Implementation Director, Healthcare

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $122k - $155k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Cotiviti

WebsiteLinkedInAll Job Openings

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

• 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 • Serve as a key collaboration catalyst, coordinating and documenting strategic meetings across medical policy, technology, communication, finance, and testing domains • Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis • Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities • Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit • Ensure client operational cycles are understood and supported by the company

🎯 Requirements

• 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.

🏖️ Benefits

• 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