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Cotiviti

Catches billing errors for health insurers

Business Development Vice President - Government Healthcare

Account ExecutivePosted on Nov 9
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree in business, healthcare, marketing, public administration, a technical field, or a related field is required.
  • 12–15+ years of combined work experience in business development, capture management, and/or sales supporting Federal Government agencies, State Government agencies, and/or large Commercial Health Plans.
  • At least 5 years of experience in the Federal Government Healthcare market is required; equivalent experience in the State Government Healthcare or Commercial Healthcare market may be considered.
  • Business knowledge of and a network of relationships with the VA, DHA, CMS, and/or State Government Agencies is required.
  • Demonstrated success closing complex business opportunities with Federal Government Agencies with total contract values of $50 million or more.
  • Experience in bid and proposal efforts for Federal/State contracts for business development and capture management.
  • Experience and understanding of the Government procurement process and Government contracting terms and requirements.
  • Ability to work independently and in a team environment.
  • Ability to operate autonomously and deliver results.
  • Strong interpersonal skills to communicate effectively with a diverse group of stakeholders.
  • Strong organizational, quality, and project management skills, including the ability to handle multiple competing tasks and priorities.
  • Strong verbal, written, and presentation skills.
  • Industry knowledge and experience understanding healthcare claims, adjudication, and support processes, which may include payment accuracy/program integrity, coordination of benefits, fraud/waste/abuse, quality improvement, risk adjustment, and consumer engagement (population health).
  • Industry knowledge and experience understanding healthcare business applications, workflow and enrichment, and interoperability, such as EDI/FHIR gateway products and solutions.
  • Proficiency with Microsoft Office Suite, including Word, Excel, and PowerPoint.
  • Experience with sales/pipeline management tools.
  • Willingness to travel at least 25% as needed.
  • Ability to solve problems and think critically, complete tasks independently, make timely decisions in a workflow, maintain focus, and assess work for accuracy, neatness, and thoroughness.
  • Ability to remain stationary, often standing or sitting for prolonged periods, and perform repetitive motions that may involve the wrists, hands, and/or fingers.
  • Ability to provide a dedicated, secure work area, high-speed internet access/connectivity, and office setup and maintenance.
  • Ability to perform duties with or without reasonable accommodation.

Responsibilities

  • Devise and execute strategy for new business opportunities and customers in the Federal Government Healthcare and State Government Healthcare markets, driving increased revenue through new contract awards.
  • Perform business development and capture activities to advance opportunities from identification through close, including developing sales strategy and executing sales plans for VA, DHA, CMS, and/or State Government Agencies.
  • Achieve assigned individual sales revenue targets (quota) for assigned Federal/State Agency focus areas.
  • Develop and maintain relationships with key target customers and industry partners in assigned agencies and areas.
  • Support proposals, including win strategy and proposal writing, and potentially lead responses and writing for requests for information.
  • Participate in tradeshows, conferences, and seminars.
  • Understand customer needs and unique requirements while promoting services, solutions, and products that meet those needs.
  • Build teaming-partner relationships through outreach, discussions, and presentations.
  • Maintain knowledge of company services, solutions, and products.
  • Develop and maintain an overall account plan for assigned agencies and areas.
  • Build and maintain an opportunity pipeline in the company sales tool, and provide periodic pipeline and opportunity briefings and reviews, as well as sales forecasts.
  • Provide regular updates to company executives and sales management.
  • Collaborate with the internal organization to develop new business and maintain existing business.
  • Maintain an understanding of market drivers and trends, competitive conditions, customer needs, and emerging opportunities.
  • Lead new-business sales and competitive recompetition/renewal business development and capture processes for assigned accounts, including responses to proposal requests.
  • Complete responsibilities outlined in the annual performance review and/or goal setting.
  • Complete special projects and other assigned duties.

Desired Qualifications

  • A master's degree is preferred.
  • Business knowledge of and relationships with other Federal/State Health Agencies, including Health and Human Services and/or State Government Agencies.
  • Previous program delivery/management experience.
  • Previous sales leader/growth team management experience.

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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