Manager, Payment Accuracy (COB)

Overview

A Payment Accuracy, Coordination of Benefits (COB) Manager, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. Individuals in the COB Manager role are passionate about leading a team to accomplish the identified goals for the success of the team, Cotiviti, and client partnerships.

The Payment Accuracy, Coordination of Benefits (COB) Manager position is responsible for leading a team of individuals to meet established goals and deliver financial targets as defined by audit expectations and assists the leadership team with developing the team’s strategic plan for future growth. Additionally, people management, interviewing, forecast and budgeting, and retention efforts as well as fostering a culture aligned with Cotiviti’s values of Collaboration, Openness, Accountability, and Customer – Driven are key areas where success will be identified.

Responsibilities

• Leads a People Leader + team and/or individual contributors. This individual operates autonomously with independent judgment and has the ability to review and approve operational functions within the team.
• Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best-in-class practices to support and drive high levels of internal and external customer satisfaction.
• Performs time management reviews for Payroll processing utilizing a time management system, ensuring employees are working an approved schedule by leadership, applying necessary time off codes, and adhering to Company Policies for timely approval.
• Performs performance management of employees to ensure employees are meeting and achieving work expectations and deliverables.
• Performs goal planning and distribution, 30/ 60/ 90-day onboarding reviews for new hires and/or individuals newly promoted in a role, performance review check–ins and annual performance reviews.
• Participates in assigned leadership training as assigned as well as enhances individual leadership skills by participating in LinkedIn Learning self–directed sessions.
• Creates succession plans and identifies key talent.
• Creates retention strategies to implement future success by reviewing feedback, Company surveys and/or other available platforms.
• Creates and maintains standard operating procedures as well as training manuals and materials.
• Provides mentorship and guidance to team members through coaching, training and/or 1:1s.
• Completes bi – weekly or monthly 1:1 meetings/team meetings with team members to review individual and team performance.
• Participates in functional leadership presentations for townhalls, clients and/or other projects as assigned, internally and externally.
• A subject matter expert on all levels of work scope and clients reporting into a manager.
• Forecasts projected productivity to review financial targets with Senior Leadership and identify solutions should projects demonstrate a deviance to the target.
• Has subject matter expertise in understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability.
• Has full understanding of client parameters and can communicate these effectively to team members and others throughout the organization.
• Has advanced level of knowledge of Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) and can articulate to team members when to utilize various systems.
• Monitors production of team members against established goals; assists with formulating plan if goals are not being consistently met.
• Demonstrates understanding of payment integrity industry and how COB functions in this industry.
• Regularly reviews and holds team accountable in terms of quality as identified by compliance and regulatory guidelines and set forth by the client and Cotiviti.
• Identifies and emphasizes critical priorities to ensure time and energy is aligned with organization and business unit goals.
• Has ability to see beyond short term issues to understand the bigger picture and can anticipate unexpected effects.
• Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes.
• Has an expert level understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements.
• Has a highly advanced understanding of the healthcare industry, as well as proven track record of delivering results.
• Performs complex operational analysis of audit pe