Teams at Claim Health

Own clinical quality for an AI-driven home health and hospice documentation platform. Audit charts, validate documentation, identify automation errors, develop SOPs, partner with engineering to improve automation logic, support implementations, and track quality metrics to improve accuracy and reduce exceptions at scale.

Review and audit automated prior authorization workflows, identify failure points, translate payer rules into scalable automation with product/engineering, build SOPs, partner with clients to configure workflows, and track authorization performance metrics to drive improvements.

The Operations Associate will design and implement workflows, track operational metrics, engage with customers during onboarding, and support cross-functional teams.