CotivitiCO

Lead Implementation Consultant

Cotiviti is a solutions and analytics company that leverages clinical and financial datasets to provide insights into the performance of the healthcare system, focusing on payment accuracy, risk adjustment, quality improvement, and consumer engagement. It also serves the retail industry with data management and recovery audit services.

Cotiviti

Employee count: 5000+

India only

Overview

Lead Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new client-specific requirements, development, and deployment. The role involves client coordination and communication as well as a high technical understanding of Edifecs/Cotiviti solutions as well as the transactions that flow through this position.

Responsibilities

  • Coordinate and communicate with the client post-sale to develop an implementation plan for implementing and configuring a purchased Edifecs/Cotiviti solution based on a client’s individual needs.
  • Collaborate with the Edifecs/Cotiviti Implementation Architect / Technical Project Manager to formulate the architecture, implementation strategy/schedule, and operational plan.
  • Install, upgrade, and configure Edifecs/Cotiviti products at the client site.
  • Integrate Edifecs/Cotiviti products with other software assets/processes at the customer site.
  • Coordinate with other Client Services, Product, and Development team members to meet development and configuration milestones, being able to develop guidelines, programs, tasks, reports, etc. to meet the client’s requirements.
  • Provide post-implementation support during the transition from implementation to maintenance.
  • Provide software and client-specific training, and develop training documentation based on present standards and client needs.
  • Mentor and train internal teams upon Edifecs/Cotiviti products and customer custom components
  • Work with customers as an SME upon purchased Edifecs/Cotiviti products and solutions
  • Strong written and verbal presentation skills are required. Must be comfortable interacting with clients’ technical teams.
  • Must be able to manage or participate in the testing and release cycle tasks for deployment of Edifecs/Cotiviti products and services at client sites.
  • Must be able to create detailed user and operational documentation to support the deployment of products and services at client sites.
  • Must be comfortable delivering technical training at customer sites as part of the customer's software release and deployment cycle.
  • Excellent communication, presentation, and interpersonal skills.

Qualifications

  • 9+ years’ applicable experience with a Minimum of 5 years of EDI and US Healthcare domain.
  • Understanding of Application Integration/ Enterprise Application Integration
  • "Working experience on middleware tools - JCAPS, Web method, WMBI, Aqua Logic etc. OR have worked on/ understand other messaging engines - IBM MQ, Active MQ etc."
  • Exposure to Integration Design Patterns
  • Good understanding of any of the different message formats like XML, STX, EDI, EDIFACT, ISO, ACORD, HL7, IHE, etc.
  • Good working knowledge and experience with Java programming, Java Script, XML, HTML, and some scripting knowledge including Perl scripts
  • Familiarity with Oracle and/or SQL Server as the database from an application perspective connection strings, SQL scripts, JDBC, and general troubleshooting.
  • Good understanding of Application Server
  • Experience with - Technical requirements documents, process flow diagrams, and deployment and user operations guide
  • Develop technical Design
  • Release management
  • Good Understanding of healthcare (Payer/Provider)
  • Understanding of EDI transactions (preferably HIPAA)
  • Good process orientation and understanding of product implementation space.
  • Good Communication Skills
  • Troubleshooting and Analytical skills
  • Project scope, estimation, and change management
  • Knowledge of the Implementation methodology of any product or solution
  • Experience in technical training (internal/ external)
  • Working Knowledge on Edifecs/Cotiviti Product (Good to have)

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Senior
Manager

Location requirements

Hiring timezones

India +/- 0 hours

About Cotiviti

Learn more about Cotiviti and their company culture.

View company profile

Through groundbreaking technology and profound data analytics, Cotiviti is revolutionizing the economics of healthcare. The company is at the forefront of enabling healthcare organizations to deliver enhanced care at a reduced cost, thereby ensuring the quality and sustainability of the healthcare system in the United States. Cotiviti's innovative solutions are a critical foundation for healthcare payers, empowering them in their mission to lower healthcare expenditures and elevate quality through higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. By processing and analyzing billions of clinical and financial data points, Cotiviti uncovers opportunities for clients to boost efficiency and quality, ultimately leading to better care for their members. The company's commitment to responsible AI implementation is evident in its partnership with the Responsible AI Institute, aiming to develop new ways to leverage artificial intelligence to foster a high-quality and viable healthcare system. This focus on accelerating the development of innovative healthcare technologies drives advancements in data analytics, interoperability, and value-based care solutions.

Cotiviti's expertise extends to serving the retail industry with sophisticated data management and recovery audit services designed to improve business outcomes. The company's approach is rooted in a combination of advanced technology, comprehensive data analytics, and specialized expertise. This synergy allows Cotiviti to provide solutions that address payment accuracy, quality improvement, risk adjustment, and network performance management. Cotiviti's dedication to innovation is further highlighted by its recent technological advancements, such as 360 Pattern Review, which utilizes artificial intelligence to rapidly identify potential healthcare fraud, waste, and abuse, and Zero Hour Alerts, which empowers large retailers to prevent payment errors. With a global team of over 9,000 employees, Cotiviti fosters a collaborative environment where specialized and talented teams work in tandem to ensure operational efficiency and deliver services that exceed industry standards. The company's vision is to enable a high-quality and viable healthcare system, and its mission is to improve this system through its unique blend of technology, analytics, and expertise.

Claim this profileCotiviti logoCO

Cotiviti

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

89 remote jobs at Cotiviti

Explore the variety of open remote roles at Cotiviti, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Cotiviti
Cotiviti logoCO
United States only

Manager Fraud Waste and Abuse

Cotiviti

Employee count: 5000+

Salary: 105k-130k USD

Full Time
Fraud Manager
Cotiviti logoCO
United States only

Client Services Manager

Cotiviti

Employee count: 5000+

Salary: 78k-105k USD

Cotiviti logoCO
United States only

Recovery Resolution Specialist

Cotiviti

Employee count: 5000+

Salary: 38k-40k USD

Cotiviti logoCO
United States only

Business Development VP - Government Healthcare

Cotiviti

Employee count: 5000+

Salary: 160k-190k USD

Cotiviti logoCO
United States only

Senior Data Product Manager

Cotiviti

Employee count: 5000+

Salary: 140k-165k USD

Cotiviti logoCO
United States only

Support Engineer

Cotiviti

Employee count: 5000+

Salary: 78k-103k USD

Remote companies like Cotiviti

Find your next opportunity by exploring profiles of companies that are similar to Cotiviti. Compare culture, benefits, and job openings on Himalayas.

View all companies

Arcadia is a healthcare technology company that transforms data into actionable insights to accelerate healthcare transformation for providers, payers, and life sciences organizations.

SpectraMedix provides a value-based payment analytics platform that transforms real-time clinical data into actionable insights for health plans, health systems, and providers to improve performance and outcomes in value-based care models.

Carta Healthcare is an AI-powered clinical data abstraction and analytics company that helps healthcare organizations improve patient care by transforming clinical data into actionable insights.

CorroHealth provides clinically led healthcare analytics and technology-driven solutions to enhance the financial performance of healthcare providers.

Rialtic is transforming healthcare payment accuracy through advanced technology solutions.

Accuity Healthcare is a leading provider of physician-led clinical documentation integrity solutions for hospitals, enhancing financial performance and compliance.

Find your dream job

Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan