Program Manager Operations at Cotiviti

Overview:

The Program Manager, Operations will partner directly with the assigned Quality Intelligence Program Manager and Client Executive and will focus on the execution and delivery of the Cotiviti HEDIS/Quality Products and Services. The Program Manager will directly own and manage a small number of clients and is responsible for overseeing all aspects their medical record retrieval and abstraction project. The Program Manager will leverage their healthcare and project management knowledge in an effort to deliver the highest quality of services to Cotiviti clients.

• Accountable for ensuring the successful delivery of products and services to small number of clients within the Quality/HEDIS Cotiviti Portfolio. This will require the Program Manager to partner very closely with the assigned Client Executive, Data Analyst, as well as other teams across the organization.
• Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives and follow up.
• Interacts directly with customers to drive client satisfaction and product adoption in support of Quality Reporting and other initiatives as defined.
• Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
• Responsible and Accountable for ensuring that the costs/expenses of managing clients are aligned with the anticipated revenue.
• Responsible to track and report on client contractual SLA’s
• Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues.
• Completes all responsibilities as outlined on annual Performance Plan.
• Completes all special projects and other duties as assigned.

• Bachelor's degree is required, Relevant Master’s Degree preferred.
• A minimum of 5 years of health care industry experience with a health plan, TPA, or vendors of data analytics or claims processing technologies.
• 1 – 3 years of experience with HEDIS
• A minimum of 3 years of successful client/program management.
• Demonstrated experience managing the deliverables of a client. Ability to foster relationships at the appropriate level within the Client organization and take full accountability for managing client escalations
• Proven ability to handle stressful situations, multiple tasks, and deadline pressures.  Formal training in enterprise project management methods and process management experience preferred
• Outstanding presentation and communication skills. Proven success in preparing and delivering needs.  Ability to listen and understand information and ideas whether presented verbally or written.
• Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills.  Able to interact easily and appropriately with internal and external individuals with a professional demeanor.  Ability to follow up on outstanding tasks/deliverables.
• Ability to natvigate cross functional internal teams to execute on complext tasks in a growing and changing environment.
• Excellent computer skills in Microsoft Word, Excel, PowerPoint and Outlook a must.
• Knowledge of Project Management required.
• Willingnewss/availability to travel up to 25% may be required.

Mental Requirements:

• Strong verbal and written communication skills, with various levels of the organization and with clients.
• Strong organization skills, accuracy, and high attention to detail.
• Ability to navigate and analyze data from multiple systems.
• Ability to work with a high volume of transactions in a timely manner, and meet deadlines.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $68,000 to $95,500. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.” 

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: 10/1/2024

Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/1/2025, 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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