Overview
Cotiviti is in search of a passionate and results-driven Buyer Program Supervisor to hitch our group and play a key function in driving long-term success for our shoppers by way of the efficient use of Cotiviti merchandise. On this strategic function, you’ll act as a trusted advisor to our healthcare payer shoppers, leveraging your deep operational data of knowledge processing programs, income recognition, audit compliance, and danger adjustment. Your experience will assist shoppers maximize the worth of their Cotiviti funding whereas increasing Cotiviti’s impression throughout the healthcare payer panorama.The perfect candidate combines sturdy technical acumen with a deep understanding of healthcare operations and regulatory frameworks, enabling them to information shoppers towards measurable outcomes and sustained success.
Duties
- Develop, implement, and full tactical venture plans associated to buyer situation decision, high quality enchancment plans, and program enhancements.
- Act because the lead relationship supervisor for assigned accounts, coordinating proactive buyer communication.
- Lead clients to success by understanding their enterprise wants and proactively aligning Cotiviti’s software program and companies with these must generate excellent outcomes.
- Accomplice with Account and Product Administration on Buyer Well being, NPS, Government Enterprise Opinions (EBRs), Enlargement, and Renewals by hitting assigned metrics.
- Forecast and observe key metrics, together with income numbers, member counts, and related danger adjustment metrics. Observe and handle product-related points that impression buyer success.
- Make the most of your operational data to acknowledge income and audit laws to make sure correct and compliant enterprise practices.
- Leverage your technical experience in Encounter submissions and danger adjustment areas to offer helpful insights and help to clients on this essential space.
- Evaluation and analyze the help tickets to know the traits and advocate inside groups for addressing the problems precisely and well timed.
- Answerable for speaking buyer enhancement requests by way of a suggestions loop to the Product Administration group.
- Guarantee all contracted deliverables are offered in accordance with the contract, on time, and meet and exceed buyer expectations.
This job description is meant to explain the overall nature and degree of labor being carried out and isn’t to be construed as an exhaustive listing of obligations, duties and abilities required. This job description doesn’t represent an employment settlement and is topic to vary because the wants of Cotiviti and necessities of the job change.
{Qualifications}
- Bachelor’s diploma and a minimal of 5 years of related expertise.
- Operational data on processing information by way of numerous programs, technical experience in Claims processing, Encounter submissions and danger adjustment areas.
- Stable organizational, communication and interpersonal abilities with a customer-first mindset.
- Fluent in Software program as a Service (SaaS) distribution fashions.
- Expertise in healthcare or associated discipline.
- Familiarity with buyer journey mapping and success planning.
- Sturdy working data of Microsoft Workplace, Freshdesk, SQL, and Jira.
Psychological Necessities:
- Capability to investigate complicated information units and determine patterns and insights.
- Capability to resolve issues and tackle stakeholder wants successfully.
- Capability to suppose strategically and align product improvement with enterprise targets.
- Capability to speak and collaborate successfully with various groups.
Working Situations and Bodily Necessities:
- Remaining in a stationary place, usually standing or sitting for extended durations.
- Repeating motions that will embody the wrists, palms and/or fingers.
- Should be capable to present a devoted, safe work space.
- Should be capable to present high-speed web entry / connectivity and workplace setup and upkeep.
Base compensation ranges from $70,000 to $105,000 per yr. Particular affords are decided by numerous elements, corresponding to expertise, training, abilities, certifications, and different enterprise wants. This function is eligible for discretionary bonus consideration.
Cotiviti affords group members a aggressive advantages package deal to handle a variety of private and household wants, together with medical, dental, imaginative and prescient, incapacity, and life insurance coverage protection, 401(ok) financial savings plans, paid household depart, 9 paid holidays per yr, and 17-27 days of Paid Time Off (PTO) per yr, relying on particular degree and size of service with Cotiviti. For details about our advantages package deal, please check with our Careers web page.
Date of posting: 06/18/2025
Functions are assessed on a rolling foundation. We anticipate that the applying window will shut on 08/22/2025, however the utility window could change relying on the amount of purposes obtained or shut instantly if a professional candidate is chosen.
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