
5001 - 10000 funcionários
⚕️ Seguro de Saúde
💳 Fintech
🤖 Inteligência Artificial
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti é uma empresa de tecnologia e análise em saúde que se especializa em melhorar a precisão e o desempenho dos pagamentos por meio de soluções avançadas de análise de dados. Eles se associam a planos de saúde, agências governamentais e provedores de serviços de saúde para fornecer insights que aprimoram a qualidade e a eficiência na prestação de cuidados. Com soluções como ajuste de risco, gerenciamento de políticas de pagamento e engajamento de membros, a Cotiviti busca otimizar os resultados financeiros e clínicos para o ecossistema de saúde.
🕒 2 dias atrás
🇺🇸 Estados Unidos – Remoto (EUA)
💵 $122.000 - $155.000 / ano
⏰ Tempo Integral
🔴 Especialista
👔 Diretor
🦅 Patrocina Visto H1B
🗣️🇺🇸🇬🇧 Inglês obrigatório
Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

5001 - 10000 funcionários
⚕️ Seguro de Saúde
💳 Fintech
🤖 Inteligência Artificial
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti é uma empresa de tecnologia e análise em saúde que se especializa em melhorar a precisão e o desempenho dos pagamentos por meio de soluções avançadas de análise de dados. Eles se associam a planos de saúde, agências governamentais e provedores de serviços de saúde para fornecer insights que aprimoram a qualidade e a eficiência na prestação de cuidados. Com soluções como ajuste de risco, gerenciamento de políticas de pagamento e engajamento de membros, a Cotiviti busca otimizar os resultados financeiros e clínicos para o ecossistema de saúde.
• Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan • Identify and initiate joint company and client teams to complete pre-sales and/or implementation opportunity analysis, establish medical policy, integrate applications, establish invoicing, test configuration and interface, train end users and communicate to internal and external audiences • Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings • Establish project plan based on scope of services • Ensure company and client buy-in to project plan and milestones • Ensure work of each company and client committees progress as scheduled against the plan • Serve as a key collaboration catalyst, coordinating and documenting strategic meetings across medical policy, technology, communication, finance, and testing domains to ensure seamless cross-functional alignment • Ensure follow-through against commitments made by company and client resources • Identify, track and ensure closure of all implementations related issues across all aspects of delivery • Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis • Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality • Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix • Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period
• Bachelor’s Degree • PMP Certification preferred • Health Claims system knowledge on any of the following: Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare • 5+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery • Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project) • Professional with ability to properly handle confidential information • Ability to work well independently and in a team environment • Ability to handle multiple tasks, prioritize and meet deadlines • Ability to work within a matrix organization • Excellent written and verbal communication skills • Must have ability to positively handle/manage stress, such as high work volume and frequent change • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
• Health insurance • 401(k) savings plans • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year
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