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Claritev’s Medicare Advantage Network-based Services [Video]

Best in class network-based services for Medicare Advantage plans For 40 years, Claritev has made it a priority to cultivate strong provider relationships, resulting in long-lasting partnerships consisting of more than a million providers. View our brief introductory video to learn how Claritev helps Medicare Advantage plans contain costs and get their networks to market…

April 2, 2020 |
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Best in class network-based services for Medicare Advantage plans

For 40 years, Claritev has made it a priority to cultivate strong provider relationships, resulting in long-lasting partnerships consisting of more than a million providers. View our brief introductory video to learn how Claritev helps Medicare Advantage plans contain costs and get their networks to market faster efficiently with our customized network-based solutions.

Engaging insights.

New ideas, proven best practices, and fresh perspectives for the healthcare ecosystem.

  • This internship gave me the chance to jump into real work and contribute to projects that mattered. Throughout the summer, I learned a lot and always felt supported by my mentors and teammates whenever I had questions or wanted to take on something new. I was introduced to technologies and career paths I didn’t even know existed, and I had a lot of fun along the way!

    Technology Leadership Program Intern

    Richard

  • I had such a great summer here and really enjoyed the opportunity to work alongside so many talented, kind, and supportive people. I learned so much throughout my internship and am incredibly grateful for the experience and the connections I made along the way!

    Technology Leadership Program Intern

    Eileen

  • This internship gave me the opportunity to learn beyond the classroom from gaining hands-on experience with technology and software to developing my communication and professional skills. The mentorship and support from my leaders made the experience especially valuable, and I’m grateful for everything I’ve learned along the way.

    Technology Leadership Program Intern

    Nima

  • Claritev’s innovative approach gives self-funded employers a strong tool to ensure Sun Life’s supplemental health benefits meet employees where they are.

    President, Health and Risk Solutions, Sun Life U.S.

    Jen Collier

  • The best innovations start with a clear understanding of the problem. Our deep healthcare expertise helps us see where complexity creates challenges. Advances in AI and modern technology are creating practical solutions that make healthcare work better.

    Chief Digital Officer, Claritev

    Michael Kim

  • In a remote community like ours, we do not have local access to every type of medical specialist. The MAVEN Project gives our providers a trusted resource when a patient’s care would benefit from specialist input and helps us make better-informed decisions about whether someone truly needs to travel off island. This grant means we can continue that support for another year.

    Chief Executive Officer, Kodiak Community Health Center

    Olivera Wilson

  • When someone comes through our doors with a serious or uncertain condition, every minute matters. Having portable ultrasound available at the bedside will give our clinicians another important tool to understand what is happening and make decisions faster. We are incredibly grateful to Claritev Cares and to our community for helping us get this across the finish line.

    Chief Executive Officer, Fairfield Memorial Hospital

    Andy Flemer

  • Rural healthcare organizations know exactly what would make a difference for their patients. The challenge is often finding the resources to make it happen. These grants help close that gap. One will put important diagnostic technology directly at the bedside, and the other will help patients benefit from specialist expertise without automatically having to leave their island community.

    Executive Director, Claritev Cares

    Andrew Loudner

  • Accurate payments help reduce unnecessary administrative costs, support stronger payer-provider relationships, and contribute to a healthcare system that promotes affordability and predictability for the people who depend on it every day.

    Chief Operating Officer, Claritev

    Jerry Hogge

  • Claritev’s broad pre-pay value chain coverage and clinical negotiation experience gives it a foundation to support payers on upstream payment accuracy needs. Its investments in Advanced Code Editing, cloud modernization, re-engineered AI/ML-enabled platforms, and payment-acceleration capabilities further strengthen its data foundation and payer-provider infrastructure.

    Vice President, Everest Group

    Ankur Verma

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