
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.
🔥 13 hours ago
🇺🇸 United States – Remote
💵 $70k - $105k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📋 Program Manager
🦅 H1B Visa Sponsor
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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.
• Develop, implement, and complete tactical project plans related to customer issue resolution, quality improvement plans, and program enhancements • Act as the lead relationship manager for assigned accounts, coordinating proactive customer communication • Lead customers to success by understanding their business needs and proactively aligning Cotiviti's software and services with those needs • Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals • Forecast and track key metrics, including revenue numbers, member counts, and relevant risk adjustment metrics • Track and manage product-related issues that impact customer success • Utilize operational knowledge to recognize revenue and audit regulations for accurate and compliant business practices • Leverage technical expertise in Encounter submissions and risk adjustment areas to provide valuable insights and support to customers • Review and analyze support tickets to understand trends and advocate for addressing issues • Ensure all contracted deliverables are provided according to the contract, on time, and meet expectations
• Bachelor's degree • Minimum of 5 years of relevant experience • Operational knowledge on processing data through various systems • Technical expertise in Claims processing, Encounter submissions, and risk adjustment areas • Solid organizational, communication and interpersonal skills • Fluent in Software as a Service (SaaS) distribution models • Experience in healthcare or related field • Familiarity with customer journey mapping and success planning • Strong working knowledge of Microsoft Office, Freshdesk, SQL, and Jira
• Medical, dental, vision, disability, and life insurance coverage • 401(k) savings plans • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year depending on level and length of service
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