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Cotiviti

Catches billing errors for health insurers

Client Services Manager

Customer SuccessConfirmed live in the last 24 hours
Full-timeRemote in USA$82k - $111k /yr

About the Job

Requirements

  • A bachelor's degree or higher is preferred, or equivalent experience is required.
  • Knowledge of Centers for Medicare & Medicaid Services (CMS) guidelines, other regulatory compliance guidelines and mandates, and medical payment policy is required.
  • Four or more years of related healthcare experience with strong knowledge of health plan operations and the claims lifecycle are required.
  • Four or more years of experience in client relationship management or consulting, interacting with various roles and levels, with a strong focus on the healthcare setting are required.
  • Four or more years of project or team management experience, including meeting facilitation and follow-through on deliverables, are required.
  • High proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint, is required.
  • Excellent written and verbal communication and interpersonal skills are required.
  • Success in developing strong, trust-based professional relationships with clients in multiple roles and levels is required.
  • The ability to work independently and achieve successful outcomes in a collaborative team environment or matrix structure is required.
  • The ability to organize, plan, prioritize, meet deadlines, and produce high-quality, error-free deliverables in a fast-paced environment is required.
  • Effective analytical and problem-solving skills and financial acumen are required.
  • The ability to handle confidential information professionally is required.
  • The ability to work with on-site and remote cross-functional product teams and customers is required.
  • The ability and willingness to participate in an international organization's work processes, including conference calls scheduled to accommodate global time zones, is required.
  • The ability to provide a dedicated, secure work area and high-speed internet access, connectivity, and office setup and maintenance is required.
  • The ability to perform duties with or without reasonable accommodation is required.

Responsibilities

  • Serve as the primary client contact and trusted advisor for client operational representatives, cultivating relationships to identify needs that result in expanded opportunities or solutions.
  • Collaborate with the Go-To-Market team on client strategic plans and lead tactical execution.
  • Promote policy adoption and acceleration to increase client value through organization, communication, and project management within internal and external teams.
  • Identify and communicate cross-product opportunities.
  • Manage the operational implementation and execution of client payment policy decisions by collaborating with client operations managers across departments, including Claims Operations, Provider Services, Appeals, Network Operations, Payment Integrity, and IT.
  • Coordinate and manage joint client and internal meetings, including scheduling, facilitation, agenda and material preparation or coordination, minutes and action-item tracking, and logistics.
  • Coordinate and manage client-related internal meetings, including scheduling, facilitation, agenda and material preparation or coordination, minutes and action-item tracking, and logistics.
  • Document and distribute meeting minutes and action items, and follow up to ensure satisfactory and timely completion.
  • Post and maintain accurate, up-to-date client documentation in the company library.
  • Manage internal and external aspects of client initiatives and joint projects to ensure objectives are met and teams progress toward goals, including internal team coordination and coordination with clients for operational or technical projects.
  • Monitor program performance, analyze monthly performance reports, and draft observations about trends for clients.
  • Identify and perform root-cause analysis, recommend solutions, and develop and execute action plans to remedy interface-related issues such as data anomalies and failed claim lines, and unintended operational results such as claims adjustments, unapplied policy recommendations, and unreturned history data.
  • Provide client testing support to ensure success with operational and policy aspects of initiatives.
  • Maintain escalation plans and monitor file-processing statistics to minimize missed policy opportunities.
  • Proactively provide or coordinate production reporting to provide insight and identify trends and data anomalies; develop recommendations and execute action plans to remedy them.
  • Administer user accounts to ensure data accuracy, monitor and manage user access and usage, and identify gaps in the company's customer service tools.
  • Identify client education needs and develop and deliver training programs for implementing and active clients.
  • Manage client inquiries, ensure they are entered into the appropriate application, and ensure timely resolution.
  • Ensure understanding of client intent and triage inquiries appropriately.
  • Participate as an operational subject matter expert in department and corporate projects as needed.
  • Travel up to 20%.
  • Complete responsibilities outlined in the annual performance review or goal setting.
  • Complete special projects and other assigned duties.
  • Meet client-facing service expectations and provide superior client service.

Desired Qualifications

  • Professional coder certification, such as CPC, CPC-A, CCA, CCS, CCS-P, RHIT, or RHIA, is a plus but is not necessary.
  • Prior experience delivering training classes is a plus.

About the Company

Cotiviti

Catches billing errors for health insurers

Cotiviti sells software and review services that help US health insurers pay medical claims correctly, catch fraud, and track the quality of care their members receive. Its software for HEDIS, the care-quality scores US health plans report, has passed certification by the nonprofit NCQA every year since 2001. Insurers run claims through its coding and payment-policy checks before paying them, while its auditors review medical records and paid claims to recover overpayments. Clients pay it software fees or a share of the savings it finds. Cotiviti began in 1979 by auditing retailers' payments to suppliers, which it still does, and it is based in South Jordan, Utah, and owned by private equity firms Veritas Capital and KKR.

Company size
5,001-10,000
Company stage
IPO
Headquarters
South Jordan, UT
Founded
1979

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