Cotiviti · 1 day ago
Technical Customer Solutions Manager
United States
Full-time
Remote
Mid, Senior Level
$120K/yr - $162K/yr
6+ years expCotiviti is seeking a passionate and results-driven Technical Customer Solutions Manager to join our team and play a key role in driving long-term success for our clients through the effective use of Cotiviti products. In this strategic role, you will act as a trusted advisor to our healthcare payer clients, leveraging your deep operational knowledge of data processing systems, regulatory compliance, and enterprise system integration.
Information Technology & Services
Responsibilities
Develop, implement, and complete tactical project plans related to customer issue resolution, quality improvement plans, and program enhancements
Act as the lead relationship manager for assigned accounts, coordinating proactive customer communication and cross-functional collaboration
Lead customers to success by understanding their business needs and aligning Cotiviti software and services to drive high-impact results
Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals by delivering against assigned KPIs
Forecast and track operational metrics including member volumes, encounter throughput, revenue recognition, and submission accuracy
Apply deep operational knowledge of CMS regulations and audit frameworks to ensure accurate, compliant processing
Leverage your expertise in encounter submissions and EDI transactions (834, 837, 835, 270/271) to support client success and issue remediation
Analyze client support tickets and product issues to identify systemic trends and advocate for internal resolution
Serve as a key conduit for customer enhancement requests through structured feedback loops to Product Management
Ensure all contracted deliverables are provided accurately, on schedule, and in alignment with client expectations
Complete all responsibilities as outlined in the 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
Master's Degree OR a minimum of 6 years of relevant experience
6+ years of deep operational knowledge of data integration systems including in claim processing systems like FACETS, QNXT, SAP ECC, OR Cotiviti/Edifecs like platforms
6+ years of technical expertise in claims processing, encounter submissions, and risk adjustment workflows
Fluent in Software as a Service (SaaS) distribution models
6+ years of Proven success in healthcare or related technical field
Familiarity with customer journey mapping and strategic success planning
Strong working knowledge of Microsoft Office, Freshdesk, SQL, and Jira
Excellent organizational, communication, and interpersonal skills with a client-first approach
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.
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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