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Cotiviti · 1 week ago

Team Lead, Payment Accuracy (COB)

United States

Full-time

Remote

Mid, Senior Level

$80K/yr - $95K/yr

5+ years exp

Cotiviti is a company focused on improving healthcare outcomes, and they are seeking a Team Lead for their Coordination of Benefits team. This role involves leading a team to meet goals and deliver on client requirements, while fostering a culture aligned with Cotiviti's values.

Responsibilities

Empowered to lead your assigned team with strategic autonomy, making critical operational decisions and working closely with Senior Leadership to drive team performance and innovation

Recruit, develop, coach, lead and retain diverse talent from varied backgrounds, with a focus on building an inclusive team and culture that employs equitable practices to support and drive high levels of internal and external customer satisfaction

Performs time management reviews for payroll processing utilizing a time management system, ensuring employees are working an approved schedule by leadership, applying necessary time off codes, and adhering to company policies for timely approval

Performs performance management of employees to ensure employees are meeting and achieving work expectations and deliverables

Performs goal planning and distribution, 30/60/90-day onboarding reviews for new hires and/or individuals newly promoted in a role, performance review check-ins and annual performance reviews

Participates in assigned leadership training as assigned as well as enhances individual leadership skills by participating in LinkedIn Learning self–directed sessions

Creates and maintains standard operating procedures as well as training manual and materials

Provides mentorship and guidance to team members through coaching, training and/or 1:1s

Completes bi – weekly or monthly 1:1 meetings/team meetings with team members to review individual and team performance

Participates in functional leadership presentations for townhalls, clients and/or other projects as assigned, internally and externally

A subject matter expert on all levels of work scope and clients reporting into Team Lead

Forecasts projected productivity to review financial targets with Senior Leadership and identify solutions should projects demonstrate a deviance to the target

Creates and assigns work as required to team members for each level within their scope

Has subject matter expertise in understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability

Has full understanding of client parameters and can communicate these effectively to team members and others throughout the organization

Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunity

Performs additional quality control review of team members work, as well as assists with senior management in quality review summary

Has advanced level of knowledge of Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) and can articulate to team members when to utilize various systems

Monitors production of team members against established goals; assists with formulating plan if goals are not being consistently met

Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Manager when reviewing concept and claim identifications for the client

Prepares and evaluates responses to client disputes both internally and externally within the Business Unit

Displays ability to use multiple computer software, systems, and technology

Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes

Has an in depth understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements

Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results

Assures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards

Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable

Integrates information from various sources and considers broader context

Drive transformative innovation by developing creative solutions that optimize operational workflows and exceed traditional performance benchmarks

Actively seeks information to understand rationale and provide exceptional results beyond basic standards

Qualification

Healthcare industry experienceCoordination of Benefits knowledgeTeam leadershipCotiviti audit toolsMicrosoft Office proficiencyMentoringCommunication skillsTime managementProblem-solving

Required

High School Diploma - Required

Healthcare industry experience, including knowledge of Coordination of Benefits. (Required)

Computer proficiency including Microsoft office (Word, Excel, Outlook)

Preferred

Bachelor's degree (Preferred) and/or a minimum of at least five (5) years related experience in healthcare

At least 3- 4 years Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: COB Specialist 2, COB Senior, Senior Technical Specialist, Payment Accuracy Specialist 2, Senior Payment Accuracy Specialist)

Prior exposure mentoring, leading a team, and responsibility for team outcomes in addition to individual outcomes (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

Glassdoor3.7

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.

Founded in 1979

South Jordan, UT, US

5001-10000 employees