Principal Sales Solutions Consultant

Cotiviti • Remote,

3d • $160,000 - $195,000 • Remote

About The Position

The Principal Sales Solutions Consultant is a strategic, client-facing healthcare technology advisor who supports revenue growth through consultative discovery, enterprise solution architecture, value engineering, and technical pre-sales leadership. Working with Sales, Product, Technology, Engineering, Delivery, and Client Engagement teams, this role advises prospective and existing healthcare payer clients and translates their business strategies, operational challenges, technology environments, and desired outcomes into integrated Cotiviti solutions.

The role develops comprehensive solution strategies and future-state environments across Cotiviti capabilities, including Health Enablement, Interoperability, Payment Integrity, data, analytics, intelligence, and workflow. It creates executive-level narratives that connect proposed solutions to measurable financial, operational, clinical, member, regulatory, and strategic value. The consultant leads complex sales pursuits, strategic discovery, architecture and solution-design sessions, technical validation, and value-focused client engagements, while helping position Cotiviti as an enterprise solution partner rather than a provider of isolated products.

The position requires deep healthcare payer knowledge, technical and architectural credibility, executive presence, commercial acumen, and the ability to engage effectively with executive, business, operational, financial, and technical stakeholders. It also contributes market and client insights to internal strategy, supports account expansion, and mentors other Solutions Consultants. The role is remote and requires travel for client engagements and other business needs.

Requirements

• Bachelor’s degree in healthcare, business, computer science, information technology, engineering, or a related field, or equivalent relevant experience.
• 12+ years of experience in healthcare technology, solution consulting, pre-sales, sales engineering, enterprise architecture, healthcare consulting, or a comparable client-facing role.
• Significant experience in the healthcare payer ecosystem and strong understanding of payer business models, operations, technology environments, and data ecosystems.
• Experience selling, positioning, or supporting complex enterprise healthcare technology solutions.
• Demonstrated ability to lead strategic discovery, current-state assessments, solution workshops, architecture discussions, whiteboarding, demonstrations, and technical validation.
• Experience designing and articulating integrated, end-to-end solution architectures, including data flows, integrations, APIs, workflows, and interoperability patterns.
• Knowledge of payer domains such as claims, encounters, enrollment, eligibility, prior authorization, payment integrity, provider management, risk adjustment, quality improvement, and member engagement.
• Understanding of healthcare interoperability standards and technologies.
• Strong commercial acumen and ability to connect technology capabilities to financial, operational, clinical, member, regulatory, and strategic value.
• Ability to engage credibly with C-suite executives, business leaders, operational stakeholders, enterprise architects, data teams, and technical professionals.
• Experience developing and delivering executive presentations, solution demonstrations, technical workshops, business cases, and architecture recommendations.
• Ability to translate complex technical and operational information into clear, compelling, value-oriented narratives.
• Knowledge of enterprise sales methodologies and practices for complex, multi-stakeholder sales cycles.
• Strong analytical, problem-solving, facilitation, prioritization, and decision-making skills.
• Excellent communication, presentation, relationship-management, and stakeholder-engagement capabilities.
• Ability to influence decisions and build alignment without direct authority.
• Ability to work independently, manage multiple concurrent opportunities, and remain effective in a fast-paced sales environment.
• Ability to collaborate across Sales, Product, Technology, Engineering, Delivery, and client-facing teams.
• Willingness and ability to travel for client meetings, workshops, conferences, and other business needs.
• Ability to analyze complex business, operational, regulatory, and technical information and communicate conclusions clearly to diverse audiences.
• Ability to evaluate incomplete or evolving information and recommend an appropriate path forward.
• Ability to manage multiple priorities while maintaining accuracy, responsiveness, and attention to detail.
• Ability to retain and apply evolving knowledge of Cotiviti solutions, healthcare regulations, industry practices, client environments, and competitive offerings.
• Ability to adapt communication style, presentation strategy, and technical depth to different audiences and situations; remain composed and respond professionally during high-pressure engagements.
• Strong organizational and planning skills to support multiple concurrent opportunities, accounts, and client activities.
• Ability to remain stationary, including sitting or standing, for prolonged periods; ability to perform repetitive motions involving the wrists, hands, and fingers.
• Ability to provide and maintain reliable high-speed internet connectivity and an appropriate remote-office setup, including a dedicated and secure work area.

Nice To Haves

• Experience with Cotiviti solutions or comparable healthcare analytics, interoperability, payment integrity, payer technology, or enterprise healthcare software platforms.
• Deep expertise in one or more areas such as Payment Integrity, Risk Adjustment, Quality, Stars, HEDIS, Interoperability, Prior Authorization, Provider-Payer Connectivity, or payer data exchange.
• Experience positioning integrated enterprise solutions spanning multiple products, business units, healthcare domains, or technology platforms.
• Experience with enterprise architecture, APIs, integration patterns, ETL processes, cloud-based data platforms, analytics, workflow automation, and complex healthcare data ecosystems.
• Familiarity with CMS requirements, interoperability mandates, prior authorization regulations, and other healthcare payer compliance considerations.
• Experience developing quantified business cases or applying value-engineering principles during complex sales pursuits.
• Experience supporting proofs of concept, pilots, enterprise transformation initiatives, and strategic account expansion.
• Experience applying artificial intelligence, machine learning, automation, or advanced analytics to healthcare payer use cases.
• Experience with consultative selling, design thinking, customer journey mapping, or outcome-based solution development.
• Master’s degree in healthcare, business, technology, engineering, or a related discipline.
• Relevant healthcare, enterprise architecture, cloud, interoperability, sales engineering, or technology certifications.

Responsibilities

• Lead strategic discovery with prospective and existing healthcare payer clients to understand priorities, challenges, technology environments, regulatory obligations, and desired outcomes.
• Assess current-state workflows, administrative platforms, data ecosystems, integration requirements, technical constraints, and organizational readiness.
• Translate client business problems into solution requirements, success measures, and future-state opportunities.
• Facilitate executive workshops, architecture discussions, solution-design sessions, technical workshops, and strategic whiteboarding engagements.
• Serve as a trusted advisor to executive, business, operational, and technical stakeholders throughout the sales cycle.
• Develop integrated, end-to-end solution strategies and architectures across Cotiviti capabilities, including data, analytics, interoperability, intelligence, and workflow.
• Design and explain data ingestion, transformation, integration, APIs, security, interoperability, operational workflows, and scalable deployment approaches.
• Develop current-state and future-state architecture views, data flows, integration models, and solution roadmaps.
• Translate complex business, operational, regulatory, and technical requirements into feasible, differentiated solution designs.
• Identify assumptions, dependencies, technical risks, implementation considerations, capability gaps, and potential barriers to adoption.
• Lead or support proofs of concept, pilots, architecture reviews, technical workshops, and other validation activities.
• Lead the solution-consulting strategy for assigned complex healthcare payer opportunities and partner with Sales on pursuit strategy, client value drivers, and solution positioning.
• Coordinate Product, Technology, Engineering, Delivery, Security, Legal, and domain experts during complex pursuits.
• Anticipate and address technical, operational, functional, regulatory, commercial, and competitive objections; assess solution fit, feasibility, and implementation considerations.
• Identify technical differentiators, cross-sell and expansion opportunities, future client needs, and emerging account opportunities.
• Ensure proposed commitments are documented, achievable, and aligned with Cotiviti capabilities and delivery expectations.
• Develop executive-level narratives, value propositions, and business cases that connect Cotiviti capabilities to client strategy and measurable outcomes.
• Apply value-engineering principles to explain benefits, improvement opportunities, implementation considerations, and investment rationale.
• Adapt communication, terminology, presentation style, and technical depth to executive, business, operational, architecture, data, and technology audiences.
• Use presentations, demonstrations, visual techniques, and whiteboarding to support a cohesive solution narrative and communicate client challenges, future-state designs, workflows, data exchanges, and expected value.
• Create reusable executive narratives, workshop frameworks, value stories, architectural patterns, presentation materials, and demonstration assets.
• Serve as a subject matter expert in healthcare payer operations, technology environments, and data ecosystems; maintain knowledge of CMS requirements, market developments, emerging technologies, payer priorities, and competitive offerings.
• Apply knowledge of payer domains and workflows, including claims, encounters, enrollment, eligibility, prior authorization, provider management, payment integrity, risk adjustment, quality improvement, Stars, HEDIS, and member engagement.
• Apply knowledge of interoperability, integration patterns, ETL, cloud technologies, enterprise architecture, analytics platforms, workflow automation, complex healthcare data flows, AI, and machine learning.
• Partner with Sales, Product, Technology, Finance, Legal, Security, and Delivery to validate solution strategies, architectures, value assumptions, commitments, and implementation requirements.
• Lead solution strategy and substantive technical and value content for proposals and RFP responses; proposal administration and coordination are not the primary purpose of the role.
• Build account-specific knowledge and work with Sales and Account Management to identify cross-sell, upsell, multi-solution, and longer-term strategic opportunities.
• Share structured client, market, competitive, and technology insights to inform product strategy, roadmap planning, investment decisions, and innovation.
• Identify recurring client requirements and capability gaps that may inform product development or partnerships.
• Contribute best practices, competitive insights, value-engineering approaches, reusable assets, and architectural patterns to the Solutions Consulting community.
• Mentor and guide other Solutions Consultants during complex pursuits, demonstrations, workshops, and client engagements.
• Represent Cotiviti at client forums, executive workshops, industry events, conferences, and other strategic engagements as needed.
• Complete responsibilities established through performance reviews and goal setting, special projects, and other assigned duties; perform duties with or without reasonable accommodation.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Disability insurance
• Life insurance
• 401(k) savings plan
• Paid family leave
• 9 paid holidays per year
• 17–27 days of Paid Time Off (PTO) per year, depending on level and length of service
• Commission eligibility

What This Job Offers

• Job Type: Full-time
• Career Level: Principal