Senior Sales Solutions Consultant

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $115k - $133k / year

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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

• Serve as a subject matter resource for healthcare payer interoperability use cases • Apply EDI/X12 and FHIR interoperability knowledge to client workflows • Explain how EDI and FHIR coexist, including translation, orchestration, validation, routing, exception handling, acknowledgements, and monitoring • Stay current on CMS interoperability and prior authorization requirements • Lead or support technical discovery sessions • Document current- and future-state data flows, integration points, interfaces, assumptions, dependencies, risks, and non-functional requirements • Develop solution approaches involving EDI gateways, FHIR servers, mapping and validation services, workflow orchestration, identity and access controls, monitoring, and analytics • Whiteboard solution architectures and communicate tradeoffs to stakeholders • Partner with Product, Engineering, Security, and Delivery to validate feasibility • Support account executives through qualified sales pursuits from discovery through technical validation and handoff • Develop and deliver presentations, demonstrations, workshops, and solution narratives • Contribute technical and functional content to RFP/RFI responses and proposals • Support proofs of concept or pilots • Respond to questions, objections, competitive concerns, and clarification requests • Capture market and client feedback for Product and Technology teams • Create reusable discovery questions, architecture patterns, presentation content, demonstration scenarios, and technical reference material • Maintain accurate opportunity documentation and support transition from presales to delivery • Complete performance-review responsibilities, special projects, and other assigned duties

🎯 Requirements

• Bachelor’s or Associate degree in computer science, information technology, engineering, healthcare, business, or a related field, or equivalent relevant experience • 5+ years of experience in healthcare technology, interoperability, solution consulting, sales engineering, implementation consulting, or a comparable client-facing technical role • Meaningful experience in the healthcare payer ecosystem • Familiarity with claims, encounters, enrollment, eligibility, prior authorization, remittance, provider, or member workflows • Hands-on knowledge of healthcare EDI/X12 transactions and validation, mapping, acknowledgements, routing, and exception-management concepts • Working knowledge of HIPAA EDI/X12 transactions, including 270/271, 276/277, 278, 834, 835, 837, 999, and TA1 acknowledgements • Working knowledge of FHIR and payer-provider exchange patterns • Ability to translate complex technical concepts into clear business value for technical and non-technical stakeholders • Excellent communication, presentation, and whiteboarding skills • Experience engaging senior client stakeholders • Experience working across sales, product, engineering, and delivery teams • Ability to manage multiple concurrent priorities • Willingness to travel as required for client-facing engagements • Ability to analyze complex information and communicate it clearly to diverse audiences • Strong critical thinking, problem-solving, and decision-making skills • Ability to maintain attention to detail • Ability to stay current on solution knowledge and industry practices • Ability to adapt communication style and approach to different situations • Ability to remain composed and think quickly under pressure • Strong organizational and planning skills • High-speed internet access/connectivity and office setup and maintenance • Dedicated, secure work area

🏖️ Benefits

• Commission eligibility • Medical insurance • Dental insurance • Vision insurance • Disability insurance • Life insurance • 401(k) savings plan • 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 • Virtual interviews