CotivitiCO

Recovery Workforce Specialist

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: 34k-40k USD

United States only

Overview

As a member of the Recovery Workforce Team within Yield Management, this workforce operates as an internal consulting team in collaboration with our greater Recovery Operations segment to assist with identifying and addressing departmental gaps, solutions for driving results and analyzes overall workflow management within existing policies. This department will play a key part in the review and implementation of new client prospects for Recovery Resolution/Quality as well as define and drive strategic, operational, and organizational improvements across the greater Recovery Operations space. As a Recovery Workforce Specialist, this role, will require an intellectual curiousness, quick adaptability, comfortability with ambiguity as well as independent work, and have a strategical analysis to approaching workflow management under the supervision of the Team Lead. Additionally, a Recovery Workforce Specialist requires confidence in communication of interpreted data to recommend solutions for business obstacles of minimum to reasonable scope to help drive the greater Recovery Operations team forward.

Responsibilities

  • With direction from the Team Lead, the Recovery Workforce Specialist will assist in collaborating with People Leader’s in answering moderate questions for workflow management.
  • Understand the workings of the greater Recovery Operations team to gather and interpret data to accomplish business goals and directives.
  • Ability to prioritize work projects and requests with a sense of urgency for delivery of optimal results.
  • Work both in collaboration and independently on process flows and workforce management.
  • Serve as an active participant in cross-functional planning cycles linking our strategy to operating and financial metrics. Works with clients, customers, and partners to accurately assess their needs, provide information or assistance, resolve problems, or satisfy requirements.
  • Can be counted on to consistently meet or exceed goals and perform at expected levels. Demonstrates willingness and readiness to take on more responsibility.
  • Demonstrates ability to plan, organize, and prioritize multiple tasks and ensure timely completion. Uses a structured and dependable approach to accomplish work assignments.
  • Shows initiative and a willingness to engage in all audit support activities. Reaches beyond current tasks to add value to broader team. Goes the extra step to solve problems instead of waiting for someone else to solve them.
  • Demonstrates competency with tools of the job including but not limited to filing systems, computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems, data file structures and Power Point. Can efficiently download and format common file types.
  • Quickly grasps a working understanding of basic elements and concepts of Recovery Resolutions’ Operations. Demonstrates enthusiasm for learning and applying knowledge to the completion of tasks. Successfully integrates and executes new assignments with moderate guidance and direction.
  • Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work.
  • Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Assures confidentiality and security of all data, adhering to all HIPAA laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards.
  • Completes all responsibilities as outlined on annual Performance Plan.
  • Completes all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.
  • This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change

Qualifications

  • High School or GED/equivalent
  • 1-2 years’ experience in operational excellence/process improvement and/or Associates or Bachelor’s degree preferred.
  • Strong analytical, quantitative, written, and interpersonal skills.
  • Experience presenting and analyzing large quantities of data with strong spreadsheet and database query experience (e.g., Access).
  • Comfort working in fast-paced environment.
  • Moderate experience in Excel and PowerPoint.
  • Database management experience (preferred).
  • Extremely well-organized and capable of handling multiple projects and ad-hoc requests simultaneously Experience in healthcare and/or Software industries (a plus).
  • 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.

Mental Requirements:

  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

  • 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.
  • No adverse environmental conditions expected.

Base compensation ranges from $17 per hour to $20 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

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: 4/9/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/16/2025, 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

Mid-level

Salary

Salary: 34k-40k 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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Cotiviti hiring Recovery Workforce Specialist • Remote (Work from Home) | Himalayas