Program Manager Operations

Overview

The Program Manager, Operations will partner directly with the assigned Client Executive and will focus on the execution and delivery of the Cotiviti HEDIS/Quality Products and Services. The Program Manager will directly own and manage a small number of clients and is responsible to oversee all aspects of our engagement for our HEDIS/Quality solution set. The Program Manager will leverage their healthcare and project management knowledge in an effort to deliver the highest quality of services to Cotiviti clients.

Responsibilities

• Accountable for ensuring the successful delivery of products and services to small number of clients within the Quality/HEDIS Cotiviti Portfolio. This will require the Program Manager to partner very closely with the assigned Client Executive, Data Analyst, as well as other teams across the organization.
• Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives and follow up.
• Interacts directly with customers to drive client satisfaction and product adoption in support of Quality Reporting and other initiatives as defined.
• Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
• Responsible and Accountable for ensuring that the costs/expenses of managing clients are aligned with the anticipated revenue.
• Responsible to track and report on client contractual SLA’s
• Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues.
• Completes all responsibilities as outlined on annual Performance Plan.
• Completes all special projects and other duties as assigned.

Qualifications

• Bachelor's degree is required, Relevant Master’s Degree preferred.
• A minimum of 5 years of health care industry experience with a health plan, TPA, or vendors of data analytics or claims processing technologies.
• 1 – 3 years of experience with HEDIS
• A minimum of 3 years of successful client/program management.
• Demonstrated experience managing the deliverables of a client. Ability to foster relationships at the appropriate level within the Client organization and take full accountability for managing client escalations.
• Proven ability to handle stressful situations, multiple tasks, and deadline pressures. Formal training in enterprise project management methods and process management experience preferred.
• Outstanding presentation and communication skills. Proven success in preparing and delivering presentations that convey information critical to the audience and adjusting to meet changing audience needs. Ability to listen …