
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.
🔥 14 hours ago
🇺🇸 United States – Remote
💵 $86k - $113k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📁 Client Services
🦅 H1B Visa Sponsor
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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.
• Serve as the main point of contact for clients, focusing on client plans, revenue retention, satisfaction, and growth • Build and sustain customer relationships and establish Cotiviti as a client partner • Manage operational execution of the Clinical Chart Validation (CCV) auditing program • Work with client operational, provider services, network, claims, member services, and IT managers • Serve as a primary account manager for large and/or multiple accounts alongside the Senior Client Services Manager and Director, Client Services • Monitor and investigate processing and financial/savings data to identify trends • Communicate trends internally and externally through formal processes and execute action plans • Develop, contribute to, and manage cross-functional and cross-company projects, process improvements, and strategic initiatives • Act as the client subject matter expert for Cotiviti-related activities • Present operational results to client and internal contacts during regularly scheduled meetings • Coordinate open action items with Cotiviti and client operational teams • Assist with client-facing reporting design and communication • Identify and create solutions for invoicing challenges • Ensure client-specific production metrics and expectations are achieved • Coordinate onsite provider and client visits and relay objectives to operational teams • Participate in the sales process to ensure contract expectations result in a successful client experience
• Bachelor’s Degree required in a related area, including Health Information Management, Nursing, or Management • Minimum four years of related healthcare experience, including operations experience in healthcare consulting, provider relations, network management, or claims operations • Minimum one year of related project management experience, including management of client deliverables • Excellent presentation skills, including the ability to present and interact at the C-level with internal stakeholders, clients, and providers • Ability to develop strong professional relationships with multiple roles and levels • Strong organizational and planning skills • Results-driven focus on high-quality, error-free service and deliverables • Understanding of healthcare claims adjudication and support processes • Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint) • Ability to work within a matrix organization • Ability to properly handle confidential information • Ability to work independently and in a team environment • Ability to handle multiple tasks, prioritize, and meet deadlines • Excellent written and verbal communication skills, including public speaking • Travel requirement up to 10% • After-hours and/or weekend work may be required for major deliverables/deadlines • Flexibility and willingness to participate in the work processes of an international organization, including conference calls accommodating global time zones • Must provide a dedicated, secure work area • Must provide high-speed internet access/connectivity and office setup and maintenance
• Medical insurance • Dental insurance • Vision insurance • Disability insurance • 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 level and length of service • Remote work arrangement • Flexible participation in work processes accommodating global time zones
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