- Bachelor's degree in business, computer science, information technology, or equivalent professional experience required; Master of Business Administration degree preferred.
- Strong understanding of claims data, how data is stored in analytical platforms, and how to use and apply claims data in the validation of payment accuracy concepts and other projects.
- Must be self-motivated and passionate about creating solutions for diverse and challenging healthcare problems, including the ability to understand data, analytics and user needs across different client types and translate those needs into specific product requirements that will deliver customer value.
- Demonstrated success defining market strategy and leading product management for successful market-facing products. Pragmatic Marketing or other similar certification strongly desired.
- Demonstrated success defining product roadmaps, prioritizing features based on market value and leading development and launch of new products and product enhancements.
- Strong understanding of the tenets of health insurance, the managed care model, Commercial, Medicare & Medicaid rules, industry coding/policy standards, the claim adjudication process, and issues related to fraud waste and abuse; Ability to apply this knowledge to the development & evaluation of new initiatives and lead the team strategy toward best practices. OR, Developing and maintaining and understanding of the basic tenets of retail auditing and our clients to develop and evaluate new initiatives and best practices.
- Experience working in a software development environment; healthcare experience preferred. Agile experience preferred. Experience with software and product development lifecycles.
- Proactive leader with proven experience in strategic and tactical leadership with the ability to to create momentum for a team with minimal oversight and direction.
- Applies knowledge, skills, tools and techniques to execute projects effectively and efficiently in alignment with organizational competencies and strategic business goals. Ability to articulate and document a scope, process, accountable owners and project milestones and timelines. Includes summarizing project health and outcomes at any point in the project lifecycle.
- Strong ability to appropriately summarize and effectively communicate complex concepts & varied data sets to inform stakeholders, gain approval, or prompt actions; Applies to multiple audiences ranging from the analyst to executive level; Includes oral & written communication and multimedia presentation.
- Excellent written and verbal communication skills; experience communicating with individuals of all backgrounds and areas of expertise. Ability to influence other departments to ensure deliverables are accomplished.
MINIMUM QUALIFICATIONS:
- Minimum 6 years' experience, with increasing levels of responsibility and oversight, managing Product Management, Operations, or Professional Services teams.
- Minimum 4 years' experience preferred in healthcare industry with previous leadership experience in appropriate domain, strong personnel management, presentation skills, customer (internal/external) problem diagnostics and solution design.
- 3+ years' experience with healthcare data and analysis including business intelligence (data visualization and dashboarding, Tableau, etc.).
- Experience working in a software development environment; healthcare experience preferred. Agile experience preferred.
- Experience with software and product development lifecycles.
- Proficient with Microsoft Office Suite (Word, Excel, Power Point).
- Strong analytical and problem solving ability.
- Professional with 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.
- Willingness to travel up to 15-20% of the time.
- Must be able to sit and use a computer keyboard for extended periods of time.
- Must be able to lift up to 20 lbs. without assistance.
- After hours / weekend work required where necessary for major deliverables / deadlines (not consistent).
- Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
MENTAL REQUIREMENTS:
- The intellect and energy to excel in a complex and ever-changing environment, coupled with the poise and ability to act calmly in high-pressure, high-stress situations.
- Communicating with others to exchange information.
- Problem-solving and thinking critically.
- Completing tasks independently.
- Interpreting data.
- Making timely decisions in the context of a workflow.
- Maintaining focus.
- 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 high-speed internet access / connectivity and office setup and maintenance.
- Must be able to provide a dedicated, secure work area.
- No adverse environmental conditions expected.
Base compensation ranges from $135,000 to $160,000 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.
Date of posting: 05/28/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 07/28/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
Since this job will be based remotely, all interviews will be conducted virtually.
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