Clearest Health is building cloud-native, AI-first infrastructure for corporate health insurance and revenue recovery. Founded in 2023, the New York-based startup targets healthcare payment processing, out-of-network claims, care navigation, and dispute resolution under the federal No Surprises Act.
The company operates an eligibility engine powered by 1.8 million verified pricing records, as well as automated pipelines for tracking and submitting dispute filings.
AWS Engineering Veterans and Cloud-Native Stack
Clearest Health was co-founded by Chief Executive Officer Nicolas Raga and Chief Technology Officer Omar Mihilmy. Before founding the company, Nicolas Raga worked on distributed training infrastructure for Amazon's large language models and developed core features for AWS Kinesis Data Analytics.
The startup went through Y Combinator's S23 batch and has raised Seed funding from Y Combinator, Pioneer Fund, and Third Prime.
On the technical side, Clearest Health uses a modern web and cloud architecture:
- Frontend: React, React Router, Tailwind CSS, and Mantine.
- Backend: Node.js with TypeScript on Hono Lambda, alongside Go for high-throughput I/O operations.
- Infrastructure: AWS Lambda, ECS Fargate for long-running compute jobs, S3, DynamoDB, PostgreSQL, and Cloudflare Pages.
- Analytics and Auth: CloudWatch, Metabase, and Clerk.
Scaling Revenue Recovery and Claims Dispute Workflows
To support its expanding claims processing pipeline, Clearest Health is hiring across software engineering, sales, and operations in New York and remote locations across the United States.
In engineering, the company is seeking a Senior Software Engineer ($150,000–$250,000, Onsite in New York, NY) to build data-intensive software. The role involves architecting an automated dispute-tracking pipeline and scaling an eligibility engine backed by 1.8 million verified pricing records while managing technical roadmaps.
To drive customer acquisition and partner networks, the sales team is filling two key roles:
- Head of Partnerships ($110,000–$135,000, Remote / New York, NY): Leads the full partnership lifecycle, sourcing authorized recurring claim feeds from billing companies, specialty practices, and physician consultants for the No Surprises Act platform.
- Account Executive (Healthcare Revenue Recovery) ($85,000–$100,000, Remote / New York, NY): Runs full-cycle outbound sales into independent specialty medical practices to recover underpaid out-of-network claims, managing deal execution through Business Associate Agreement execution and billing system integration.
On the operations side, the company is hiring an IDR Filing Specialist ($45,000–$105,000, Remote / New York, NY) to review out-of-network claims, Explanation of Benefits, and documentation to submit No Surprises Act dispute filings and manage Independent Dispute Resolution workflows.
Exploring AI and Healthcare Operations
In its video series The Monthly Script, the company explores topics at the intersection of AI, clinical workflows, and healthcare technology. In one video episode, Senior Director of Product Stephanie Prats discussed how AI can handle note summarization and data synthesis so providers can focus on direct patient relationships, while Vice President of Consulting Services Erin Donatelli discussed navigating transitions of care, polypharmacy risks, and influenza season preparedness in long-term care settings in another episode of The Monthly Script.
Open Roles at Clearest Health
| Role | Location | Work Mode | Salary |
|---|---|---|---|
| Senior Software Engineer | New York, NY, US | Onsite | $150,000 – $250,000 |
| Head of Partnerships | New York, NY, US / Remote (US) | Remote | $110,000 – $135,000 |
| Account Executive (Healthcare Revenue Recovery) | New York, NY, US / Remote (US) | Remote | $85,000 – $100,000 |
| IDR Filing Specialist | New York, NY, US / Remote | Remote | $45,000 – $105,000 |
