Senior Technical Specialist (Healthcare)*

Overview

The Senior Technical Specialist role is a key contributor to our Content and Enablement team, playing a crucial role in supporting the Payment Integrity Business Unit. This position collaborates with various divisions and leadership levels across the organization.

The Senior Technical Specialist role will be responsible for working with Product Owners and Technical Architects to define project scope, technical direction, and project milestones. You will have responsibility for working with other stakeholders to define business requirements, acceptance criteria and non-functional requirement consistent with SAFe (Scaled Agile Framework). You will also handle tracking of project deliverables, as well as issue, change and release management for implementation of desired functionality. You will need to have the ability to execute cross functional tasks in a matrix environment. The STS will also perform quality assurance testing, acceptance criteria sign off and accompanying documentation. Additional responsibilities to include product demo, presentation, and training. This role will be a subject matter expertise (SME) on the aligned scope as well as effectively collaborate and excel independently.

Responsibilities

• Plan and schedule project timelines and milestones using appropriate tools. Participate in refinement of existing products, product development process and operational User Acceptance Testing (UAT) sessions.
• Demonstrate strong leadership by effectively leading and managing cross-functional project teams to ensure timely project completion in alignment with objectives.
• Serve as a subject matter expert (SME) and resource for training and internal stakeholders.
• Learn and execute established processes. Suggest, refine, and document improvements to said established processes.
• Coordinate and actively participate in all stages of project development including research, design, programming, testing and implementation.
• Coordinate meetings, agendas, and track action items across Business Units within the Enterprise.
• Work closely with Technical Product Owners, Architects, and Engineers to groom business requirements and acceptance criteria consistent with SAFe events.

Qualifications

• High School Diploma Required.
• Bachelor’s degree or equivalent experience (Preferred); relevant experience will also be considered.
• 5+ years of experience leading project focused initiatives in a cross functional matrix.
• Knowledge of project management and experience with agile methodologies and tools.
• Prior experience in the healthcare industry.
• Strong understanding of data structures, data processing, data integration, and experience with KQL/Python/Spark (Strongly Preferred).
• Microsoft Fabric Development and Utilization strongly preferred.
• Proficiency in analyzing complex business rules and ensuring they are up-to-date and functional consistent with user requirements.
• Experience developing, implementing, and maintaining project plans including task breakdown and work assignments.
• Ability to speak and present with authority, knowledge, and confidence to stakeholders. Must be able to adjust well to new situations and changing priorities and be motivated and able to thrive in a fast-paced environment.
• Autonomous and solution-oriented, with a strong customer service ethic.
• Familiarity working with multiple software and data applications, including proficiency in the MS Office Suite.
• Experience working on new development and services, healthcare data subject matter, Scaled Agile methodologies.
• Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.
• At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

Mental Requirements:

• Troubleshooting: The ability to diagnose and solve complex technical issues, often under pressure. Technical Specialists must quickly identify the root cause of problems and find effective solutions.
• Critical Thinking: Specialists are expected to assess a situation, evaluate possible solutions, and make decisions based on logic and data analysis, rather than assumptions or intuition.
• Complex Analysis: Some technical problems require the specialist to break down complicated systems or data into manageable parts to analyze and understand them.
• Industry-Specific Knowledge: A deep understanding of the specific technologies, systems, or products relevant to the role. This could range from IT systems and programming languages to mechanical engineeri