Talent.com
Senior Program Manager, Risk Adjustment

Senior Program Manager, Risk Adjustment

CotivitiNew Orleans, LA, US
3 days ago
Job type
  • Full-time
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.

    Create a job alert for this search

    Senior Program Manager • New Orleans, LA, US

    Related jobs
    • Promoted
    Program Manager

    Program Manager

    InsideHigherEdNew Orleans, Louisiana, United States
    Full-time
    Program ManagerSOM Chief Business Officer.The office of the Chief Strategy Officer focuses on business operations crucial to the ongoing functions of the SoM, including : Research Business Developme...Show moreLast updated: 30+ days ago
    SR. CREDIT MANAGER

    SR. CREDIT MANAGER

    GpacMandeville, Louisiana, United States
    Full-time
    Quick Apply
    A local Community Bank is searching for a professional who is ready to excel in their banking career as a Sr.Credit Manager with room for growth into Chief Credit Officer or Chief Risk Officer pote...Show moreLast updated: 30+ days ago
    • Promoted
    Sr. Product Lead - Accident Management

    Sr. Product Lead - Accident Management

    AgeroNew Orleans, LA, US
    Full-time
    Product Lead - Accident Management.As a Senior Product Lead, Accident Management, you'll take the reins of shaping the future of accident management products and services at Agero.In this key produ...Show moreLast updated: 3 days ago
    • Promoted
    Director of Quality and Risk Management Full Time

    Director of Quality and Risk Management Full Time

    jobflurryNew Orleans, Louisiana, United States
    Full-time
    Director of Preconstruction – Electrical Contracting Employment Type : .Full-Time, On-Site / Hybrid Electrical Construction / Commercial Projects Salary Range : 135K-165K full benefits and car allowance...Show moreLast updated: 15 days ago
    • Promoted
    Product Manager - Enrichment

    Product Manager - Enrichment

    RelativityNew Orleans, LA, United States
    Full-time
    AtRelativity, we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...Show moreLast updated: 30+ days ago
    • Promoted
    Traveling Project Safety Manager - MSG - Data Centers

    Traveling Project Safety Manager - MSG - Data Centers

    Turner ConstructionHarahan, LA, United States
    Full-time +1
    Critical Facilities-Data Centers.Environmental Health and Safety.This position is for a fulltime traveling assignment.Locations are across the United States supporting our Data Center or EV project...Show moreLast updated: 2 days ago
    • Promoted
    Lead Credit Manager, Fraud

    Lead Credit Manager, Fraud

    TiltNew Orleans, LA, US
    Full-time
    Credit Manager - Credit : Card Growth.Tilt is searching for a strategic fraud leader to protect customers and our card portfolio while enabling smart growth. You'll set the end-to-end fraud strategy ...Show moreLast updated: 1 day ago
    • Promoted
    Sr ERM Analyst

    Sr ERM Analyst

    HealthEquityNew Orleans, LA, US
    Full-time
    Senior Erm Analyst (Operational Risk).HealthEquity's Enterprise Risk Management (ERM) Team leads delivery of the firm's ERM Program, which works with teams firmwide, to manage (i.The two comprise H...Show moreLast updated: 2 days ago
    • Promoted
    Program Manager Non Tech

    Program Manager Non Tech

    IFG - International Financial GroupNew Orleans, LA, US
    Full-time
    Program Manager Non Tech 2 (Supply Chain Planning PM).This role is a contract opportunity for a mid-level position, fully remote within the domestic US sourcing. The workplace is fully remote, requi...Show moreLast updated: 3 days ago
    • Promoted
    Program Manager

    Program Manager

    Syner-G BioPharma GroupNew Orleans, LA, US
    Full-time
    Syner-G BioPharma Group is a science-led, strategic partner for life science companies.We provide integrated regulatory and biopharmaceutical development services spanning early development to post...Show moreLast updated: 3 days ago
    Director of Programs

    Director of Programs

    Florida Parishes Juvenile Detention CenterCovington, LA, USA
    Full-time
    Quick Apply
    If you are a licensed LCSW or LPC and are looking to direct a program that impacts the outcomes of at-risk youth in the Northshore area, this could be the role for you!. The Director of Programs is ...Show moreLast updated: 3 days ago
    • Promoted
    Xray Tech - Kenner (Days, 3-12's)

    Xray Tech - Kenner (Days, 3-12's)

    Ochsner Health SystemKENNER, Louisiana, United States
    Full-time
    We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,. At Ochsner, whether you work with patients.Come make a ...Show moreLast updated: 30+ days ago
    Program Manager

    Program Manager

    Stahl CompaniesNew Orleans, Louisiana, US
    Full-time
    Quick Apply
    STAHL Companies provides the Program Management for its Channel of Commercial Technology companies in Government that consist of Small Businesses and New Technology start-ups.STAHL advocates for po...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    Senior Program Management Specialist Space Launch Systems

    Senior Program Management Specialist Space Launch Systems

    Louisiana StaffingNew Orleans, LA, US
    Permanent
    Senior Program Management Specialist (Level 5).At Boeing, we innovate and collaborate to make the world a better place.We're committed to fostering an environment for every teammate that's welcomin...Show moreLast updated: 4 hours ago
    • Promoted
    Audit Project Manager Senior - Bank Operations

    Audit Project Manager Senior - Bank Operations

    First Horizon BankNew Orleans, LA, US
    Full-time
    Location : Onsite at location listed.Primarily responsible for completing audit engagement assignments with minimal supervision. The Audit Project Manager II is expected to : .Essential Duties and Resp...Show moreLast updated: 30+ days ago
    Governance Risk and Compliance Manager

    Governance Risk and Compliance Manager

    In-TelecomSidell, LA, US
    Full-time
    Quick Apply
    We are seeking a Cybersecurity & Compliance Manager to lead and develop our cybersecurity & compliance team.In this role, you will oversee governance, risk, and compliance programs across multiple ...Show moreLast updated: 2 days ago
    • Promoted
    Risk Governance Lead - Lending Platforms

    Risk Governance Lead - Lending Platforms

    First Horizon BankNew Orleans, LA, US
    Full-time
    On site at Memphis, TN; New Orleans, LA; Raleigh, NC; Charlotte, NC; Jacksonville, FL.This role requires associates to work in person at a First Horizon Bank location within the bank's operational ...Show moreLast updated: 25 days ago
    • Promoted
    Senior Program Manager

    Senior Program Manager

    InsideHigherEdNew Orleans, Louisiana, United States
    Full-time
    Senior Program ManagerEpidemiology.The Senior Program Manager works in partnership with faculty and staff members of the Center for Lifespan, Tulane Personalized Health Institute, Tulane Obesity Re...Show moreLast updated: 30+ days ago