Job Description:

Description

The Sr. Program Manager, Client Services will partner directly with the assigned Senior Client Executive (SCE) and will focus on the execution and delivery of the Cotiviti Products and Services for Risk Adjustment. The Program Manager will be fully accountable to the SCE and will directly own and manage a small number of large value books. The Program Manager will leverage their deep healthcare and project management knowledge in an effort to deliver the highest quality of services to Cotiviti clients.

Principal Responsibilities:

• This role will be fully accountable for ensuring the successful delivery of products and services to large accounts within the Cotiviti Portfolio. This will require the Program Manager to partner very closely with the SCE, as well as other teams in the organization.


• 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.


• Accountable for driving 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.


• Responsible for ensuring that renewals, contract negotiations, and terminations are handled appropriately, and continuously monitoring holistic portfolio to ensure that no surprises are presented to the Leadership Team.


• Responsible for managing overall resource allocation of the Program Management team for a given set of clients.


• Partnering with the Client Project Office to provide input and feedback regarding standardized processes in how clients are managed.

Requirements:

• Bachelor's degree is required, relevant Master's Degree preferred.


• 7+ years of health care industry experience with a health plan, broker, TPA, or vendors of data analytics or claims processing technologies.


• 5+ years of experience in health plan or TPA operations or similar organization.


• 5+ years of experience implementing and growing clients. Risk adjustment program management, or cost containment operations strongly preferred.


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


• Outstanding presentation and communication skills. Proven success in preparing and delivering presentations that convey information critical to the audience and adjusting to meet changing audience 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.


• Experience leading, training, and managing a team with strong organizational skills. Ability to lead cross functional internal teams to execute on complex tasks in a growing and changing environment.


• Excellent computer skills in Microsoft Word, Excel, PowerPoint and Outlook a must.


• Deep knowledge of Project Management; PMP Preferred.


• Willingness/availability to travel up to ~25% is required.

For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. As we monitor the pandemic, these arrangements may change and we will update accordingly.

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