
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.
🔥 7 minutes ago
🇺🇸 United States – Remote
💵 $152k - $182k / year
⏰ Full Time
🔴 Lead
🏆 Customer Success
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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.
• Ensure successful delivery of products and services to Cotiviti clients within the Health Enablement portfolio • Partner with Client Executives, Product Owners, Operational teams, and cross-functional teams • Serve as primary liaison for complex or high-visibility client engagements • Resolve issues independently without requiring leadership escalation • Produce and manage documents related to client projects, calls, meetings, special initiatives, and follow-up • Interact directly with client stakeholders to drive satisfaction, retention, and product adoption • Manage open issues in a timely manner and ensure key milestones are not missed across a complex, multi-client portfolio • Track and report client SLAs and identify portfolio trends for broader process improvements • Identify obstacles and proactively coordinate Cotiviti resources to resolve them • Lead projects and process improvements that streamline program management operations • Mentor and develop Associate, Program, and Senior Program Managers • Serve as subject matter expert on selected Health Enablement products and services • Handle remote project collaboration to execute milestones and tasks • Complete annual performance review/goal-setting responsibilities and assigned special projects
• Bachelor's degree required; relevant Master's degree preferred • 10+ years of healthcare industry experience with a health plan, TPA, or vendor supporting claims processing, encounter submissions, and risk adjustment programs • Strong expertise in one or more Health Enablement areas: HEDIS/Quality, Encounter Submission, EDI Processing, and/or Risk Adjustment programs • For Encounter submissions, strong experience in healthcare claims processing workflows, including Medicare, Medicaid, ACA data, and platforms such as FACETS, QNXT, and SAP ECC • Minimum of 8 years of client/program management experience leading large, complex, or strategic accounts • Demonstrated success managing multiple clients, cultivating executive relationships, and independently resolving escalations • Ability to handle stressful situations, multiple tasks, and deadline pressures across a complex portfolio • Outstanding presentation and communication skills, including preparing and delivering audience-appropriate presentations • Ability to interact appropriately and professionally with internal and external individuals • Ability to follow up on outstanding tasks/deliverables • Leadership experience mentoring program managers and influencing cross-functional, matrixed teams • Excellent computer skills in Microsoft Office Suite: Word, Excel, PowerPoint, and Outlook • Well versed in Software as a Service (SaaS) distribution models • Formal training and certification in enterprise project management methods preferred, such as PMP or equivalent • 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 travel up to 20% • Must be able to perform duties with or without reasonable accommodation
• Discretionary bonus eligibility • Medical insurance coverage • Dental insurance coverage • Vision insurance coverage • Disability insurance coverage • 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 level and length of service • Remote project collaboration • Dedicated, secure work area provided by the team member • High-speed internet access/connectivity and office setup and maintenance provided by the team member
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