Operations Administrator (CCV Selections Team)

Cotiviti; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in the healthcare sector is seeking a Selections Operations Administrator to join their Clinical Content and Enablement Team. This role involves ensuring adherence to selection operations processes, managing administrative tasks, and serving as a key point of contact for stakeholders. Candidates should exhibit strong organizational and communication skills, with a focus on detail and critical thinking. High School Diploma required, with preference given to candidates holding an Associate's or Bachelor's degree. Working hours are Monday to Friday during the day, offering flexibility and the possibility to work remotely.

Benefits

Medical, dental, vision, disability, and life insurance coverage

401(k) savings plans

Paid family leave

Paid Time Off (17-27 days per year)

Qualifications

• Experience in Healthcare Systems and Operations preferred.
• Intermediate - advanced skills with MS Excel required.

Responsibilities

• Generate selection files and configure clinical payment policies.
• Assist in monitoring selection mailings and maintain trackers.

Skills

Critical thinking

Attention to detail

Organizational skills

Communication

Active listening

Flexibility

Education

High School Diploma

Associate's or Bachelor’s Degree (preferred)

Tools

MS Excel

Microsoft Office Suite

Job description

Overview

TheSelections Operations Administratoris a member of the Clinical Content and Enablement Team that isresponsible for supporting selections operations. This individual will ensure that all Selections Operations processes are adhered to, individual metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail. Theindividualin this role will have specific responsibilities for the administrative tasks associated with Selections and Exclusions. This position is scheduled to work Monday-Friday daytime schedule.

Responsibilities

Administrative tasks

• Primary role –
  • QA and generation of selection files
  • Client configuration of Clinical Payment Policies and exclusions
  • Assist with maintenance and monitoring of selection mailings
• Other Team Tasks
  • Work in several selections tools and trackers
  • Monitor incoming files
  • Serve as a point of contact for other CCV selections stakeholders through the Claim Selection process
  • Maintenance and monitoring of selection trackers
  • Reporting and Tracking for the team and other CCV stakeholders
  • Provider administrative support for the Clinical Content and Enablement team
  • Other duties as assigned

Qualifications

• Consistent and effective critical thinking skills required.
• Strict attention to detail in actions and documentation.
• Strong organizational skills (including a commitment to thorough documentation of results).
• Strong written and verbal communication skills in person as well as with remote and international resources.
• Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications.
• Positive and helpful demeanor in interactions with all internal/external stakeholders.
• Active listening skills.
• Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines. (this role has changing priorities throughout the day)
• Ability to maintain strict confidentiality in all communications involving sensitive information and algorithms
• Must be driven and a self-starter.
• Must be flexible and willing to adapt to an ever-changing environment.
• Professional with the ability to properly handle confidential information
• Ability to work well independently and in a team environment.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Ability to work within a matrix organization
• Exhibits behaviors consistent with Cotiviti Values.

Minimum Qualifications:

• High School Diploma or equivalent required; Associate's or Bachelor’s Degree preferred
• Healthcare Systems and Operations experience preferred
• Works with a sense of urgency; ability to switch gears and change focus
• Must possess intermediate - advanced skills with MS Excel (advanced formulas, vlookups, etc. required)
• Proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)
• Excellent written and verbal communication skills.

Job Demands

• This is a work at home position, with the option to work at one of our offices once normal social engagement practices resume.
• Access to high-speed internet is required (all other equipment will be provided).
• Must be able to sit and use a computer keyboard for extended periods of time
• Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
• After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent)
• Required hours Monday - Friday... daytime schedule

Base compensation ranges from $17.80 to $25.00/hour.Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

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.

Date of posting: 5/30/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/30/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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