Cotiviti · 1 day ago
Client Services Manager
Cotiviti is a company focused on healthcare solutions, and they are seeking a Client Services Manager to lead cross-functional teams and ensure high-quality service to clients. The role involves managing client relationships, coordinating meetings, and addressing operational issues to optimize program performance.
Information Technology & Services
Responsibilities
Assist clients in succeeding with Cotiviti through understanding clients' needs and unique business situations, identifying solutions, proactively identifying potential issues that could impair success, and ensuring that the appropriate resources are working to resolve any issues
Serves as the account manager and trusted adviser for client operational contacts; establishes and cultivates relationships with client contacts to identify needs & generate and implement solutions
Manages the operational implementation and execution of client payment policy decisions by working with health plan operations managers in Network Operations, Provider Relations, Member Services, Grievance and Appeals, Call Center, Claims, and IT services
Coordinates and manages joint meetings with client and internal staff including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting logistics and travel, etc
Coordinates and manages client-related internal meetings including scheduling, facilitation, meeting agenda/material preparation, meeting minutes/action item tracking, etc
Records and distributes meeting minutes and action items and follows up on action items to ensure satisfactory and timely completion
Posts and maintains accurate, up-to-date client documentation in the library
Coordinates the internal and external aspects of internal and client initiatives and joint projects to ensure that Cotiviti and client objectives are met and that the team is making progress towards goals
Includes internal team management along with coordination within the client
Identifies performs root cause analysis and develops action plans to remedy interface-related issues, (e.g., data anomalies, failed claim lines, etc.) and unintended operational issues (e.g., claims adjustments, unapplied recommendations, unreturned history, etc.) to optimize program performance and consistency
Provides client testing support and coordination for system enhancements, upgrades, corrections, batch support, new policy logic, data mapping, parser changes, etc
Maintains escalation plans and monitors file processing statistics and provides production reporting as necessary to quickly identify provider negative impact, data anomalies, etc
Develops and executes action plans to remedy
Analyzes monthly results and draft monthly performance summary for a client, providing insight and observations on drivers of trends and status of initiatives
Ensures client success with Cotiviti customer service tools: administer user accounts to ensure data accuracy (e.g., an employee adds/terms/transfers), monitor usage, identify gaps, and deliver training programs and reporting
Monitor and manage user access
Identifies client education needs and develops and delivers client training programs for implementing and active clients
Enters all client inquiries and requests in the appropriate application
Qualification
Required
Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels
Project Management skills - Strong organizational and planning skills
Results driven with a focus on producing high-quality, error-free service and deliverables
Industry knowledge & experience - Understanding of healthcare claims adjudication and support processes
Proficient with Microsoft Office Suite (Word, Excel, PowerPoint)
Ability to work within a matrix organization
Professional with the ability to properly handle confidential information
Ability to work well independently and in a team environment
Ability to handle multiple tasks, prioritize and meet deadlines
Excellent written and verbal communication skills, including public speaking
Total of 5-10 years of working experience with a minimum of 2+ years of healthcare operations (particularly healthcare consulting), provider relations, network management, or claims operations experience
2+ years of project or team management experience, including meeting facilitation and following through on deliverables
2+ years of client relationship management experience, interacting with various roles and levels
Preferred
Bachelor's Degree (or higher) preferred
Benefits
Medical
Dental
Vision
Disability
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.
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
Recent News
2024-04-07
Company data provided by crunchbase