- B.S. or M.B.A. in Business Administration or allied degree is required. Strong working knowledge of health insurance industry business operations is required. Senior executive with proven experience in growing and developing business in the health care information and analytics space with strong competencies in strategic planning, operations, marketing, product management, and business planning.
- Ten (10) years’ experience preferred in the health care industry with strong presentation skills, customer (internal/external) problem diagnostics and solution design, tactical scheduling, strong contract knowledge, and HIPAA compliance related to company’s Business Associate classification. At least five (5) years’ experience in managing and directing a department. Ability to establish and monitor a department budget. Demonstrated ability to maintain high level of ethics.
- Excellent communicator and leader who is results-oriented and diplomatically assertive. Requires ability to synthesize and utilize data, mentor staff, and be a successful team builder.
- Experience establishing professional relationships at all levels of key client organizations, including C-level executives, vice presidents and department managers.
- Ability to understand client’s strategic objectives and assist clients in positioning Cotiviti products into their long terms goals.
- Demonstrable knowledge of healthcare claims payment policy and processing, claims editing and fraud detection, with demonstrated technical proficiency for in-depth review of data and identifying issues and opportunities to enhance efficiencies and savings.
- General understanding of databases structures, database management and data manipulation and analysis with prior experience in supporting or working with software programs and client systems (i.e. coding and billing systems, adjudication systems, etc.).
- Strong interpersonal skills required. Able to anticipate, identify and resolve simple to complex problems. Proactive individual with strong troubleshooting skills. Strong written and oral communication skills required. Demonstrated ability to multitask in a fast-paced environment.
- Excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook.
- Ability to travel ~40%.
Working Conditions and Physical Requirements:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- Communicating with others to exchange information.
- Repeating motions that may include the wrists, hands and/or fingers.
- Assessing the accuracy, neatness and thoroughness of the work assigned.
- No adverse environmental conditions expected.
Base compensation ranges from $200,000.00 to $240,000.00. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Date of posting: 4/24/2024
Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/24/2024, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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