Valenz

As a Senior Compliance Analyst, you will lead audits and risk assessments while managing compliance inquiries. You will ensure adherence to applicable laws and translate regulations into actionable guidance for various teams. | Candidates should have a bachelor's degree in a related field and at least 5 years of healthcare compliance experience. Strong knowledge of federal and state healthcare regulations is essential, along with the ability to manage competing priorities. | Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Senior Compliance Analyst with Valenz, you’ll play a central role in advancing our Corporate Compliance Program. You’ll lead audits and risk assessments, manage compliance inquiries, and interpret complex regulatory requirements. Acting as a compliance business partner across Valenz service lines (claims, utilization management, repricing, and care navigation), you’ll ensure adherence to applicable laws, contracts, and delegated functions while helping translate regulations into practical, actionable guidance for our teams. Things You’ll Do Here: Lead internal audits, operational reviews, and risk assessments, including pre- and post-implementation evaluations. Manage the development, revision, and documentation of compliance policies, procedures, and training materials. Serve as the primary intake for compliance-related questions, Hotline submissions, and incident reports; provide timely, well-reasoned recommendations. Collaborate with leadership on mitigation plans and root cause analysis tied to regulatory or contractual noncompliance. Represent Compliance in client-facing meetings, audits, and business reviews. Monitor and interpret applicable laws, regulations, and delegation requirements (ERISA, HIPAA, CMS, HHS-OCR, DOL, URAC, NCQA), translating them into practical guidance. Review healthcare claims, coding structures (ICD-10, DRG, CPT), and workflows to identify risks and ensure compliance. Support vendor and third-party compliance documentation, including audit coordination and follow-up. Maintain compliance logs, records, and investigation documentation. Assist with board-level reporting, internal committee materials, and responses to payer/client audits of delegated functions. Serve as a trusted compliance partner to operational, legal, and product teams. Contribute to scalable compliance processes, onboarding, and training for future compliance staff. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: Bachelor’s degree in healthcare administration, legal studies, public policy, or related field. 5+ years of healthcare compliance experience. Strong knowledge of federal and state healthcare regulatory frameworks (ERISA, Medicare, HIPAA, state-level utilization/case management). Experience with claims review and healthcare coding standards. Ability to work independently, manage competing priorities, and provide actionable real-time guidance. Proven ability to lead complex projects and serve as a subject matter expert within cross-functional teams. A plus if you have: CHC (Certified in Healthcare Compliance) highly preferred. CPC (Certified Professional Coder) highly preferred. Experience in managed care, self-insured plans, stop-loss administration, or TPA operations. Prior work in a growing or fast-paced organization; start-up experience. Familiarity with cross-functional collaboration across Legal, Product, and Operational teams. Experience building compliance frameworks or training others in area-specific requirements. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Manage key client relationships to ensure successful delivery of healthcare solutions, drive long-term value, lead business reviews, collaborate with internal teams, monitor performance metrics, and identify growth opportunities. | 3+ years managing client accounts or customer success, strong relationship and communication skills, proficiency in MS Office, ability to manage priorities in a fast-paced environment, and preferably healthcare industry experience. | Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Client Success Manager with Vālenz, you will own and nurture key client relationships by ensuring successful delivery of our solutions and driving long-term value. Acting as the trusted partner to your clients, you’ll anticipate needs, resolve issues, and guide them toward strategies that optimize outcomes. You’ll collaborate closely with internal teams to deliver on client objectives while identifying opportunities for growth and expansion. Things You’ll Do Here: Serve as the primary point of contact for assigned clients, building trust through proactive communication, issue resolution, and reliable support. Lead regular business reviews and client meetings to assess progress against goals, share insights, and align on opportunities for improvement. Partner with internal teams to ensure seamless implementation, onboarding, and delivery of services tailored to client needs. Monitor client performance metrics, identify trends, and make data-driven recommendations to improve outcomes. Drive account growth by uncovering upsell and cross-sell opportunities aligned to client objectives. Develop and maintain account plans outlining strategies to strengthen relationships and achieve client success. Ensure compliance with company policies, procedures, and HIPAA standards in all client interactions. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: 3+ years of experience managing client accounts or customer success, ideally within healthcare, health insurance, or a related industry. Strong relationship management skills, with the ability to engage executive and operational stakeholders. Excellent communication and presentation abilities, both in-person and virtually. Proficiency in MS Office, with strong Excel and PowerPoint skills. Proven ability to manage multiple priorities and deliver results in a fast-paced environment. A plus if you have… Experience with self-funded healthcare plans. A bachelor’s degree in business, healthcare administration, or a related field. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

As a Client Success Analyst, you will manage key databases, improve workflows, and assist with operational enhancements. You will also develop client-facing reports that provide valuable insights and keep clients informed. | The position requires 1+ years of experience in data operations or administrative support in a data-driven environment. Strong proficiency in Salesforce and PowerBI reporting functionality is essential, along with excellent organizational and communication skills. | Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Client Success Analyst, you’ll play a key role in keeping our client success operations running smoothly. You’ll support the team by managing and maintaining key databases, helping improve workflows, and assisting with operational enhancements. You’ll also contribute to developing client-facing reports that provide valuable insights and keep clients informed. Things You’ll Do Here: Run and own Salesforce reporting to support quantitative departmental decision making. Respond to and deliver on requests for client-facing reporting by combining data from multiple data sources. Create and update workflows, processes, and best practices for efficiency improvements in Salesforce, PowerBI and other operational systems. Attend regular team meetings via Microsoft Teams, providing updates on assigned tasks and participating in discussions. Monitor and respond to Operations-related questions via Salesforce & Outlook, ensuring timely and accurate communication. Collaborate with CS, operations and data stakeholders to streamline data operations and reporting processes. Assist in data-related documentation and process improvements to support team efficiency. Support ad hoc analysis and reporting requests as needed. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: 1+ years of experience in data operations, or administrative support in a data-driven environment. Strong proficiency in Salesforce and PowerBI’s reporting functionality Ability to navigate the Microsoft suite for communication, analysis and task coordination. Excellent organizational and time management skills. Strong written and verbal communication skills, with the ability to respond to inquiries clearly and professionally. A plus if you have: Experience working with datasets, and performing basic data analysis. Prior exposure and work in CRM report building preferred Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Analyze large healthcare claims and provider datasets to ensure data accuracy, develop predictive and retrospective models, investigate data anomalies, and communicate actionable insights to stakeholders. | Bachelor’s degree or equivalent experience, 5+ years analyzing healthcare claims data, proficiency in SQL, familiarity with Python preferred, advanced Excel skills, and knowledge of healthcare data and quality measurement. | Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Healthcare Data Analyst at Valenz, you’ll work hands-on with large, complex healthcare claims and provider datasets to ensure data accuracy and integrity. You’ll continuously dig into the data, investigate anomalies, and contribute to models that inform how we evaluate provider performance, care quality, and risk. Using SQL and Python, you’ll identify and resolve data issues, apply statistical methods, and deliver clear, actionable insights to support smarter decision-making across the organization. This is a highly analytical and collaborative role with real impact on how care is measured, delivered, and improved. Things You’ll Do Here: Utilize reference data sources and advanced validation techniques to ensure accuracy, completeness, and integrity of healthcare claims data. Assess provider scoring methodologies, identify discrepancies, and develop insights to optimize coverage accuracy. Design, develop, and maintain retrospective models for historical performance analysis, and predictive models to identify high-risk patients and prioritize actionable interventions. Translate complex analytical findings into clear, actionable insights, and effectively communicate results and recommendations to internal stakeholders and external clients. Aggregate and reconcile multiple data sources, applying statistical and computational methods to verify data integrity, identify anomalies, and implement necessary corrections. Execute comprehensive data analysis workflows, evaluate outcomes, and implement enhancements to improve model accuracy and data reliability. Review and optimize claim-matching processes, troubleshoot inconsistencies, and resolve data discrepancies to maintain high-quality outputs. Investigate data quality issues, conduct root cause analysis, document findings, and deliver actionable recommendations for process improvements. Collaborate with cross-functional teams to enhance analytical tools, refine methodologies, and implement scalable solutions that improve efficiency and analytical capabilities Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: Bachelor’s degree in a quantitative field (e.g., Statistics, Mathematics, Engineering, Computer Science, Finance, or Economics) or equivalent professional experience. Five (5) or more years of experience analyzing healthcare claims data, including complex and imperfect datasets. Strong analytical, problem-solving, and critical-thinking skills with proven ability to uncover root causes Proficiency in SQL for querying and manipulating data; familiarity with Python or similar data tools preferred. Advanced Excel skills, including PivotTables and complex formulas, for data modeling and reporting. · Knowledge of healthcare network rosters, provider data, and quality measurement methodologies. Exceptional attention to detail with a commitment to accuracy, data validation, and quality assurance. Highly organized and self-motivated, with the ability to manage multiple priorities independently while collaborating effectively with others. A plus if you have… Master’s degree preferred. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

As a Quality Data Analyst, you will analyze complex healthcare claims and clinical data to build models that evaluate provider performance and quality. Your work will help quantify risk, uncover patterns in care quality, and support data-driven decisions across internal teams and the product ecosystem. | Candidates should have 5+ years of experience analyzing healthcare claims data and proficiency in SQL and Excel. A deep understanding of healthcare provider data and strong analytical skills are essential for this role. | Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As a Quality Data Analyst at Valenz, you’ll analyze complex healthcare claims and clinical data to build models that evaluate provider performance and quality. Your work will help quantify risk, uncover patterns in care quality, and support data-driven decisions across our internal teams and product ecosystem. This is a highly analytical role with real impact on how care is measured, delivered, and improved. Things You’ll Do Here: Validate and enhance the completeness of claims information using reference data sources. Evaluate provider scoring data to confirm coverage levels and flag discrepancies. Analyze multiple data sources to ensure accuracy and integrity of quality data, making updates and corrections where needed. Translate complex datasets and analytical findings into clear, actionable summaries for internal teams and clients. Identify and resolve issues in standard provider matching procedures. Investigate data-related anomalies, document findings, and present meaningful insights to guide decision-making. Apply statistical techniques to support risk adjustment methodologies and improve predictive modeling accuracy. Contribute to the ongoing development of tools, processes, and workflows that enhance our data analysis capabilities. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team: 5+ years of experience analyzing healthcare claims data, especially large, complex, and imperfect datasets. Proficiency in SQL and Excel (including PivotTables and advanced formulas); Python or similar scripting tools preferred. Deep understanding of healthcare provider data, network rosters, and quality measurement methodologies. Strong analytical, critical thinking, and root-cause problem-solving abilities. Meticulous attention to detail and a commitment to data validation and quality assurance. Highly organized, self-driven, and able to manage multiple priorities independently while collaborating cross-functionally. A plus if you have… Bachelor’s or Master’s degree in a quantitative field (e.g., Statistics, Mathematics, Engineering, Computer Science, Finance, or Economics) Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.