Client Service Analyst - PPM

Cotiviti • Remote,

14h • Remote

About The Position

The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Medical Policy Director (MPD) and client-facing Medical Directors.

Requirements

• B.S., B.A, in business or healthcare related field, or equivalent experience preferred.
• Requires less than 1 year of related experience.
• Advanced knowledge of Excel (pivot tables, complex formulas, VLOOKUPs, statistical functions).
• US Healthcare industry and claims analysis experience.
• Excellent analytical skills with ability to troubleshoot problems and find root causes. Effective problem-solving skills.
• 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.
• Excellent written and verbal communication skills.
• Attention to detail and accuracy.
• Organizational skills.
• Works with a sense of urgency.
• Ability to follow defined policies and procedures.
• Strong interpersonal skills.
• Desire and capacity to learn new concepts and software.
• Exhibits behaviors consistent with Cotiviti Values.
• Ability to work in a fast-paced environment, effectively organize, plan, prioritize, and meet deadlines, producing high-quality, error-free deliverables.
• Demonstrated success in developing strong, trust-based professional relationships with clients in multiple roles and levels.
• Ability to work with on-site and remote cross-functional product teams and customers.

Responsibilities

• Supports Medical Policy Directors (MPD) through various aspects of the New Policy processes: Marks policies provided by the MPD to ready to present in CPW, Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO), Tableau and/or BI and Presentation Manager (PM) reports for.
• Ensures policies selected for presentation include all appropriate claim types and LOB
• Ensures there are no conflicts with mutually exclusive decision points.
• Submits a request to Medicaid Research for conflict review when appropriate
• Assists in formatting New Policy Presentation documents for client presentation by the MPD and/or Medical Director.
• Performs multi-faceted data and report analytics. Determines the applicable BO reports to run based on the client team inquiry. Analyzes the report output and provides accurate client or policy information based on thorough report analytics.
• Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes which includes determining the necessary parameters and building the report, performing analysis and summarizes findings to the client team.
• Researches and examines client questions and drafts an accurate response to the client.
• Actively participates in team, department, business unit, and corporate meetings.
• 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.
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required.
• This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree