Senior Program Manager, Risk Adjustment jobs in United States
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Cotiviti · 2 months ago

Senior Program Manager, Risk Adjustment

Cotiviti is a healthcare analytics company, and they are seeking a Senior Program Manager to oversee the execution and delivery of Risk Adjustment Products and Services for enterprise-level accounts. The role involves managing client relationships, ensuring product delivery, and driving client satisfaction while leveraging healthcare and project management expertise.

Information Technology & Services
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H1B Sponsor Likelynote

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

Healthcare industry experienceClient/program managementRisk Adjustment experienceProject Management knowledgePresentation skillsCommunication skillsMicrosoft Office proficiencyTeam leadershipOrganizational skills

Required

Bachelor's degree is required
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
Proven ability to handle stressful situations, multiple tasks, and deadline pressures
Outstanding presentation and communication skills
Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills
Experience leading, training, and managing a team with strong organizational skills
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
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

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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 Stage

Leadership Team

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Adam Gilbert
Director, Interoperability Operations and Partnerships
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Chris McIntyre
Sr. Program Manager, RQNC Operations
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Company data provided by crunchbase