
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.
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $82k - $111k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
📁 Client Services
🦅 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.
• The Client Services Manager (CSM) is responsible for coordinating the cross-functional client team and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Prospective Payment PPM and CV products. • Serves as the primary client contact and trusted advisor for client operational representatives; establishes and cultivates relationships with client contacts to identify needs that result in expanded opportunities or solutions. • Collaborates with the Go-To-Market team on client strategic plan and leads tactical execution. • Promotes policy adoption and acceleration to increase client value through organization, communication, and project management within internal and external teams. • Identifies and communicates cross product opportunities. • Manages the operational implementation and execution of client payment policy decisions by collaborating with client operations managers across multiple departments, including Claims Operations, Provider Services, Appeals, Network Operations, Payment Integrity, IT, etc. • Coordinates and manages joint meetings with client and internal staff including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting minutes/action item tracking, and meeting logistics. • Monitors program performance, analyzes monthly performance reports, and drafts observations providing insight on trends for client consumption. • Provides client testing support to ensure success with all operational and policy aspects of initiatives.
• 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) certification 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, interacting with various roles and levels, with a strong focus on the 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 in developing strong, trust-based professional relationships with clients in multiple roles and levels.
• 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
Apply Now🔥 29 minutes ago
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