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Cotiviti is a healthcare technology and analytics company that helps health plans, government agencies, and healthcare providers improve payment accuracy, operational performance, and care quality. Its data-driven solutions support risk adjustment, payment policy management, and member engagement, turning complex healthcare information into insights that can strengthen both financial and clinical outcomes across the healthcare ecosystem.
Client Services Manager, Healthcare — Cotiviti | Remote, United States
Manage healthcare client relationships, payment policy implementation, reporting, training, and cross-functional delivery for Cotiviti’s payment integrity products. Support client satisfaction, retention, growth, and operational performance in a remote U.S. role.
Description
- Lead cross-functional client teams supporting plans, revenue retention, satisfaction, and growth for Prospective Payment PPM and CV products
- Act as the primary client contact, trusted advisor, internal and external liaison, and operational subject-matter resource
- Develop client relationships, assess needs, and identify expanded opportunities and appropriate solutions
- Partner with the Go-To-Market team on strategic client plans and direct tactical execution
- Advance policy adoption through structured organization, communication, and project management
- Identify and communicate opportunities across Cotiviti products
- Direct the operational implementation of client payment policy decisions across Claims Operations, Provider Services, Appeals, Network Operations, Payment Integrity, IT, and other departments
- Plan and manage joint client and internal meetings, including scheduling, facilitation, agendas, materials, minutes, action items, and logistics
- Record and distribute meeting minutes while tracking follow-up actions
- Keep client records accurate and current in Cotiviti’s documentation library
- Oversee internal and external components of client initiatives and joint projects to meet objectives and milestones
- Track program performance, review monthly reports, analyze trends and root causes, and implement corrective action plans
- Support client testing for operational and policy initiatives
- Maintain escalation plans and review file-processing statistics to reduce missed policy opportunities
- Coordinate production reporting, investigate trends and data anomalies, and implement recommendations
- Administer customer-service tool accounts, access, usage, and data quality
- Assess client education requirements and create and deliver training programs
- Manage and triage client inquiries through timely resolution
- Serve as an operational subject-matter expert on departmental and corporate projects
- Travel up to 20%
- Complete annual performance goals, special projects, and other assigned responsibilities
Requirements
- Bachelor’s degree or higher is preferred, or equivalent experience is required
- Knowledge of CMS guidelines, regulatory compliance requirements, mandates, and medical payment policy
- Professional coding certification such as CPC, CPC-A, CCA, CCS, CCS-P, RHIT, or RHIA is a plus but not required
- At least four years of related healthcare experience with strong knowledge of health plan operations and the claims lifecycle
- At least four years of healthcare client relationship management or consulting experience
- At least four years of project or team management experience, including meeting facilitation and delivery follow-through
- Advanced proficiency with Microsoft Office, including Excel, Word, and PowerPoint
- Excellent written, verbal, and interpersonal communication skills
- Strong presentation ability; experience delivering training classes is a plus
- Proven ability to build trusted professional relationships with clients across roles and organizational levels
- Ability to work independently and collaboratively within a team or matrixed organization
- Strong organization, planning, prioritization, and deadline-management skills with attention to accurate, high-quality deliverables
- Effective analytical and problem-solving capabilities with financial acumen
- Ability to handle confidential information appropriately
- Ability to work with onsite and remote cross-functional product teams and customers
- Flexibility to participate in international workflows and calls across global time zones
- Availability for after-hours or weekend work when major deliverables or deadlines require it
- Ability to maintain a dedicated, secure work area
- Ability to maintain high-speed internet connectivity and the required office setup
- Ability to perform job duties with or without reasonable accommodation
Benefits
- Medical, dental, vision, disability, and life insurance coverage
- 401(k) savings plan
- Paid family leave
- Nine paid holidays each year
- 17–27 days of paid time off annually, based on level and length of service
- Remote work arrangement
- Dedicated secure workspace, high-speed internet connectivity, and required remote office setup and maintenance
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