Director, Audit Operations – Client Services

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $131k - $177.5k / year

⏰ Full Time

🔴 Lead

📁 Client Services

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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

• Directs the successful delivery of audit services to the client by managing the team(s) assigned to the engagement and providing leadership and direction and ensuring that the client’s needs and expectations are met and exceeded. • Develops and implements key metrics to drive performance in quality and productivity and to ensure that the customer experience is consistent and satisfactory across all phases of the audit. • Reviews audit progress against established metrics and direct activities as needed to ensure achievement of business goals and customer expectations. • Ensures effective coordination with Business Optimization and other support functions to achieve audit goals. • Continually work to improve efficiency, productivity and reduce operational costs while providing 100% compliance with customer contract and company policies. • Supports the continuous development of innovative solutions and audit concepts with audit team. • Effectively manages customer problems and conflict, including direct communication with customers to achieve mutually accepted resolution. • Ensures compliance all HIPAA regulations regarding the safeguarding of Protected Health Information (PHI) and communicate to all associates involved in the audit engagement. • Partners with the client and sales team on renewals and work through any RFP process by identifying gaps in current contract in place and understanding customer needs in order to successfully renew the contract. • Meets regularly with audit and audit support managers to ensure appropriate staffing levels and to plan and organize workloads and staff assignments according to the needs of the audit. • Provides managerial leadership and direct the selection, supervision, evaluation and development of staff.

🎯 Requirements

• Bachelor’s Degree preferred • 5 years healthcare auditing, claims or healthcare billing experience required • Prior experience with direct client contact (account management, audit, sales, etc.) required • Computer proficiency in Microsoft Excel, Access and claim databases • Excellent verbal and written communication skills • 5 years people management experience (preferably managing large teams) required • Strong ability to manage and create action from metrics • Budgeting/forecasting experience • Demonstrated leadership and relationship building skills across functions and business lines • Client-facing experience (account management, audit, sales) • Ability to manage multiple projects in a timely manner, while working in a fast paced environment • Requires working knowledge of and applicable industry based standards.

🏖️ 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