FreshRemote.Work

Client Services Manager CCV

Remote, United States

Overview

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 upon the Clinical Chart Validation (CCV) line of business.

Responsibilities

  • 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, 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.

Qualifications

  • 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%.  
  • After hours and/or weekend work may be required where necessary for major deliverables /deadlines.
  • 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:

  • Communicating with others to exchange information.
  • 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 a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
  • No adverse environmental conditions are expected.

Base compensation ranges from $78,000 to $98,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

 

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: 2/20/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/20/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Job Profile

Regions

North America

Countries

United States

Restrictions

Must be able to provide a dedicated, secure work area Must be able to provide high-speed internet access

Benefits/Perks

9 paid holidays per year Competitive benefits Competitive benefits package Dental Disability Life Insurance Life insurance coverage Medical Medical, dental, vision, disability, and life insurance coverage Paid Family Leave Paid holidays Paid Time Off PTO Team environment Vision

Tasks
  • Coordinate client visits
  • Develop projects and process improvements
  • Excellent written and verbal communication
  • Execute auditing programs
  • Manage client relationships
  • Present operational results
  • Project management
  • Reporting
Skills

Access Adjudication Auditing C Chart validation Claims Adjudication Client Experience Client relationship management Client Services Clinical chart validation Communication Compensation Consulting Data analysis Excel Exchange Execution Healthcare Healthcare Claims Healthcare claims adjudication Healthcare Consulting Healthcare experience Industry knowledge Insurance Invoicing IT Microsoft Office Microsoft Office Suite Monitoring Network management Nursing Operations Organizational Planning Presentation Process Improvement Project Management Provider Relations Public speaking Reporting Retention Sales Teams Verbal communication Word

Experience

4 years

Education

Bachelor's degree Business Health Healthcare Health Information Management IT Management Medical Nursing Operations Sales Senior

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9