We're building a new healthcare clearinghouse

In the healthcare sector, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all insurance payers exchange transactions such as claims, eligibility checks, prior authorizations, and remittances using a standardized EDI format called X12 HIPAA. A small group of legacy clearinghouses process the majority of these transactions, offering consolidated connectivity to carriers and providers.

Stedi is the world's only programmable healthcare clearinghouse. By offering modern API interfaces alongside traditional real-time and batch EDI processes, we enable both healthcare technology businesses and established players to exchange mission-critical transactions. Our clearinghouse product and customer-first approach have set us apart. Stedi was ranked as Ramp’s #3 fastest-growing SaaS vendor.

Stedi has lightning in a bottle: engineers and designers shipping products week in and week out; a lean business team supporting the company’s infrastructure; passion for automation and eliminating toil; $92 million in funding from top investors like Stripe, Addition, USV, Bloomberg Beta, First Round Capital, and more. To learn more about how we work, watch our founder Zack’s interview with First Round Capital.

What we’re looking for

Every month, millions of eligibility checks, claims, remittances, and claim statuses flow between healthcare providers and payers through our clearinghouse. Our Payer Strategy & Operations team is responsible for the health, growth, and operational efficiency of this system.

To help support and scale this system, we are hiring our first member of the Claims Data Analytics team. Your mandate is to leverage the data flowing through our clearinghouse to define and track key claims and revenue cycle metrics, eliminate operational toil, improve customer outcomes, enhance our product offering, and uncover payer performance trends across the ecosystem.

What you'll do

Define and track RCM health metrics: Develop and maintain metrics such as claim acceptance rates, denial reasons, first-pass resolution rates, payer adjudication times etc. while identifying new measures as payer behavior and customer needs evolve.

Analyze payer performance: Track payer-level performance (claim rejections, delay patterns, ERA discrepancies, eligibility response behavior) to surface trends and identify systemic issues impacting customers.

Create actionable reporting: Build clear, high-signal dashboards and reports that enable Customer Operations, Payer Operations, and Product teams to proactively detect and resolve issues before customers are affected.

Drive claims & RCM insights: Partner with Customer Operations, Sales, and Product to analyze claim flows, denial patterns, payer rules, and reimbursement behaviors that improve troubleshooting and inform product enhancements.

Document patterns and requirements: Create and maintain a knowledge base of payer rules, recurring claim errors, eligibility and status bugs, and rem