Director, Audit Operations

Overview

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Manager on our Payment Accuracy team.

The Director of Audit Operations is responsible for providing strategic direction, leadership, and management oversight for one or more audit function(s) within the organization. This role entails developing and implementing audit plans for assigned accounts to maximize valid claim identification and overpayment recoveries, meet contractual commitments, and deliver customer satisfaction consistent with established policies, procedures, and best

practices to ensure compliance with regulatory requirements and organizational objectives.

This will be accomplished through effective audit operations management, quality and service assurance, and effective people management and development. The Director leads a team of managers and/or team leads toaccomplish identified goals and strategic results for each calendar year.

Responsibilities

Strategic Planning:

• Hire, develop, coach, lead, and retain top-tier talent, with a focus on building and improving a team and culture that can assist in employing best-in-class practices to support and drive high levels of internal and external customer satisfaction.
• Consistent with people management practices and company values. Provides managerial leadership and directs the selection, supervision, evaluation, and development of employees. Sets objectives and conducts performance reviews for direct reports and oversees the remaining evaluations of indirect team members.
• Follow established processes for training and career progression to enable revenue growth and employee development and engagement. Promotes & participates in knowledge-sharing activities such as best practices, benchmarking, and IT tools enhancement. Ensures that all levels of employees are properly trained on policies, procedures, and best practices and that proper training, education, and required certifications are maintained as required.
• Proactively plan for succession and growth; ensures no gap in productivity and customer service.
• Develop and execute a strategic audit plan aligned with the organization's goals and objectives.
• Collaborate with senior management to ensure alignment of audit priorities with business strategies.

Audit Management:

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