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Cotiviti

Catches billing errors for health insurers

Team Lead Audit Retail

Business OperationsConfirmed live in the last 24 hours
Full-timeMexico City, CDMX, Mexico

About the Job

Requirements

  • Fully bilingual in written and verbal communication.
  • A college degree is required; a degree in Finance, Accounting, Management, or another Business field is preferred.
  • At least 4 years of experience in the industry or similar positions.
  • At least 2 years of experience working with Excel, Word, and PowerPoint.
  • Advanced English speaking and writing ability.
  • Strong organizational skills and attention to detail.
  • Prior experience in the retail audit industry is preferred.
  • Prior experience leading a team and/or projects is preferred.
  • No travel is required.

Responsibilities

  • Manage the audit team and continually evaluate team performance to ensure sustained achievement of objectives.
  • Provide and ensure ongoing training so the team has the tools and knowledge needed to perform its functions with quality.
  • Develop the team to provide a high-quality customer experience by implementing service guidelines and productivity metrics that support long-term customer relationships.
  • Optimize operations using performance metrics to prevent bottlenecks and resulting losses.
  • Manage projects using effective methodologies to ensure company goals and related-party needs are met.
  • Develop best practices across support and audit processes to ensure effective workflows, minimize risk, and optimize productivity.
  • Respond to inquiries from related parties and manage complaints, providing internal teams with feedback about changes in customer needs.
  • Produce daily, weekly, and monthly reports on team productivity to support decision-making.
  • Organize and manage audit processes according to the annual audit plan, using management tools to complete assigned tasks on time.
  • Monitor audit-process KPIs, processes, and best practices to ensure the assigned budget is met.
  • Oversee day-to-day team performance and work assignments, including planning, directing, supervising, evaluating workflow, and contributing to discussions about hiring, progressive discipline, and terminations.
  • Propose improvements to policies and controls to keep them current and aligned with company and stakeholder standards.
  • Perform operational support tasks involving metrics, controls, and follow-up, including interviews, onboarding, vacations, permits, incidents, evaluations, hiring and separation follow-up, and equipment configuration for new users.
  • Hire, develop, coach, lead, and retain talent, building a team and culture that supports strong internal and external customer satisfaction.
  • Complete responsibilities outlined in annual performance reviews and goal setting.
  • Complete special projects and other assigned duties.

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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