Job Details

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 improvinghealthcare 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 will lead a team of analysts, technical specialists and 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: Directly accountable 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 to ensure compliance with HIPAA and PHI while respecting company access to specific technology and platforms, as well as ensuring team members 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.

Qualifications

• High School Diploma Required.
• Bachelor's degree or equivalent experience (Preferred).
• Minimum of five (5) years of specialized Cotiviti audit experience or seven (7) years of comprehensive healthcare financial operations experience, including healthcare billing, medical claims processing, reimbursement strategies, and data-driven analytics.
• Minimum of one (1) year proven leadership experience, with a strong preference for candidates who have demonstrated excellence in people management, team development, and creating high-performance collaborative environments.
• Prior Experience with product management (Strongly Preferred).
• Experience with project management software such as JIRA or Asana strongly preferred.
• Computer proficiency in Microsoft Excel is required.
• Experience working in a SAFe (Scaled Agile Framework) environment.
• Proven ability to lead multiple project tasks across business units and stakeholders.
• Requires working knowledge of and applicable industry-based standards.
• Excellent verbal and written communication skills.
• Ability to work well as an individual and in a team environment.
• Excellent organizational skills are required to balance multiple priorities.
• Strong attention to detail and accuracy.
• Ability to mentor staff and enhance performance.
• Some travel may be required at times for this role (10-15%).
• Must have the ability to positively handle/manage stress, such as high work volume and frequent changes.
• Must be flexible and able to work across different time zones, including participating in international conference calls and global work processes.
• 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:

• Demonstrates high emotional intelligence by understanding and managing personal and team emotions. Leads with empathy, especially when addressing team conflicts or individual challenges.
• Exhibits strong decision-making skills, making sound judgments based on data, team input, and business priorities. Capable of solving complex problems and guiding teams through difficult situations.
• Possesses the ability to lead teams through change, maintaining stability and morale during times of uncertainty. Demonstrates flexibility in adjusting strategies to meet evolving goals and challenges.
• Skilled in managing and resolving conflicts, whether between team members or external stakeholders. Able to mediate difficult conversations, find common ground, and maintain positive working relationships.
• Maintains composure and resilience under pressure, modeling healthy stress management techniques for the team. Able to manage competing priorities without compromising mental well-being or performance.
• Ability to coach and develop team members, providing constructive feedback and guidance to help them grow professionally. Fosters a culture of continuous improvement and learning within the team.
• Able to provide timely and constructive feedback to help team members improve performance, setting clear expectations and goals. Effectively conducts performance reviews and recognizes accomplishments.

Physical Requirements and Working Conditions:

• Some travel may be required at times for this role (10-15%).

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $115,000 to $135,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 1/8/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/8/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#LI-Remote
##LI-KB1
#manager