Responsible for coordinating the cross-functional client team focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Prospective Payment PPM and CV products
Serves as both internal and external client liaison accountable for triaging, managing, monitoring and support of client related activity
Builds and sustains client relationships, achieves the client’s recognition of Cotiviti as a partner
Ensures client success with Cotiviti PPM/CV products through understanding client's needs and unique business situations
Identifying solutions, proactively identifying potential issues that could impair success
Serves as the primary client contact and trusted advisor for client operational representatives
Establishes and cultivates relationships with client contacts to identify needs that result in expanded opportunities or solutions
Collaborates with the Go-To-Market team on client strategic plan and leads tactical execution
Promotes policy adoption and acceleration to increase client value through organization, communication, and project management within internal and external teams
Identifies and communicates cross product opportunities
Manages the operational implementation and execution of client payment policy decisions by collaborating with client operations managers across multiple departments
Coordinates and manages joint meetings with client and internal staff including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting minutes/action item tracking, and meeting logistics
Documents and distributes meeting minutes, action items and follows-up on action items to ensure satisfactory and timely completion
Posts and maintains accurate, up-to-date client documentation in Cotiviti’s library
Manages the internal and external aspects of all client initiatives and joint projects to ensure objectives are met and the team is progressing toward goals
Monitors program performance, analyzes monthly performance reports, and drafts observations providing insight on trends for client consumption
Identifies and performs root cause analysis to make recommendations and develops and executes on action plans to remedy interface related issues
Provides client testing support to ensure success with all operational and policy aspects of initiatives
Manages all client inquiries, ensuring entry into the appropriate application and ensures timely execution of resolution
Requirements
Bachelor’s Degree or higher (preferred), or equivalent experience, required
Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy
Professional coder certification (CPC, CPC-A, CCA, CCS or CCS-P, RHIT or RHIA) certification not necessary but a plus
4+ years of related healthcare experience with strong knowledge of health plan operations and claims lifecycle
4+ years of experience in client relationship management or consulting experience, interacting with various roles and levels, with a strong focus on the healthcare setting
4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables
Highly proficient in MS Office Suite: Excel, Word and PowerPoint
Excellent written and verbal communication and interpersonal skills
Strong presentation skills
Prior experience delivering training classes is a plus
Demonstrated success in developing strong, trust-based professional relationships with clients in multiple roles and levels
Self-starter with the ability to work well independently and a track record of successful outcomes within a collaborative team environment or matrix structure
Ability to work in a fast-paced environment, effectively organize, plan, prioritize and meet deadlines; producing high-quality, error-free deliverables
Effective analytical and problem-solving skills and financial acumen
Professional with ability to properly handle confidential information
Ability to work with on-site and remote cross-functional product teams and customers.
Tech Stack
Go
Benefits
Medical, dental, vision, disability, and 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