CotivitiCO

Operations Administrator (CCV Selections Team)

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+

Salary: 36k-50k USD

United States only

Overview

The Selections Operations Administrator is a member of the Clinical Content and Enablement Team that is responsible for supporting selections operations. This individual will ensure that all Selections Operations processes are adhered to, individual metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail. The individual in this role will have specific responsibilities for the administrative tasks associated with Selections and Exclusions. This position is scheduled to work Monday-Friday daytime schedule.

Responsibilities

Administrative tasks

  • Primary role –
    • QA and generation of selection files
    • Client configuration of Clinical Payment Policies and exclusions
    • Assist with maintenance and monitoring of selection mailings
  • Other Team Tasks
    • Work in several selections tools and trackers
    • Monitor incoming files
    • Serve as a point of contact for other CCV selections stakeholders through the Claim Selection process
    • Maintenance and monitoring of selection trackers
    • Reporting and Tracking for the team and other CCV stakeholders
    • Provider administrative support for the Clinical Content and Enablement team
    • Other duties as assigned

Qualifications

  • Consistent and effective critical thinking skills required.
  • Strict attention to detail in actions and documentation.
  • Strong organizational skills (including a commitment to thorough documentation of results).
  • Strong written and verbal communication skills in person as well as with remote and international resources.
  • Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications.
  • Positive and helpful demeanor in interactions with all internal/external stakeholders.
  • Active listening skills.
  • Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines. (this role has changing priorities throughout the day)
  • Ability to maintain strict confidentiality in all communications involving sensitive information and algorithms
  • Must be driven and a self-starter.
  • Must be flexible and willing to adapt to an ever-changing environment.
  • Professional with the ability to properly handle confidential information
  • Ability to work well independently and in a team environment.
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to work within a matrix organization
  • Exhibits behaviors consistent with Cotiviti Values.

Minimum Qualifications:

  • High School Diploma or equivalent required; Associate's or Bachelor’s Degree preferred
  • Healthcare Systems and Operations experience preferred
  • Works with a sense of urgency; ability to switch gears and change focus
  • Must possess intermediate - advanced skills with MS Excel (advanced formulas, vlookups, etc. required)
  • Proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)
  • Excellent written and verbal communication skills.

Job Demands

  • This is a work at home position, with the option to work at one of our offices once normal social engagement practices resume.
  • Access to high-speed internet is required (all other equipment will be provided).
  • Must be able to sit and use a computer keyboard for extended periods of time
  • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
  • After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent)
  • Required hours Monday - Friday... daytime schedule

Base compensation ranges from $17.80 to $25.00/hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

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: 4/3/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/3/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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About the job

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Posted on

Job type

Full Time

Experience level

Entry-level

Salary

Salary: 36k-50k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Cotiviti

Learn more about Cotiviti and their company culture.

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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.

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