Job description
Overview:
This position is focused on the Clinical Chart Validation (CCV) line of business/clients. Responsibilities:
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The
Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth. This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti as a partner. The CSM’s goals are to ensure that existing clients recognize the value of Cotiviti’s solutions and to sustain/grow the client relationship.
This position is focused on the Clinical Chart Validation (CCV) line of business/clients.
- Manages the operational execution of the auditing program by working with the client operational managers, provider services managers, network managers, claims managers, member services managers, and IT managers.
- Works closely with the Senior Client Services Manager and Director, Client Services to serve as a primary account manager for all levels of client contacts for large and/or multiple accounts. Identifies important trends by monitoring and investigating processing and financial / savings data, communicates to others both internally and externally through formal processes and executes action plans where necessary.
- Develops, contributes, and/or manages projects, process improvements, and strategic initiatives consisting of cross-functional and cross-company teams that include: Provider/payer communication efforts, all Cotiviti and client systems, and all miscellaneous ad hoc requests from the client.
- Acts as the client’s subject matter expert for all Cotiviti -related activities.
- Presents the operational results to all levels of client and internal contacts during regularly scheduled meetings.
- Regularly works with the Cotiviti and client operational teams on all open action items.
- Assists with the design and communication of all client-facing reporting that is specific for each client.
- Assists with the identification and creation of solutions for invoicing challenges. Ensures client-specific production metrics and expectations are achieved.
- Participates in strategic initiatives for the business.
- Assists with the coordination of all functions of onsite provider and client visits and relays key objectives to the operational team.
- Participates in the sales process for the purpose of ensuring contract term expectations result in a successful client experience.
- Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels
- Project Management skills - Strong organizational and planning skills
- Results driven with focus on producing high-quality, error free service and deliverables
- Industry knowledge & experience - Understanding of healthcare claims adjudication and support processes
- Proficient with Microsoft Office Suite (Word, Excel, Power Point)
- Ability to work within a matrix organization
- 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
- Excellent written and verbal communication skills, including public speaking
Minimum Qualifications
- Bachelor’s Degree required in related area including but not limited to Health Information Management, Nursing, or Management.
- Minimum four years of related healthcare experience required including operations experience in healthcare consulting, provider relations, network management, or claims operations.
- Minimum one year of related project management experience required including management of client deliverables.
- Excellent presentation skills required including the ability to present and interact at the C-level with internal stakeholders, clients, and providers.
Job Demands
- Travel requirement up to 10%. Although currently, all staff are working remotely and not traveling....this will change over time.
- After hours and/or weekend work may be required where necessary for major deliverables /deadlines.
- 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
- For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well.
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