Manager, Operations (Content and Enablement)

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 team as an Operations Manager.

This role is aligned to our Content and Enablement team within the Data Mining and Yield Management organization. This role will partner will various divisions and levels of leadership within the whole organization.

The Manager leads a team of Analysts, Technical Specialists and Senior Technical Specialists supporting Audit Operations. This leader will oversee the development and deployment of new audit technology, applications, and workflows, including the curation and optimization of content. This role will serve as a Business Partner to our operational Leaders, key project stakeholders and Research and Development (R&D) teams. Additionally, as a Manager fundamentals of new year budget and forecasting may be required in partnership with Senior Leadership, including Directors up through VPs.

Responsibilities

• Analytics: Performs complex operation, financial, and statistical analysis, synthesizes and communicates results to stake holders. Analysis to include operations, statistics, financial Return on Investment (ROI), inventory, and aging. Produces results to identify indicators of inadequate performance and communicate findings to Senior Leadership and stakeholders.
• Quality Assurance: Direct accountability for the successful deployment and integration of new technology, content, and training. Demonstrates ability to define user acceptance criteria and maintain above acceptable standards for production launch.
• Content Management: Provides day-to-day supervision and direction to assigned C&E team. Ensures specialists and analysts are focused on right responsibilities and driving value for operations teams. Ensures appropriate staffing levels and to plan and organize workloads and assignments according to the needs of the Business Unit.
• Project Management: Manages expectations of external stakeholders via clear communication with R&D and business unit leadership. Partners with other business units and data/analytics teams to identify new opportunities or dependencies to create efficiencies or drive value. Grasps internal operational cycles and processes as well as their impact upon delivery. Understands project scope, schedule, and resources. Anticipates disconnects and identifies solutions.
• People Management: Consistent with excellent people management practices and company values. Provides managerial leadership and direct the selection, supervision, evaluation, and development of team members. Sets objectives, goals, and conducts performance reviews for direct reports and oversees the remaining evaluations indirect team members.
• Performance Management: Works with Human Resources to recommend and implement performance management, progression, and compensation actions as warranted. Resolves employee concerns and other sensitive people issues consistent with Human Resources policies and guidelines.
• Staff Training & Development: Follows established processes for training and career progression to enable revenue growth and specialist, analyst, and support staff development and engagement. Promotes & participates in knowledge sharing activities such as best practices, reporting and IT tools enhancement. Ensures that all levels of team members are properly trained on policies, procedures and best practices and that proper training, education and required certifications are maintained as required.
• Follows guidelines for in compliance with HIPPA and PHI, while respecting company access of specific technology and platforms as well as ensuring team member follow the same compliance standards. 
• 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.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• High School Diploma Required.
• Bachelor’s degree or equivalent experience (Preferred).
• Five (5) years of Cotiviti direct audit experience or six (7) years related experience (healthc