Senior Program Manager, Risk Adjustment

Cotiviti

126d • $100,000 - $140,000

About The Position

The Sr Program Manager, Operations will partner directly with the assigned Client Executive, retrieval, coding, and reporting team leads, and will focus on the execution and delivery of the Cotiviti Risk Adjustment Products and Services for enterprise-level accounts. The Sr Program Manager, Operations will directly own assigned accounts and is responsible for overseeing all aspects of our engagement for our Risk Adjustment solution set. The Sr Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti clients.

Requirements

• Bachelor's degree is required, Relevant Master’s Degree preferred.
• A minimum of 7 years of health care industry experience with a health plan or vendors of data analytics or claims processing technologies.
• A minimum of 5 years of successful client/program management.
• A minimum of 3-5 years of experience in the Risk Adjustment space.
• Demonstrated experience managing the deliverables of a large client dealing with a broad range of services.
• 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.
• Outstanding presentation and communication skills.
• Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills.
• Experience leading, training, and managing a team with strong organizational skills.
• Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must.
• Deep knowledge of Project Management.
• Willingness/availability to travel up to ~15% is required.

Nice To Haves

• Formal training in enterprise project management methods and process management experience preferred.

Responsibilities

• Accountable for ensuring the successful delivery of products and services to assigned clients within the Cotiviti Risk Adjustment Portfolio.
• 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 all 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 for tracking and reporting on client contractual SLA’s.
• Accountable for driving the value of our products and solutions within the assigned customer’s account, ensuring the client receives ROI for their investment.
• Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues.
• Complete all responsibilities as outlined on 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.

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.
• Discretionary bonus consideration.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees