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Senior Program Manager, Risk Adjustment
Senior Program Manager, Risk AdjustmentCotiviti • Fresno, CA, US
Senior Program Manager, Risk Adjustment

Senior Program Manager, Risk Adjustment

Cotiviti • Fresno, CA, US
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  • [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.

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