Senior Director – Government Programs

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $154k - $196k / year

⏰ Full Time

🟠 Senior

👔 Director

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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

• Oversee the overall P&L of key strategic Cotiviti Government Service government contract and agency programs • Directly and indirectly manage operational staff responsible for government contract delivery • Manage complex client-required program tasks and initiatives in a matrixed organization • Plan, budget, and manage government contracts, including subcontractors, forecast accuracy, staffing, revenue, and growth targets • Serve as the primary client interface for contract performance, risk management, and customer satisfaction • Train and mentor contract and operational staff on contract protocols, deliverables, communications, meetings, and subject matter • Develop strategic business objectives and direction for a Federal and/or State Program Department unit • Develop business proposals and written budget justifications for task orders, additional funding, and contract extensions • Understand client businesses and demonstrate technical competence in Cotiviti services • Monitor government agency, legislative, regulatory, political, and competitive landscapes to protect and grow the business • Build relationships with Cotiviti teams, clients, and strategic partners • Identify client expectations and exceed mutually agreed-upon objectives • Attend industry events and conferences and develop strategic agendas and partnerships • Attract, manage, retain, develop, and plan succession for employees • Promote Cotiviti and develop contacts within the business community and healthcare industry • Shape client needs and expansion opportunities to optimize service and delivery • Identify and develop partnerships supporting entry into new contracts and markets • Hire, develop, coach, lead, and retain top-tier talent while building a high-performing team and culture • Complete annual performance-review responsibilities, special projects, and other assigned duties

🎯 Requirements

• Bachelor’s degree required • Certified Project Management Professional (PMP) preferred • 10+ years account management experience in a healthcare insurance environment • Medicaid and Medicare experience desired • Financial background preferred • 5+ years’ experience in government program integrity/payment integrity • 5+ years’ experience directly managing staff required • 5+ years’ project management experience required • Knowledge of Federal and State Government Healthcare Contracting • Knowledge of Claims Processing and Reimbursement Methodologies • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements • Working knowledge of federal and state Medicaid regulations • Exceptional client management and business development • Ability to communicate with internal stakeholders, external entities, and customers • Ability to prepare and facilitate executive-level presentations • Ability to negotiate and collaborate at an executive level • Ability to analyze and interpret financial information • Excellent time management and ability to multitask • Ability to manage contract deliverables in hierarchical and matrix-based organizations • Ability to handle highly confidential information professionally • 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

🏖️ Benefits

• Discretionary bonus consideration • 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 work arrangement • Virtual interviews