The Senior Manager, Quality Assurance, leads a team of quality-focused individuals responsible for monitoring and continuously improving CCV’s systems and tools, ensuring CCV consistently delivers value to our clients. This leader serves as a vital link between technical experts, business stakeholders, and leadership across CCV and the organization. This role is responsible for guiding the delivery of services to clients by planning, supporting and / or managing activities from the time after implementation forward.  This individual oversees the governance of quality standards, criteria, and monitoring processes to ensure programs are evaluated, maintained, and refined over time. The Senior Manager is responsible for ensuring end-to-end delivery that reliably protects client value. Grounded in Cotiviti’s values—Deeply Curious, People Obsessed, Make it Count, and Build it Better—the Senior Manager fosters a culture of inquiry, accountability, collaboration, and continuous improvement. This role will also focus on incorporating innovation and AI into the QA program to make it more proactive and effective in identifying, prioritizing, and closing vulnerabilities. The role is expected to move beyond reporting results to proactively identify emerging risks, influence corrective action, and confirm measurable, sustained improvement across CCV’s tools and systems. The Senior Manager serves as a business partner to operational leaders while fostering alignment among key stakeholders across CCV operations, concept development, machine learning and strategic analytics, and client service teams. In this capacity, the Senior Manager acts as a vital link between technical experts, business stakeholders, and leadership across the organization, overseeing the governance and integrity of the data, file layouts, and reporting artifacts that feed audit and quality analytics, and providing guidance, mentorship, and performance oversight to team members as a point of escalation and a key driver in defining and refining quality processes

• Bachelor’s degree in related field required; Bachelor’s degree with a quality, healthcare, or analytical focus preferred - quality management or health administration preferred, but may also include statistics, mathematics, industrial engineering, or computer science (focus in data management and analysis).
• 3+ years of technical leadership experience: people and projects.
• AI-native experience using generative AI applications such as Claude, Microsoft Copilot, or similar tools to improve analysis, workflow efficiency, communication, decision support, and quality program execution.
• AI accuracy mindset: understanding of validation, exception review, quality drift, and human-in-the-loop controls, with the ability to translate these into measurable accuracy improvement.
• Consultative influence: uses data and business context to influence teams and drive corrective action without creating defensiveness.
• Proven experience influencing behavior, reinforcing expectations, and driving adoption of process, quality, or performance improvements across audit teams.
• Remediation execution: builds practical remediation plans with clear owners, milestones, measurable success criteria, and follow-through.
• Executive communication: able to communicate complex quality and risk concerns in a concise, balanced, and leadership-ready manner, with appropriate urgency.
• Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).
• Strong analytical and problem-solving ability.
• Organizational skills.
• Attention to detail and accuracy.
• Desire and capacity to learn new concepts and software.
• Excellent written and verbal communication skills.
• Experience in a HIPAA-regulated environment.
• Comfortable speaking in front of a group, with clients, and working with physician executives.
• Professional with 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.
• Ability to mentor staff and enhance performance
• Skilled in root cause analysis, trend monitoring, and risk segmentation to distinguish isolated issues from systemic or client-impacting trends.
• Demonstrated technical aptitude, including the ability to write/run SQL queries and interpret data flows, to investigate audit and quality data issues and partner with technology teams on file layouts and data ingestion artifacts underlying the QA program.
• Experience managing data governance, data migration, or ETL processes, with an understanding of database design, is a plus for overseeing the data and reporting artifacts that support the QA program.

  Preferred Skills  

• Experience with quality management methodologies (e.g., Six Sigma, Lean, or CAPA) is a plus.
• Experience developing or maintaining quality assurance programs, audit methodologies, or quality monitoring systems is a plus.
• Knowledge of medical reimbursement/payment policies, audit review methodologies, and medical terminology is a plus.
• Familiarity with data analytics tools and platforms (e.g., Tableau, Power BI, SQL) to support quality reporting and insights is a plus.
• Knowledge of cloud services (e.g., AWS, Azure, Google Cloud) and modern data technologies, and PMI/PMP certification, are a plus.

Mental Requirements:

• Communicating with others to exchange information.
• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Making timely decisions in the context of a workflow.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Learning new tasks and completing tasks in situations that have a speed or productivity quota.
• Remembering and adhering to processes and protocols.
• Applying established protocols in a timely manner.

Physical Requirements and Working Conditions:

• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.

Base compensation ranges from $120,000 to $160,000 per year. 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: 7/31/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/30/2026, 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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