Cotiviti · 4 hours ago
Senior Program Manager, Risk Adjustment
United States
Full-time
Remote
Senior Level
$100K/yr - $140K/yr
7+ years expCotiviti is a company specializing in healthcare analytics and risk adjustment solutions. They are seeking a Senior Program Manager, Operations to oversee the delivery of Risk Adjustment Products and Services for enterprise-level accounts, ensuring client satisfaction and managing project deliverables effectively.
Information Technology & Services
Responsibilities
Accountable for ensuring the successful delivery of products and services to assigned clients within the Cotiviti Risk Adjustment Portfolio. This will require the Sr Program Manager to partner very closely with the assigned Client Executive, retrieval, coding, and reporting team leads, as well as other teams across the organization
Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives, and follow-up
Interacts directly with customers to drive client satisfaction and product adoption in support of all initiatives as defined
Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed
Responsible and Accountable for ensuring that the costs/expenses of managing clients are aligned with the anticipated revenue
Responsible for tracking and reporting on client contractual SLA’s
Accountable for driving the value of our products and solutions within the assigned customer’s account, ensuring the client receives ROI for their investment. Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues
Complete all responsibilities as outlined on annual performance review and/or goal setting
Complete all special projects and other duties as assigned
Must be able to perform duties with or without reasonable accommodation
Qualification
Required
Bachelor's degree is required, Relevant Master's Degree preferred
A minimum of 7 years of health care industry experience with a health plan or vendors of data analytics or claims processing technologies
A minimum of 5 years of successful client/program management
A minimum of 3-5 years of experience in the Risk Adjustment space
Demonstrated experience managing the deliverables of a large client dealing with a broad range of services
Ability to foster relationships at the appropriate level within the Client organization and take full accountability for managing client escalations
Proven ability to handle stressful situations, multiple tasks, and deadline pressures
Outstanding presentation and communication skills
Proven success in preparing and delivering presentations that convey information critical to the audience and adjusting to meet changing audience needs
Ability to listen and understand information and ideas, whether presented verbally or written
Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills
Able to interact easily and appropriately with internal and external individuals with a professional demeanor
Ability to follow up on outstanding tasks/deliverables
Experience leading, training, and managing a team with strong organizational skills
Ability to lead cross-functional internal teams to execute on complex tasks in a growing and changing environment
Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must
Deep knowledge of Project Management
Willingness/availability to travel up to ~15% is required
Preferred
Relevant Master's Degree preferred
Formal training in enterprise project management methods and process management experience preferred
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
Company
Cotiviti
Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States.
5001-10000 employees
H1B Sponsorship
Cotiviti has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (165)
2024 (118)
2023 (90)
2022 (102)
2021 (72)
2020 (67)
Funding
Current Stage
Late StageLeadership Team
Adam Gilbert
Director, Interoperability Operations and Partnerships
Chris McIntyre
Sr. Program Manager, RQNC Operations
Recent News
2024-04-07
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