Operations Administrator (CCV Selections Team)

Overview

The Selections Operations Administrator is a member of the Clinical Content and Enablement Team that is responsible for supporting selections operations. This individual will ensure that all Selections Operations processes are adhered to, individual metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail. The individual in this role will have specific responsibilities for the administrative tasks associated with Selections and Exclusions. This position is scheduled to work Monday-Friday daytime schedule.

Responsibilities

Administrative tasks

• Primary role –
  • QA and generation of selection files
  • Client configuration of Clinical Payment Policies and exclusions
  • Assist with maintenance and monitoring of selection mailings
• Other Team Tasks 
  • Work in several selections tools and trackers
  • Monitor incoming files
  • Serve as a point of contact for other CCV selections stakeholders through the Claim Selection process
  • Maintenance and monitoring of selection trackers
  • Reporting and Tracking for the team and other CCV stakeholders
  • Provider administrative support for the Clinical Content and Enablement team
  • Other duties as assigned 

Qualifications

• Consistent and effective critical thinking skills required.
• Strict attention to detail in actions and documentation.
• Strong organizational skills (including a commitment to thorough documentation of results).
• Strong written and verbal communication skills in person as well as with remote and international resources.
• Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications.
• Positive and helpful demeanor in interactions with all internal/external stakeholders.
• Active listening skills.
• Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines. (this role has changing priorities throughout the day)
• Ability to maintain strict confidentiality in all communications involving sensitive information and algorithms
• Must be driven and a self-starter.
• Must be flexible and willing to adapt to an ever-changing environment.
• Professional with the 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
• Exhibits behaviors consistent with Cotiviti Values.

Minimum Qualifications:

• High School Diploma or equivalent required; Associate's or Bachelor’s Degree preferred
• Healthcare Systems and Operations experience preferred
• Works with a sense of urgency; ability …