Client Services Manager

🔥 11 hours ago

🇺🇸 United States – Remote

💵 $82k - $111k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📁 Client Services

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

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 the cross-functional client team to achieve client plans, revenue retention, client satisfaction, and growth for Prospective Payment PPM and CV products • Serve as the primary client contact, trusted advisor, internal and external liaison, and operational subject-matter resource • Build and sustain client relationships; identify client needs, expanded opportunities, and solutions • Collaborate with the Go-To-Market team on client strategic plans and lead tactical execution • Promote policy adoption and acceleration through organization, communication, and project management • Identify and communicate cross-product opportunities • Manage operational implementation and execution of client payment policy decisions across Claims Operations, Provider Services, Appeals, Network Operations, Payment Integrity, IT, and other departments • Coordinate and manage joint client/internal meetings, including scheduling, facilitation, agendas, materials, minutes, action items, and logistics • Document and distribute meeting minutes and follow up on action items • Maintain accurate, current client documentation in Cotiviti’s library • Manage internal and external aspects of client initiatives and joint projects to ensure objectives and milestones are met • Monitor program performance, analyze monthly reports, identify trends and root causes, and develop and execute corrective action plans • Provide client testing support for operational and policy initiatives • Maintain escalation plans and monitor file-processing statistics to minimize missed policy opportunities • Coordinate production reporting to identify trends and data anomalies; develop and execute recommendations • Administer customer-service tool user accounts, access, usage, and data accuracy • Identify client education needs and develop and deliver client training programs • Manage client inquiries, triage them appropriately, and ensure timely resolution • Participate as an operational SME in department and corporate projects • Travel up to 20% • Complete annual performance-review goals, special projects, and other assigned duties

🎯 Requirements

• Bachelor’s Degree or higher (preferred), or equivalent experience, required • Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy • Professional coder certification (CPC, CPC-A, CCA, CCS or CCS-P, RHIT or RHIA) is not necessary but a plus • 4+ years of related healthcare experience with strong knowledge of health plan operations and claims lifecycle • 4+ years of experience in client relationship management or consulting experience in a healthcare setting • 4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables • Highly proficient in MS Office Suite: Excel, Word and PowerPoint • Excellent written and verbal communication and interpersonal skills • Strong presentation skills; prior experience delivering training classes is a plus • Demonstrated success developing strong, trust-based professional relationships with clients in multiple roles and levels • Ability to work independently and within a collaborative team environment or matrix structure • Ability to organize, plan, prioritize and meet deadlines while producing high-quality, error-free deliverables • Effective analytical and problem-solving skills and financial acumen • Ability to properly handle confidential information • Ability to work with on-site and remote cross-functional product teams and customers • Flexibility and willingness to participate in international work processes and calls across global time zones • After-hours and/or weekend work may be required for major deliverables/deadlines • Must be able to provide a dedicated, secure work area • Must be able to provide high-speed internet access/connectivity and office setup and maintenance • Must be able to perform duties with or without reasonable accommodation

🏖️ Benefits

• Medical, dental, vision, disability, and life insurance coverage • 401(k) savings plan • Paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service • Remote work arrangement • Dedicated, secure work area and high-speed internet access/connectivity and office setup and maintenance provided/required for remote work