Senior Manager, Audit Operations – CCV Training

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $122k - $147k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

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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

• Own and mature the audit training curriculum, including onboarding, ongoing certification, and advanced training paths for auditors. • Design, deliver, and evaluate training on audit guidelines, sampling methodology, and quality standards. • Develop and maintain training for AI-supported audit workflows, including validation of AI-generated findings, accuracy drift, exceptions, and human-in-the-loop controls. • Translate quality findings and root cause analysis into targeted training interventions. • Build and execute remediation plans for skill and knowledge gaps with measurable success criteria and follow-up assessments. • Support updated audit guidelines and AI workflow changes through rollout training, job aids, and post-implementation reinforcement. • Use generative AI tools to personalize training, accelerate onboarding, and improve knowledge retention. • Establish training effectiveness metrics and report outcomes to audit operations leadership. • Communicate training performance, skill gaps, and remediation progress to senior leadership. • Maintain relationships across audit operations, quality assurance, and the broader audit enterprise. • Monitor trainer and facilitator coverage and redistribute work to meet targets. • Hire, develop, coach, lead, and retain training talent. • Operationalize training programs with CCV Operations, Quality Audit, content, and Client Service teams. • Maintain training curricula in learning management tools and provide program oversight. • Manage project scope, schedules, resources, stakeholder expectations, and improvement documentation.

🎯 Requirements

• Bachelor's degree in a related field required • 3+ years of technical leadership experience involving people and projects, with prior training, learning and development, or quality audit experience • AI-native experience using generative AI applications such as Claude, Microsoft Copilot, or similar tools • Understanding of AI validation, exception review, quality drift, and human-in-the-loop controls • Instructional design skills for creating clear, engaging, and measurable training curricula • Experience influencing behavior and driving adoption of process, quality, or performance improvements across audit teams • Ability to build training remediation plans with owners, milestones, measurable success criteria, and follow-through • Ability to communicate training outcomes, skill gaps, and program performance to leadership • Advanced Excel knowledge, including Pivot Tables, Macros, VLOOKUPs, queries, and advanced written formulas • Strong analytical and problem-solving ability • Organizational skills and attention to detail and accuracy • Ability and capacity to learn new concepts and software • Excellent written and verbal communication and presentation skills • Experience in a HIPAA-regulated environment • Comfortable speaking in front of groups, with clients, and working with physician executives • Ability to properly handle confidential information • Ability to work independently and in a team environment • Ability to handle multiple tasks, prioritize, and meet deadlines • Ability to mentor staff and enhance performance • Skills in root cause analysis, trend monitoring, and needs assessment • Experience with instructional design frameworks or quality methodologies is a plus • Experience developing or maintaining audit training programs, certification pathways, or learning management systems is a plus • Knowledge of medical reimbursement/payment policies, audit review methodologies, and medical terminology is a plus • Must be able to provide high-speed internet access/connectivity and office setup and maintenance • Must be able to provide a dedicated, secure work area • Must be able to perform duties with or without reasonable accommodation

🏖️ 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 • Remote work arrangement • High-speed internet access/connectivity and office setup and maintenance provided by the team member