Technical Customer Solutions Manager

Cotiviti 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.

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

Requirements:

• 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
• Strong working knowledge of Microsoft Office, Freshdesk, SQL, and Jira
• Excellent organizational, communication, and interpersonal skills with a client-first approach
• Familiarity with customer journey mapping and strategic success planning