Program Manager Operations (Risk Adjustment)

Responsibilities

• Partners directly with the assigned Client Executive, retrieval, coding, and reporting team leads and oversees all aspects of the Cotiviti Risk Adjustment solution set.
• 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.
• Manages open issues in a timely manner and ensures no key milestones are missed.
• Ensures costs/expenses align with anticipated revenue and tracks and reports on client contractual SLAs.
• Identifies and addresses issues hindering success, ensuring appropriate Cotiviti resources are working to correct these issues.
• Completes all responsibilities as outlined in the annual Performance Plan and completes special projects as assigned.

Qualifications

• Bachelor's degree is required, with a relevant Master’s Degree preferred.
• 4-6 years’ experience within the Healthcare or Insurance space, with experience with large payers preferred.
• Strong knowledge of healthcare, specifically Risk Adjustment, and a minimum of 3 years of successful client/program management.
• Demonstrated experience managing the deliverables of a client and fostering relationships at the appropriate level within the Client organization.
• Ability to handle stressful situations, multiple tasks, and deadlines, with proven success in handling client escalations.
• Formal training in enterprise project management methods and process management experience is preferred.
• Outstanding presentation and communication skills, including the ability to prepare and deliver presentations that convey critical information and adjust to changing audience needs.
• Excellent verbal, written, and interpersonal communication skills with strong grammar and writing abilities.
• Able to interact professionally with internal and external individuals and provide a dedicated, secure work area.
• Ability to follow up on outstanding tasks/deliverables and navigate cross-functional internal teams to execute complex tasks in a growing and changing environment.
• Deep knowledge of Project Management and excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook.
• Willingness to travel up to 15%.

Pay

Base compensation ranges from $75,000 to $105,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Schedule

Cotiviti offers a competitive benefits package, 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.