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Cotiviti
Cotiviti
5,001 – 10,000 कर्मचारी
H1B वीज़ा प्रायोजकपरामर्शलॉजिस्टिक्सस्वास्थ्य सेवा
Cotiviti एक स्वास्थ्य सेवा प्रौद्योगिकी और विश्लेषण कंपनी है, जो स्वास्थ्य योजनाओं, सरकारी एजेंसियों और स्वास्थ्य सेवा प्रदाताओं को भुगतान की सटीकता, परिचालन प्रदर्शन और देखभाल की गुणवत्ता में सुधार करने में सहायता करती है। इसके डेटा-आधारित समाधान जोखिम समायोजन, भुगतान नीति प्रबंधन और सदस्यों की सहभागिता में मदद करते हैं। ये समाधान जटिल स्वास्थ्य सेवा संबंधी जानकारी को ऐसी अंतर्दृष्टियों में बदलते हैं, जो पूरे स्वास्थ्य सेवा तंत्र में वित्तीय और चिकित्सीय परिणामों को बेहतर बना सकती हैं।
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कंपनी की नौकरियाँ

VP Sales, Pharmacy Claim Editing Solutions – U.S. Remote

Lead new-logo sales for Cotiviti’s pharmacy claim editing and payment accuracy solutions across the United States. Sell complex healthcare software and services to health plans, TPAs, PBMs, and self-funded employers.

USसंयुक्त राज्य
$1,45,000 – $1,90,000 / वर्ष
रिमोटपूर्णकालिकलीडआवश्यक भाषा: अंग्रेज़ीबिक्री

विवरण

  • Create and execute a new-business sales strategy for Cotiviti’s Pharmacy Claim Editing and Accuracy solutions across an assigned U.S. territory.
  • Identify, qualify, and close opportunities with health plans, payer-owned PBMs, TPAs, and self-funded plan administrators.
  • Build senior-level relationships across health plan, TPA, pharmacy operations, claims, payment integrity, compliance, finance, procurement, and benefits functions.
  • Manage complex sales cycles involving pharmacy claim accuracy, payment integrity, ROI, savings validation, performance guarantees, and software-plus-services agreements.
  • Create territory and account plans informed by pharmacy market conditions, customer priorities, and competitive factors.
  • Partner with Product, Clinical Pharmacy SMEs, Legal, and Implementation teams on solution positioning, executive business cases, RFPs, procurement, and value propositions.
  • Track competitor activity, pricing movements, and market developments in pharmacy claim accuracy and claims auditing.
  • Represent Cotiviti at pharmacy conferences, industry events, and executive briefings.
  • Maintain accurate CRM records, pipeline oversight, forecasts, and opportunity tracking.
  • Keep sales leadership informed about pipeline health, forecast exposure, market intelligence, and customer feedback.
  • Conduct sales activities in accordance with Cotiviti policies, compliance requirements, contracting standards, budgets, and performance plans.
  • Assess market conditions, competitive dynamics, customer needs, and trends, then recommend ways to pursue opportunities.
  • Suggest enhancements to sales and service delivery programs and processes.
  • Handle special projects and other assigned responsibilities.

आवश्यकताएँ

  • Bachelor’s degree or equivalent relevant experience in healthcare, business, marketing, or a related discipline.
  • 12–15 years of enterprise healthcare hunting sales experience.
  • At least 5 years selling to health plans, TPAs, or pharmacy benefit organizations; 7 or more years preferred.
  • Demonstrated success selling pharmacy claim editing, payment accuracy, utilization management, or related prescription-drug industry services.
  • Sales experience with at least two segments, such as commercial health plans, Medicare Advantage or Part D plans, Medicaid MCOs, payer-owned PBMs, TPAs, or self-funded employers.
  • Track record of closing contracts valued from hundreds of thousands to multiple millions of dollars.
  • Extensive experience engaging C-suite, SVP, and VP decision-makers within payer and TPA organizations.
  • Strong knowledge of pharmacy claims processing and adjudication across retail, mail-order, and specialty channels.
  • Understanding of NCPDP standards, benefit design, clinical edits, formulary management, and AWP, WAC, MAC, and NADAC pricing methods.
  • Familiarity with Medicaid pharmacy programs and commercial pharmacy benefits.
  • Familiarity with Medicare Part D payment integrity, CMS compliance, and rebate/DIR dynamics.
  • Understanding of self-funded and ASO pharmacy benefit structures, TPA operating models, and CAA fiduciary and transparency obligations.
  • An established executive network within health plan or TPA pharmacy organizations is strongly preferred.
  • Expertise in enterprise sales practices and structured closing methodologies.
  • Strong financial judgment with the ability to explain ROI, realized savings, and value-based pricing.
  • Highly organized, self-motivated, and effective in a remote, fast-growing environment.
  • Excellent verbal, written, and presentation abilities for executive audiences.
  • Ability to coordinate complex pursuits and internal deal teams.
  • Experience with Salesforce, Microsoft Dynamics, or a comparable CRM.
  • Willingness and ability to travel 40–60%.
  • Strong analytical, research, prospecting, interpersonal, oral, and written communication skills.
  • Ability to perform daily responsibilities with minimal or no direct supervision.
  • Ability to maintain a dedicated, secure workspace.
  • Ability to supply high-speed internet connectivity and maintain the required office setup.

लाभ

  • Eligible for commission compensation.
  • Medical, dental, vision, disability, and life insurance coverage.
  • 401(k) savings plan.
  • Paid family leave.
  • Nine paid holidays annually.
  • 17–27 days of paid time off per year, based on level and length of service.
  • Remote work arrangement.
  • Virtual interview process.
  • Team member provides a dedicated secure workspace, high-speed internet, and office setup and maintenance.

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