Note: The job is a remote job and is open to candidates in USA. Cotiviti works with more than 200 healthcare payers and health systems to deliver higher-performing payment accuracy and quality improvement programs. The Implementation Director will guide the delivery of services and technology to clients by managing implementation activities from pre-sales support through production verification.
Responsibilities
- Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan:
- Identify and initiate joint company and client teams to complete pre-sales and/ or implementation opportunity analysis, establish medical policy, integrate applications, establishing invoicing, test configuration and interface, train end users and to communicate to internal and external audiences
- Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings
- Establish project plan based on scope of services
- Ensure company and client buy-in to project plan and milestones
- Ensure work of each company and client committees progress as scheduled against the plan
- Serve as a key collaboration catalyst, coordinating and documenting strategic meetings across medical policy, technology, communication, finance, and testing domains to ensure seamless cross-functional alignment
- Ensure follow-through against commitments made by company and client resources
- Identify, track and ensure closure of all implementations related issues across all aspects of delivery
- Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis
- Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality
- Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix
- Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period such as: executive leadership, medical policy, claims operations and grievance / appeals, provider relations, corporate communications, information technology, and Finance/actuarial
- Serve as the key day-to-day client contact to present a consistent primary point of contact for the company
- Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit
- Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily
- Ensure client operational cycles are understood and supported by company
- Integrate and effectively transition to Client Service Manager to provide a seamless transfer for on-going business support
- Integrate and effectively transition to Network Operations to ensure seamless transfer for on-going technology support
- Undertake process and departmental improvement projects identified individually, as a team or as assigned by the Implementation Services VP and/or AVP
- Coordinate process improvement initiatives with other team members and organizational components
- Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction
- Complete all responsibilities as outlined in the 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
- Other responsibilities as assigned
Skills
- Bachelor's Degree
- 5+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery
- Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project)
- 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
- Ability to work within a matrix organization
- Excellent written and verbal communication skills
- Must have ability to positively handle/manage stress, such as high work volume and frequent change
- Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones
- PMP Certification
- Health Claims system knowledge on any of the following: Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare
Benefits
- 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
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
- Discretionary bonus consideration
Company Overview
Company H1B Sponsorship