Senior Solutions Consultant

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $140k - $175k / year

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

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

• Partner with Sales on strategic opportunities involving consumer engagement, intervention planning, outreach, and Health Enablement solutions. • Lead product demonstrations showcasing member and provider engagement workflows, outreach analytics, and integrated risk and quality engagement strategies. • Present to health plan executives, risk adjustment leaders, quality teams, care management teams, and client stakeholders. • Conduct discovery sessions to understand customer operational challenges, engagement strategies, outreach gaps, and business goals. • Support pilot and proof-of-concept initiatives to demonstrate solution value and operational outcomes. • Assist with pricing, scoping, and solution positioning discussions for strategic opportunities. • Develop technical and operational content for engagement and outreach-focused RFP responses. • Present solutions during finalist presentations with focus on operational outcomes, member/provider engagement effectiveness, and integrated risk and quality workflows. • Support implementation scoping and level-of-effort estimates for complex engagements. • Assist in developing client-facing presentations, value stories, and sales enablement materials. • Capture customer feedback on product capabilities, workflow gaps, and enhancement priorities. • Monitor competitive landscape across engagement, intervention planning, and healthcare activation solutions. • Communicate market trends, client feedback, and operational insights to Product Management. • Contribute to sales enablement materials, case studies, webinars, and competitive positioning. • Support go-to-market initiatives and launch readiness activities for new engagement capabilities. • Maintain deep expertise in member and provider engagement strategies, outreach operations, and intervention planning workflows. • Understand healthcare payer operations across Risk Adjustment, Quality Improvement, Stars, and care gap closure initiatives. • Stay current on market trends related to healthcare engagement, digital outreach, and population health management. • Develop and deliver training for Sales and Account teams on consumer engagement solution capabilities. • Act as a subject matter expert during client calls, strategic discussions, and industry-facing engagements.

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business, or related field • 10+ years of experience in healthcare technology, risk adjustment operations, or health plan consulting • Deep knowledge of Medicare Advantage retrospective risk adjustment programs and operations • Experience in pre-sales, solution consulting, or customer-facing product roles • Strong presentation and demonstration skills with executive audiences • Ability to translate complex technical capabilities into business value propositions • Excellent written communication skills for RFP responses and technical documentation • Willingness to travel up to 25% for customer meetings and industry events

🏖️ Benefits

• Medical, dental, vision, disability, and 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 with Cotiviti