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CotivitiCO

Sr Project Manager - Edifecs Implementations

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+

United States only

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Overview

The Sr. Project Manager will be responsible for managing and coordinating multiple implementation projects within Cotiviti. This role will serve as the primary liaison between the Customer teams and the Cotiviti teams including implementation/delivery, Product and other relevant teams as necessary, ensuring that products/solutions delivered align with agreed upon Customer requirements and scope. The successful candidate will also be responsible for capturing Customer feedback, understanding the reasons behind any gaps, and managing the process to triage and resolve these gaps. The candidate will also lead or support the internal delivery teams from program coordination, communication, execution, and management standpoint.

Responsibilities

  • Manage multiple implementation projects within Cotiviti Professional Services Organization under Public Sector practice primarily and commercial sector as business need arise.
  • Maintain responsibility for the entire lifecycle management for implementation projects - including business requirements definition, process and fit gap analysis, test plans, testing & implementation, go-live plans and post-implementation review, resource management (time, allocation, etc.), coordination and calendars, budget, status reporting, executive updates, issue management, risk management.
  • Foster and maintain a healthy collaboration between teams, ensure transparent and strategic communication between teams and manage timely resolution of escalations.
  • Review project artifacts to confirm alignment with project requirements, scope and timelines, identifying product enhancements as needed.
  • Create and manage project and proposal plans, documentation, content, estimates.
  • Coordinate with cross-functional teams, including delivery team, product development, customer support, and other teams, to ensure smooth implementation, integration and delivery of agreed upon solutions and scope and set up and follow triage processes with internal departments to manage problem resolution processes.
  • Develop project plans by partnering with Customer and Cotiviti leads/stakeholders and monitor progress against these plans.
  • Act as the primary point of contact for customers during the implementation and ensure consistently excellent delivery and effective communication.
  • Build strong relationships with key customer stakeholders to understand their business needs, objectives, and expectations and leverage these to influence processes and other necessary aspects to ensure Customer success.
  • Ensure that the implementation teams are aligned with customer requirements and agreed upon scope and that any deviations are promptly communicated and addressed using change control process.
  • Lead fit gap process and partner with Customer and Cotiviti stakeholders to understand and assess the underlying reasons for any gap between customer expectations and the solution scope.
  • Lead teams to deliver projects on time and within budget
  • Domestic travel required up to 25%.

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

  • Bachelor’s degree in computer science, Business Administration, Healthcare Management, Information Technology, or a related field; Master’s degree preferred.
  • 8+ years of experience in project management, preferably within the healthcare software industry.
  • Previous experience managing medium to large implementations in capacity of Project Manager or Program Manager.
  • Experience in Public Sector Implementations such as State Medicaid or Federal such as Veteran Affairs.
  • Prior Experience on Edifecs products is a big plus.
  • Experience managing projects with strong governance and documentation requirements in a multi-vendor environment.
  • Experience managing Enterprise SaaS solution Implementations with high-level knowledge of major cloud platforms and services.
  • Proven experience managing concurrent complex enterprise application implementation projects with multiple stakeholders.
  • Strong understanding of healthcare industry standards, regulations, and practices.
  • Strong Written & verbal communications and documentation skills.
  • Excellent interpersonal and negotiation skills, with the ability to build and maintain strong customer relationships.
  • Analytical mindset with the ability to identify, assess, and resolve issues effectively.
  • Proficiency in project management tools and methodologies (e.g., Agile, Scrum, Waterfall).
  • Technical background with Enterprise Applications is a plus.
  • PMI, Six Sigma, or similar certification preferred.

Mental Requirements:

  • Excellent verbal and written communication skills with strong executive presence.
  • Organized and able to prioritize, multi-task, and work under pressure on multiple simultaneous projects with tight timeframes.
  • Self-driven and able to drive efforts that are constantly changing and always working with new groups and processes.

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 high-speed internet access / connectivity and office setup and maintenance.
  • Must be able to provide a dedicated, secure work area.
Base compensation ranges from $115,000.00 to $150,000.00. 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: Applications are assessed on a rolling basis. We anticipate that the application window will close on 04/25/2026, 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 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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