Leader oversees the planning, coordination, and execution of business acceptance testing activities to ensure new systems, enhancements, and operational processes meet business, regulatory, and technical requirements. This role plays a critical part in validating operational readiness for enterprise initiatives, including those related to NSA (No Surprises Act) compliance, arbitration workflows, automation, AI/ML-driven tools, and digital transformation efforts. The Team Leader provides leadership to BAT Associates, collaborates with cross-functional teams, and ensures quality outcomes that support organizational strategy and operational excellence.</em></p> <p><em> </em></p> <p><strong><span> </span></strong></p> <p><strong><u><span>DUTIES</span></u></strong></p> <ol> <li><em> Lead and manage the BAT team, including workload prioritization, resource allocation, and performance oversight.<br/>2. Develop and maintain BAT methodologies, test plans, scripts, and acceptance criteria aligned with enterprise standards and regulatory requirements.<br/>3. Oversee testing activities for initiatives related to NSA compliance, arbitration strategy, and Surprise Bill workflows.<br/>4. Validate functionality for AI/ML-enabled tools, automation solutions, and predictive analytics models to ensure operational accuracy and readiness.<br/>5. Partner with operational, technical, and analytics teams to define testing scope, timelines, and business requirements.<br/>6. Ensure thorough validation of system functionality, workflow impacts, data integrity, and reporting outputs.<br/>7. Oversee defect tracking, root cause analysis, and retesting processes to ensure timely resolution.<br/>8. Support digital transformation and application development initiatives as a key business stakeholder.<br/>9. Collaborate with vendor partners to validate system enhancements, integrations, and performance expectations.<br/>10. Ensure documentation of test results, sign-offs, and compliance with governance and audit requirements.<br/>11. Identify opportunities to automate testing processes and improve efficiency through technology.<br/>12. Mentor, coach, and develop BAT Associates to build team capability and subject matter expertise.<br/>13. Ad hoc support to AVP, Operations as necessary.<br/>14. Select, develop, and evaluate staff to ensure the efficient operation of department.<br/>15. Collaborate, coordinate, and communicate across disciplines and departments.<br/>16. Ensure compliance with HIPAA regulations and requirements.<br/>17. Demonstrate Company's Core Competencies and values held within.<br/>18. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.<br/>19. Responsible for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly to reduce the potential for recurrence as required by applicable state and federal laws, regulations and MPI's Compliance Programs.<br/>20. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.</em></li> </ol> <p><em> </em></p> <p><strong><em><u>JOB SCOPE:<br/></u></em></strong><em>The incumbent operates with moderate to high latitude for decision-making within the BAT function. This role requires strong analytical skills, deep understanding of operational workflows, and the ability to manage multiple testing initiatives simultaneously. The Team Leader provides direct oversight of BAT Associates, including hiring, coaching, and performance management.</em></p> <p><em> </em></p> <p><em> </em></p> <p><strong><u>COMPENSATION </u></strong></p> <p>The salary range for this position is $83K to $95K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.</p> <p><strong><u> </u></strong></p> <strong><span>Qualifications</span></strong> <p><strong><u>REQUIREMENTS</u></strong></p> <p><em>* Minimum high school diploma and seven(7) years' related experience, three (3) years in testing, quality assurance, operations, or system implementation.<br/>* Previous experience supporting initiatives related to NSA/Surprise Bill, arbitration strategy, or healthcare regulatory compliance preferred.<br/>* Strong understanding of data science applications in operational settings<br/>* Strong working knowledge of Jira & Confluence<br/>* Experience in cross-functional collaboration, including working with diverse teams.<br/>* Familiarity with data analytics, machine learning (ML), and artificial intelligence (AI) techniques.<br/>* Experience leading or supporting enterprise-level transformation initiatives<br/>* Strong understanding of operational workflows, system functionality, and business requirements.<br/>* Experience leading testing teams or project workstreams.<br/>* Required licensures, professional certifications, and/or Board certifications as applicable <br/>* Communication (written, verbal and listening), leadership, team building, detail oriented, analytic, and interpersonal skills <br/>* Ability to use hardware, software and peripherals related to job responsibilities including MS Office Suites Excel, PowerPoint, Visio and Word <br/>* Ability to elicit trust and credibility as well as interface with all levels of the organization<br/>* Ability to build relationships with internal and external customers<br/>* Ability to formulate the solution and involve others in solving issues<br/>* Ability to be comfortable with and manage in-person client interface<br/>* Ability to commit to highest standards of quality and integrity<br/>* Ability to represent the company in a positive and professional manner<br/>* Ability to perform multiple tasks simultaneously and adapt to changing priorities in a positive and professional manner <br/>* Ability to maintain ongoing collaboration with counterparts in the organization to ensure appropriate operational support, coordination of objectives and strategic planning<br/>* Ability to travel, including overnight stays up to 10%</em></p> <p><em> </em></p> <p><em> </em></p> <p><strong><u>BENEFITS</u> </strong></p> <p>We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.</p> <p> </p> <p><strong>Your benefits will include:</strong></p> <ul> <li>Medical, dental and vision coverage with low deductible & copay</li> <li>Life insurance</li> <li>Short and long-term disability</li> <li>Paid Parental Leave</li> <li>401(k) + match</li> <li>Employee Stock Purchase Plan</li> <li>Generous Paid Time Off – accrued based on years of service <ul> <li>WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service</li> </ul> </li> <li>10 paid company holidays</li> <li>Tuition reimbursement</li> <li>Flexible Spending Account</li> <li>Employee Assistance Program</li> <li>Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits</li> </ul> <p> </p> <p> </p> <p><strong><u>EEO STATEMENT</u></strong></p> <p>Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please <a href="https://cdn.complyright.com/Email_Images/PosterGuard/2022/PDF/22-088_EEOC_KnowYourRights_10_20.pdf"><span>click </span><strong><span>here</span></strong></a>.</p> <p> </p> <p> </p> <p><strong><u>APPLICATION DEADLINE</u></strong></p> <p>We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.</p> <p> </p> <p> </p> <p> </p> <p>#LI-AW1</p>
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