Description

Claims Lead

AArete is one-of-a-kind when it comes to consulting firm culture.

We’re a global, innovative management and technology consulting firm with offices in the U.S. and India. Our name comes from the Greek word for excellence: “Areté.” And excellence is exactly what we strive for.

We’re celebrating our fourth year as one of Forbes’ World’s Best Management Consulting Firms – and our success starts with our people. From robust career development planning to competitive life and wellness perks, AArete’s “Culture of Care” takes a holistic approach to the employee experience.

AAretians (our team members) are leaders at every level. You are encouraged to unlock your full potential by directly contributing to our mission and prioritizing personal development and fulfillment.

The Role

As a Claims Lead, you will work with US healthcare payer clients to identify opportunities that reduce medical and administrative costs, improve payment accuracy, and strengthen operational performance. You will help clients understand business issues, dig into the data,



and develop recommendations that can be put into action. We are looking for someone who is comfortable going deep on unfamiliar payer topics, knows how to research quickly and thoughtfully, and can connect the dots across claims, operations, reimbursement, and client priorities.

Work You’ll Do
- Research payer topics, industry trends, regulations, operating models, and client-specific business issues.
- Review and analyze medical, pharmacy, eligibility, provider, pricing, reimbursement, and other healthcare data to find trends, issues, and opportunities.
- Use SQL and other tools to work through large datasets and evaluate utilization, cost drivers, reimbursement patterns, payment accuracy, and operational performance.
- Check data quality, test assumptions, document the logic behind the analysis, and make sure the work can stand up to client review.
- Develop recommendations, business cases, and

📌 Claims Lead (Pune)
🏢 aarete
📍 Pune