Implementation Director

🔥 16 hours ago

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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

• 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

🎯 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

• 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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