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CotivitiCO

Team Lead, Revenue Cycle

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

Join a dynamic team at Cotiviti Healthcare where innovation meets impact! We're revolutionizing healthcare payment accuracy and seeking passionate professionals who want to transform the industry. If you're a creative problem-solver ready to drive meaningful change and accelerate your career, this is your moment to shine!

This role is responsible for training, leading and daily oversight of Revenue Cycle Specialists, as well as the knowledge share and refinement of Revenue Cycle processes. This includes daily communications with the client and Claim Audit personnel, as well as fielding projects assigned by the Manager and/or Senior Leadership. This individual ensures operational controls and day to-day processes related to Revenue Cycle are in place (cash application, invoicing, reconciliations, and audit controls), monitors distribution of work across the team and adherence to all internal/external Service Letter Agreements. The Team Lead responds to all internal/external client inquiries in a timely, accurate and professional manner.

Responsibilities

  • 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.
  • Delegates work to other members of the teams and works with the Senior on new hire material and training guides for the department.
  • Strategically analyze revenue streams, uncovering innovative pathways to optimize financial performance and drive strategic growth.
  • Collects, analyzes, and interprets revenue-related data across multiple revenue streams. Uses findings to recommend changes to product/service pricing based on availability and expected demand, with the goal of driving incremental revenue and increasing profitability.
  • Modifies revenue management strategies to reach targeted markets.
  • Monitors team or department efficiency and ensures that output meets expectations.
  • Implements and administers organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations.
  • Works with Manager, Revenue Cycle to assist with strategically planning, scheduling, and coordinating the work of the Revenue Cycle Team to achieve stated goals. Utilizes metrics to monitor and ensure all departmental activities are performed consistently within established client and company guidelines.
  • Efficiently and effectively supervises assigned personnel, client requests, and Revenue Cycle workflows and systems.
  • Serves as a Team Leader and/or escalation path for internal and external business constituents by providing leadership and direction in responding to complex inquiries and problem resolution.
  • Consistent with good people management practices and company values, provides supervisory leadership and works with Manager, Revenue Cycle to direct the selection, supervision, evaluation, and development of team.
  • Sets objectives and conducts performance reviews for the direct reports with assistance from the Manager, Revenue Cycle.
  • Works collaboratively with Manager, Revenue Cycle-in consultation 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.
  • Follows established processes for training and career progression to enable revenue growth and staff development/engagement. Promotes & participates in knowledge sharing activities such as best practices, benchmarking, whitepapers, and tool enhancement. Works with manager, Revenue Cycle to ensure that all levels of staff are properly trained on policies, procedures and best practices and that proper training, education and required certifications are maintained.
  • Actively recommends system/process improvements or enhancements that will increase productivity and cost containment to audit and client leadership.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete 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 the requirements of the job change.

Qualifications

  • 2 -4 years prior work experience in accounting or business operations; preferably healthcare experience with financial systems.
  • Associates or Bachelor’s Degree in Accounting/Finance/Business required.
  • Emerging leaders with 1-3 years of people management experience who are passionate about developing high-performing teams.
  • Ability to lead, influence, manage, and motivate others.
  • Exceptional problem-solving, lateral thinking, communications, project management, planning organizational and interpersonal skills.
  • Computer proficiency in Microsoft Office (Word, Excel, Outlook) required; Microsoft Access experience preferred.
  • Demonstrated knowledge of revenue cycle practices.
  • Ability to deal with personnel at all levels, exercise discretion on confidential matters.
  • Excellent verbal and written communications skills.
  • Ability to work well in an individual and team environment.
  • Excellent organizational ability required to handle multiple priorities.
  • Knowledge of revenue cycle practices.
  • Healthcare experience 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 are expected.

Base compensation ranges from $55,000 to $65,000 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: 4/16/26

Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/16/26, 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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