Assistant VP, Reference Based Pricing (RBP)

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we striveto bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity and empower each other to illuminate our collective potential.

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!

Job Summary: The Assistant Vice President (AVP) of ReferenceBased Pricing leads a highrevenue, missioncritical business unit responsible for operational performance, service delivery, and strategic growth across the RBP portfolio. This role oversees complex cost centers and functions, drives revenue and margin performance, and partners closely with product, technology, legal, and regulatory teams to advance the company's RBP strategy. The AVP serves as a senior operational leader with deep healthcare expertise, strong financial acumen, and the ability to influence both internal and external stakeholders in a highly regulated environment.

Job Roles & Responsibilities:

• Lead daily operations for highrevenue RBP business units, ensuring quality, efficiency, and delivery against client and regulatory expectations.
• Own revenue performance, including annual budget achievement, margin optimization, and multiyear growth planning.
• Develop and execute growth strategies in partnership with product, technology, sales, legal, and regulatory teams.
• Drive operation excellence through established/improved KPIs for productivity, costtoserve, cycle time, customer experience, and quality.
• Translate business needs into technical and service requirements, influencing automation, platform enhancements, and digital transformation initiatives.
• Partner with product and technology leaders to shape the technical roadmap and drive scalable, technologyenabled operations.
• Serve as an externalfacing leader for clients, regulators, and strategic partners; manage escalations, appeals, and complex service issues.
• Ensure operational compliance with regulatory and legal requirements, including HIPAA.
• Lead, develop, and scale teams of 50-100+ employees, fostering engagement, accountability, and high performance.
• Direct financial planning and budgeting for assigned cost centers, balancing cost control with service excellence.
• Sponsor Agile development initiatives and major client implementations.
• Communicate performance, risks, and strategic updates to executive leadership.
• Ensure compliance with HIPAA regulations and requirements.
• Demonstrate Company's Core Competencies and values.