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Senior Program Manager, Risk Adjustment

Senior Program Manager, Risk Adjustment

Utah StaffingSouth Jordan, UT, US
5 hours ago
Job type
  • Full-time
Job description

Senior Program Manager, Risk Adjustment

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 :

  • 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.

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.
  • 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.
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    Senior Program Manager • South Jordan, UT, US