Client Services Manager

About the role

The Client Services Manager (CSM) is responsible for coordinating the cross-functional client team and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Prospective Payment PPM and CV products. The CSM serves as both internal and external client liaison accountable for triaging, managing, monitoring and support of client related activity.

Responsibilities

• Serves as the primary client contact and trusted advisor for client operational representatives; establishes and cultivates relationships with client contacts to identify needs that result in expanded opportunities or solutions.
• Collaborates with the Go-To-Market team on client strategic plan and leads tactical execution.
• Promotes policy adoption and acceleration to increase client value through organization, communication, and project management within internal and external teams.
• Identifies and communicates cross product opportunities.
• Manages the operational implementation and execution of client payment policy decisions by collaborating with client operations managers across multiple departments, including Claims Operations, Provider Services, Appeals, Network Operations, Payment Integrity, IT, etc.
• Captures and distributes meeting minutes, action items and follows-up on action items to ensure satisfactory and timely completion.
• Posts and maintains accurate, up-to-date client documentation in Cotiviti’s library.
• Manages the internal and external aspects of all client initiatives and joint projects to ensure objectives are met and the team is progressing toward goals.
• Maintains escalation plans and monitors file processing statistics to minimize missed policy opportunity.
• Proactively provides or coordinates production reporting, as necessary, to provide insight, and identify trends and data anomalies.
• Develops recommendations and executes action plans to remedy.
• Ensures client success with Cotiviti customer service tools: administers user accounts to ensure data accuracy (e.g., employee adds/terms/transfers), monitors and manages user access and usage, and identifies gaps.
• Identifies client education needs and develop and deliver client training programs for implementing and active clients.
• Manages all client inquiries, ensuring entry into the appropriate application and ensures timely execution of resolution.
• Ensures understanding of client intent and triages appropriately.
• Actively participates as an operational SME in department and corporate projects, as needed.

Qualifications

• Bachelor’s Degree or higher (preferred), or equivalent experience, required.
• Knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy.
• Professional coder certification (CPC, CPC-A, CCA, CCS or CCS-P, RHIT or RHIA) certification not necessary but a plus.
• 4+ years of related healthcare experience with strong knowledge of health plan operations and claims lifecycle.
• 4+ years of experience in client relationship management or consulting experience, interacting with various roles and levels, with a strong focus on the healthcare setting.
• 4+ years of project or team management experience, including meeting facilitation and follow-through on deliverables.
• Highly proficient in MS Office Suite: Excel, Word and PowerPoint.
• Excellent written and verbal communication and interpersonal skills.
• Strong presentation skills.
• Prior experience delivering training classes is a plus.
• Demonstrated success in developing strong, trust-based professional relationships with clients in multiple roles and levels.
• Self-starter with the ability to work well independently and a track record of successful outcomes within a collaborative team environment or matrix structure.
• Cognitive/Mental Requirements: Ability to work in a fast-paced environment, effectively organize, plan, prioritize and meet deadlines; producing high-quality, error-free deliverables. Effective analytical and problem-solving skills and financial acumen. Professional with ability to properly handle confidential information.
• Working Conditions And Physical Requirements: Remote role can be located anywhere in the continental US. Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. After hours and/or weekend work may be required where necessary for major deliverables/deadlines (not consistent). Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. 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. No adverse environmental conditions expected.

Pay

Base compensation ranges from $82,000 to $111,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Schedule

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.