Cotiviti
5001 - 10000 employees
⚕️ Healthcare Insurance
💳 Fintech
🤖 Artificial Intelligence
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
Client Policy Manager
🕒 April 15
🇺🇸 United States – Remote
💵 $75k - $105k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
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Cotiviti
5001 - 10000 employees
⚕️ Healthcare Insurance
💳 Fintech
🤖 Artificial Intelligence
Healthcare Insurance • Fintech • Artificial Intelligence
Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.
📋 Description
• Manage client payment policies ensuring accuracy and completeness • Execute client-specific requests while acting as liaison • Review and identify changes needed to maintain up-to-date policies • Prepare payment policy documents for presentations • Conduct research and analysis for medical policy items
🎯 Requirements
• Active professional license as a Registered Nurse (BSN preferred) • Bachelor’s Degree in Healthcare related field or relative experience • Professional coder certification (CPC, CPC-H, CPC-P or CCS-P) • Minimum of 3 years clinical coding experience, preferable in a payer setting • Strong knowledge of healthcare claims payment policy and processing • Experience in customer service or client management in a healthcare setting • Proficiency in Microsoft Office suite • Strong problem-solving skills
🏖️ Benefits
• 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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