Director, Audit Operations – Content Enablement CCV

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $142k - $173k / year

⏰ Full Time

🔴 Lead

✍️ Content Marketing Manager

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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

• Provide leadership and management for one or more accounts or significant audit projects • Focus on growth, operationalization of new products and solutions, and oversight of product management for Content Enablement • Direct successful delivery of audit services by managing assigned teams and ensuring client needs and expectations are met • Develop and implement key metrics to drive quality, productivity and consistent customer experience • Review audit progress against metrics and direct activities to achieve business goals and customer expectations • Coordinate with Business Optimization and other support functions • Improve efficiency and productivity while reducing operational costs and maintaining compliance • Support continuous development of innovative audit solutions and optimize audit processes • Manage customer problems and conflicts, communicate directly with customers, and serve as the top escalation point • Identify account growth opportunities and collaborate with SAM on existing and potential clients • Ensure compliance with HIPAA regulations regarding Protected Health Information (PHI) • Partner with clients and sales teams on renewals and RFP processes • Analyze customer needs and service requirements, recommend pricing structures and contract requirements, and contribute to RFP responses • Facilitate contract terminations or scope changes and negotiate account transition procedures and prices • Plan audit staffing, workloads and staff assignments • Lead selection, supervision, evaluation and development of staff • Set objectives and conduct performance reviews • Work with Human Resources on performance management, progression and compensation actions • Resolve employee concerns consistent with Human Resources policies • Support training, career progression, knowledge sharing, best practices, benchmarking, whitepapers and IT tool enhancements • Ensure staff training on policies, procedures and best practices • Proactively plan for succession and growth to prevent productivity and customer-service gaps

🎯 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 • Working knowledge of applicable industry-based standards • Training, education and required certifications must be maintained as required

🏖️ Benefits

• Discretionary bonus consideration • Medical insurance • Dental insurance • Vision insurance • Disability insurance • 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, depending on specific level and length of service