C

Cotiviti

Catches billing errors for health insurers

Senior Program Manager - Healthcare Pilots and Proof of Concepts

Program ManagementPosted on Nov 12
Full-timeRemote in USA$115k - $120k /yr

About the Job

Requirements

  • A bachelor's degree in Business, Healthcare Administration, Project Management, or a related field.
  • Four to six years of program or project management experience in healthcare technology and/or payer/provider environments.
  • Experience managing or coordinating client-facing technology implementation projects involving data integration, workflow design, or analytics platforms.
  • Demonstrated experience managing cross-functional projects of moderate scope involving multiple stakeholders.
  • Strong understanding of project management methodologies, including Agile, Waterfall, or hybrid approaches.
  • Ability to manage multiple concurrent projects and remain organized.
  • Strong written and verbal communication skills for diverse audiences.
  • Proficiency with project management tools such as Monday.com, Jira, Smartsheet, or MS Project.
  • Experience creating and presenting executive-level status reports and dashboards.
  • Ability to analyze project issues, work through moderately ambiguous situations, recommend solutions, and escalate decisions when appropriate.
  • Ability to independently manage multiple client-facing pilots and proof-of-concept initiatives with minimal oversight.
  • Ability to lead stakeholder meetings, maintain accurate project plans, anticipate and address risks and dependencies, and drive follow-through across senior internal and external stakeholders.
  • Ability to provide a dedicated, secure work area and high-speed internet access.

Responsibilities

  • Manage assigned healthcare IT pilot and proof-of-concept projects using established implementation methodologies, processes, and governance requirements.
  • Develop and maintain project plans based on approved scope, timelines, milestones, resource requirements, and success criteria.
  • Coordinate project activities across Product, Engineering, Implementation, Data Analytics, Customer Success, and other participating teams.
  • Manage assigned pilots within defined product lines or customer accounts.
  • Identify project risks and issues, recommend mitigation options, and escalate matters requiring leadership decisions.
  • Identify resource needs and coordinate staffing requests with functional leaders.
  • Communicate project status, milestones, risks, and dependencies to client stakeholders and internal teams.
  • Prepare project status reports, dashboards, risk assessments, and summaries for leadership review.
  • Facilitate project kickoffs, milestone reviews, readiness assessments, and other working sessions.
  • Track pilot outcomes against established success metrics and key performance indicators.
  • Document lessons learned, best practices, and reusable templates for future pilots.
  • Provide implementation information and project results to support Sales during transitions to production.
  • Contribute to business cases addressing pilot results, return on investment, and value realization.
  • Contribute to the continued improvement of implementation methodologies, templates, playbooks, and governance frameworks.
  • Conduct post-implementation reviews and recommend improvements for future deployments.
  • Complete responsibilities outlined in the annual performance review and/or goal setting, along with special projects and other assigned duties.
  • Perform duties with or without reasonable accommodation.

Desired Qualifications

  • PMP, PgMP, or similar project/program management certification.
  • Experience in healthcare technology, health plans, or the healthcare analytics industry.
  • Familiarity with risk adjustment, quality measurement, or member engagement solutions.
  • Experience managing pilot programs or proof-of-concept initiatives.
  • Background working with Sales teams on customer-facing initiatives.
  • Experience with Monday.com or similar work management platforms.
  • Understanding of healthcare data, analytics, and implementation processes.

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

Recently Posted Jobs

Explore more opportunities at Cotiviti

See more jobs