Clearwater Benefits

👥 11-50Insurance💼 Private Company
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Clearwater Benefits simplifies health insurance for individuals, families, and small businesses nationwide. We provide a comprehensive platform that identifies the optimal plan at the best price, prioritizing transparency—even when the best option isn't one of our exclusive offerings. Our commitment to better plans, better benefits, and better prices sets us apart in the competitive insurance technology (InsurTech) landscape. We're making a significant impact on the market by streamlining a traditionally complex process and empowering consumers to make informed decisions. Our tech stack currently includes U.S. server locations, Font Awesome, Wistia, and ZoomInfo, reflecting our commitment to leveraging modern technologies to enhance efficiency and the user experience. We foster a collaborative, agile environment that values innovation and adaptability. Clearwater is a remote-first organization, with employees across 25 states and 5 countries, offering a flexible and inclusive work culture. We are a growing company, committed to creating equitable opportunities for all. Our team comprises innovators, operators, and healthcare veterans dedicated to transforming the health benefits industry. Our recent appointment of a new CTO highlights our commitment to scaling our technology and further enhancing our services. We offer competitive compensation and benefits packages, including a one-time work-from-home reimbursement. We are proud to be featured in prominent lists like 'Southern US Insurance Companies (Top 10K)' and 'Austin Companies With Fewer Than 100 Employees (Top 10K)', underscoring our growth and impact within the industry.

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📍 US

🧭 Full-Time

💸 160000.0 - 180000.0 USD per year

🔍 InsurTech

  • 10+ years of marketing experience required with at least 5 years in a leadership role focused on revenue generation and people management.
  • Bachelor's degree in a related field or equivalent experience; MBA or advanced degree preferred.
  • Experience with SEO, public relations, social media, influencer, affiliate, email marketing, and paid media campaigns.
  • Proficient in sustaining a brand narrative through strategic content development.
  • Minimum of 2 years in a startup or agile environment; must be flexible to business needs.
  • Experience with marketing automation tools and CRM systems such as Salesforce and HubSpot.
  • Strong communication and leadership skills with a proven track record.
  • Strong understanding of customer needs and market dynamics.
  • Strong Excel skills required; experience with Tableau a plus.

  • Define and lead the overall marketing strategy to achieve revenue growth, customer acquisition, retention, and brand development goals.
  • Oversee content strategy that articulates the brand narrative and engages target audiences.
  • Leverage customer insights for targeted marketing efforts to resonate with different audience segments.
  • Lead initiatives to generate qualified leads and nurture prospects while promoting customer retention.
  • Manage paid media strategy and budget, developing external relationships for program activation.
  • Collaborate with Sales on demand generation programs aligned with brand standards.
  • Develop KPIs to assess marketing initiative effectiveness and report insights to senior leadership.
  • Launch a cross-functional planning process for marketing objectives and strategy for 2025.
  • Build and mentor a high-performing marketing team.

LeadershipData AnalysisTableauContent creationSEOBudgetingData visualizationDigital MarketingCRM

Posted 9 days ago
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📍 US

💸 25.0 - 30.0 USD per hour

🔍 InsurTech

  • Minimum of 2-3 years of healthcare experience (e.g., roles like hospital administrator, medical assistant, CNA) or 2 years of Case Management.
  • Knowledge of HIPAA regulations and other privacy laws.
  • Ability to explain medical terminology and processes clearly to Members.
  • Strong documentation skills, experience with Zendesk and IPS/Salesforce systems is a plus.
  • Strong organizational skills and adaptability to a fast-paced environment.
  • Commitment to exceptional customer service.
  • Excellent verbal and written communication skills; fluency in English required, bilingual abilities are a plus.
  • Ability to prioritize tasks based on urgency.
  • Willingness to travel occasionally as needed.
  • Legally authorized to work in the US.

  • Screen Members for eligibility and refer qualified individuals for Care Coordination services.
  • Coordinate patient care directly with healthcare providers and partnered vendors.
  • Communicate with Members to address their requests and provide guidance.
  • Keep Members updated throughout the Care Coordination process.
  • Assist Members with the provider nomination process.
  • Review high-risk calls with plan Members.
  • Establish Letters of Agreement (LOA) or Single Case Agreements (SCA) with provider offices.
  • Negotiate cash-pay rates with provider offices.
  • Support patients on-site at the provider's office for 'on-the-spot case agreements'.
  • Monitor and manage Member information, schedules, files, and forms.
  • Represent Clearwater at conferences, training sessions, and other events as required.

SalesforceCommunication SkillsCustomer serviceNegotiationOrganizational skillsDocumentation

Posted 11 days ago
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🔥 Needs Manger (Remote, US)
Posted about 2 months ago

📍 United States

🧭 Full-Time

💸 70000 - 80000 USD per year

🔍 InsurTech

  • 2+ years of management experience required.
  • 3+ years of experience in Needs and/or claims processing for traditional and Healthshare plans required.
  • Strong understanding of general claims processing principles.
  • Knowledge of CMS coding, UB-04 claims coding, CPT, HCPCS, dental and diagnosis coding.
  • Excellent data entry, analytical, and problem-solving skills.
  • Ability to interpret and apply benefits based on specific plan guidelines.
  • Strong attention to detail and accuracy.
  • Proficiency in claims processing software and systems.
  • Ability to work independently and in a team environment.
  • Strong organizational skills to manage multiple tasks and deadlines.
  • Familiarity with healthcare regulations and compliance requirements.
  • Strong customer service skills.
  • Excellent verbal and written communication skills.
  • Legally authorized to work in the US.

  • Accurately adjudicate CMS 1500 and UB-04 Needs for Healthshare plans.
  • Review medical documentation to determine shareability under the Healthshare plan.
  • Conduct audits to ensure accuracy and compliance.
  • Research and process complex Needs.
  • Engage in outreach to gather necessary documentation.
  • Provide new and ongoing staff training.
  • Manage daily operations of the Needs staff.
  • Develop and maintain processing policies and procedures.
  • Recalculate Needs as needed.
  • Investigate and resolve discrepancies promptly.
  • Stay updated on industry standards and regulations.
  • Document actions in the processing system.
  • Collaborate to enhance efficiency and streamline processes.
  • Lead training sessions for staff updates.

LeadershipData AnalysisPeople ManagementCommunication SkillsAnalytical SkillsCollaboration

Posted about 2 months ago
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