Talent.com
Senior Program Manager, Risk Adjustment
Senior Program Manager, Risk AdjustmentCotiviti • Fresno, CA, US
[error_messages.no_longer_accepting]
Senior Program Manager, Risk Adjustment

Senior Program Manager, Risk Adjustment

Cotiviti • Fresno, CA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Sr Program Manager, Operations

The Sr Program Manager, Operations will partner directly with the assigned Client Executive, retrieval, coding, and reporting team leads, and will focus on the execution and delivery of the Cotiviti Risk Adjustment Products and Services for enterprise-level accounts. The Sr Program Manager, Operations will directly own assigned accounts and is responsible for overseeing all aspects of our engagement for our Risk Adjustment solution set. The Sr Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti clients.

Responsibilities

  • Accountable for ensuring the successful delivery of products and services to assigned clients within the Cotiviti Risk Adjustment Portfolio. This will require the Sr Program Manager to partner very closely with the assigned Client Executive, retrieval, coding, and reporting team leads, as well as other teams across the organization.
  • 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.
  • Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
  • Responsible and accountable for ensuring that the costs / expenses of managing clients are aligned with the anticipated revenue.
  • Responsible for tracking and reporting on client contractual SLA's.
  • Accountable for driving the value of our products and solutions within the assigned customer's account, ensuring the client receives ROI for their investment. Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues.
  • Complete all responsibilities as outlined on annual performance review and / or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

  • Bachelor's degree is required, Relevant Master's Degree preferred.
  • A minimum of 7 years of health care industry experience with a health plan or vendors of data analytics or claims processing technologies.
  • A minimum of 5 years of successful client / program management.
  • A minimum of 3-5 years of experience in the Risk Adjustment space.
  • Demonstrated experience managing the deliverables of a large client dealing with a broad range of services. Ability to foster relationships at the appropriate level within the Client organization and take full accountability for managing client escalations.
  • Proven ability to handle stressful situations, multiple tasks, and deadline pressures. Formal training in enterprise project management methods and process management experience preferred.
  • Outstanding presentation and communication skills. Proven success in preparing and delivering presentations that convey information critical to the audience and adjusting to meet changing audience needs. Ability to listen and understand information and ideas, whether presented verbally or written.
  • Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills. Able to interact easily and appropriately with internal and external individuals with a professional demeanor. Ability to follow up on outstanding tasks / deliverables.
  • Experience leading, training, and managing a team with strong organizational skills. Ability to lead cross-functional internal teams to execute on complex tasks in a growing and changing environment.
  • Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must.
  • Deep knowledge of Project Management.
  • Willingness / availability to travel up to ~15% is required.
  • Mental Requirements :

  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
  • Physical Requirements and Working Conditions :

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and / or fingers.
  • Must be able to provide a dedicated, secure work area.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
  • No adverse environmental conditions are expected.
  • Base compensation ranges from $100,000 to $140,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

    Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, 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. For information about our benefits package, please refer to our Careers page.

    [job_alerts.create_a_job]

    Senior Program Manager • Fresno, CA, US

    [internal_linking.similar_jobs]
    M&A Program Manager

    M&A Program Manager

    VirtualVocations • Fresno, California, United States
    [job_card.full_time]
    A company is looking for a M&A Program Manager to support the execution of acquisitions, integrations, and divestitures.Key Responsibilities : Support the planning and execution of M&A and divesti...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Manager, Revenue Cycle Management

    Manager, Revenue Cycle Management

    Navista • Fresno, CA, US
    [job_card.full_time]
    Manager, Revenue Cycle Management.The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstandin...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Manager of Operations, Sub Acute Program

    Manager of Operations, Sub Acute Program

    Community Health System • Fresno, California, USA
    [job_card.full_time]
    All positions are located in Fresno / Clovis CA.We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now.Toda...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel PACU / Operating Room RN

    Travel PACU / Operating Room RN

    Olaro • Hanford, CA, US
    [job_card.full_time]
    Olaro is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Hanford, California.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours per wee...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Certified Occupational Therapy Assistant

    Travel Certified Occupational Therapy Assistant

    Medical Solutions Allied • Hanford, CA, US
    [job_card.full_time]
    Medical Solutions Allied is seeking a travel Certified Occupational Therapy Assistant for a travel job in Hanford, California. Job Description & Requirements.Certified Occupational Therapy Assis...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Claims Examiner I

    Senior Claims Examiner I

    AmTrust Financial • Fresno, CA, United States
    [job_card.full_time]
    Transitional Senior Claims Examiner.This specialized, full-time role is designed for seasoned professionals who can step in to manage open desks or oversee pending claims during an adjuster's leave...[show_more]
    [last_updated.last_updated_30] • [promoted]
    OBGYN Program Director

    OBGYN Program Director

    Saint Agnes Medical Center • Fresno, CA, US
    [job_card.full_time]
    Saint Agnes Medical Providers (SAMP).OBGYN Residency Program Director in Fresno, California.Our practice is affiliated with Saint Agnes Medical Center (SAMC) which has been voted Best Regional Hosp...[show_more]
    [last_updated.last_updated_30] • [promoted]
    SLS / ILP Program Manager

    SLS / ILP Program Manager

    Family Options llc • Fresno, CA, US
    [job_card.permanent]
    The Case Manager Supervisor is primarily responsible for monitoring all aspects of the service delivered.Family Options offers family in-home services and support to adults with developmental disab...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager II

    Program Manager II

    The ARC Fresno Madera Counties • Fresno, CA, US
    [job_card.full_time]
    To administer and monitor all aspects of the daily operation of the program and to ensure that the goals and objectives for each client enrolled in the program are addressed through the delivery of...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - ED - Emergency Department

    Travel Nurse RN - ED - Emergency Department

    Anders Group • Hanford, CA, US
    [job_card.full_time]
    Anders Group is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Hanford, California.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Manager Operational Resilience-Readiness

    Manager Operational Resilience-Readiness

    Community Medical Centers • Fresno, CA, US
    [job_card.full_time]
    Manager Of Operational Resilience And Readiness.All positions are located in Fresno / Clovis CA.We got our start 125 years ago as a boarding house and medical facility for people traveling in Central...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Risk Management Director

    Risk Management Director

    Santa Rosa Rancheria • Lemoore, CA, US
    [job_card.full_time]
    Bachelor’s degree in safety / risk management or similar fields such as Occupational Health and Safety, Environmental Health and Safety. Safety / Risk management, emergency response, Gaming Indust...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Manager - Phoenix Landing

    Program Manager - Phoenix Landing

    RH Community Builders • Fresno, CA, US
    [job_card.full_time]
    The Program Manager directs and coordinates all daily operations with the collaboration of the Executive Team.Provide vision and leadership in long-range planning to ensure continuity of the progra...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Director / Sr.Manager - Clinical GCP Quality

    Associate Director / Sr.Manager - Clinical GCP Quality

    Immix Biopharma (Nasdaq : IMMX) • Fresno, CA, US
    [job_card.full_time]
    The Clinical GCP Quality lead will provide Quality oversight of clinical development programs to ensure compliance with ICH GCP and FDA regulatory requirements. The role will actively support clinic...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director Practice Management

    Director Practice Management

    Community Health System • Fresno, California, USA
    [job_card.full_time]
    All positions are located in Fresno / Clovis CA.We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now.Toda...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Program Manager Non Tech

    Program Manager Non Tech

    IFG - International Financial Group • Fresno, CA, US
    [job_card.full_time]
    This role presents an exciting opportunity to contribute to impactful projects and initiatives while honing your skills in communications and program management within a dynamic corporate environme...[show_more]
    [last_updated.last_updated_30] • [promoted]
    PMP Certified Program Manager

    PMP Certified Program Manager

    VirtualVocations • Fresno, California, United States
    [job_card.full_time]
    A company is looking for a Sr Program Manager to lead strategic programs and large-scale enterprise projects.Key Responsibilities Lead and manage large-scale enterprise-wide programs, ensuring ad...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Manager

    Program Manager

    Mental Health Systems, Inc. • Fresno, CA, US
    [job_card.full_time]
    Our organization embraces the tenets of client-centered care, and our core values.We hire exceptional individuals seeking meaningful opportunities in a purpose-driven environment.Overall program ma...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]