JOB TITLE: Operations Manager PRINCIPLE PURPOSE OF JOB We are currently seeking an Ops Manager to support a growing client base and manage the dayto- day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS ➢ Medical degree/Life graduate with CIC/CCS certification or in-patient DRG experience ➢ Minimum of two years’ experience working as Asst. Mgr./Mgr. or equivalent ➢ Experience in US Healthcare, medical coding, medical billing, RCM health plan operations strongly preferred ➢ Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, AAOS, ICD-10-CM, ICD-10-PCS, CPT & HCPCS, etc. ➢ Practical clinical experience working in a hospital/office or nursing home preferred ➢ Has general knowledge of medical procedures, conditions, illnesses, and treatment practices ➢ Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency ➢ Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. JOB RESPONSIBILITIES • Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project • Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA • Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables • Identifying the areas of improvement for training for a team/individual based on error trend analysis • Effective planning in place to manage OJT period within the specified period • Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership • Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric • Ensures proactive identification of any negative deviations in the process • Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency • Willing to work in a 24*7 work environment post training • Training would be conducted during US business hours and may last up to 6 months • Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as company’s ability to resume operations from an office setting • Works effectively in co-ordination with the India team ATTRIBUTES AND BEHAVIORS • Develops and maintains positive working relationships with others • Shares ideas and information and has ability to collaborate efficiently • Assists colleagues and the team unprompted • Takes pride in the achievement of team objectives • Has credibility with peers and senior managers • Self-motivated – driven to achieve results • Works with a sense of urgency • High customer service ethic – is passionate about meeting customer expectations and improving service levels • Keeps pace with change – acquires knowledge/skills as the business evolves • Handles confidential information with sensitivity SKILLS & COMPETENCIES • Strong analytical, critical thinking and problem-solving skills • Excellent verbal and written communication skills • Quick learner and proficient in application of learnings • Excel proficiency • Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads • Able to get periodic analysis as per business needs, to improve productivity and quality • Ability to work well independently and maintain focus on a topic for prolonged periods of time
PRINCIPLE PURPOSE OF JOB The purpose of this position is to Nurture self-organizing, high performing teams through servant leadership and mentoring. Facilitates Sprint Planning, Daily Stand-Ups, Stakeholder Demos and Sprint Retrospectives. Also, participates in Release Planning with Product & Portfolio teams. Conducts team assessments & improvise team’s velocity/ throughput. Overall 12+ years of IT experience, where last 5 years working as Agile Manager/ Scrum Master and certified SAFe Agilist. JOB RESPONSIBILITIES • Managing more than one scrum/ Kanban teams • Doing everything possible to ensure delighting customers • Guiding the team and organization on how to use Agile/Scrum practices and values to delight customers • Guiding the team to be self-organized and cross functional. • Guiding and facilitating teams to drive through release on demand implementing DevOps/CI/CD practices. • Assessing the Scrum Maturity of the team and organization and coaching the team to higher levels of maturity, at a pace that is sustainable and comfortable for the team and organization • Removing impediments or guiding the team to remove impediments by finding the right personnel to remove the impediment. • Building a trusting and safe environment where problems can be raised without fear of blame, retribution, or being judged, with an emphasis of healing and problem solving. • Facilitating getting the work done without coercion, assigning, or dictating the work. • Facilitating discussion, decision making, and conflict resolution • Assisting with internal and external communication, improving transparency, and radiating information • Supporting and educating the Product Owner, especially with respect to grooming and maintaining the product backlog. • Providing all support to the team using a servant leadership style whenever possible, and leading by example • Expertise knowledge & experience JIRA and JIRA align tools • Experience in measuring various Sprint/Agile metrics and work towards improvement sprint over sprint. • Understand backlog tracking, burndown metrics, velocity, and task definition • Good working knowledge and experience in agile engineering practices BDD, TDD, ATDD, Continuous integration • Certified CSM or PSM • Recommended SAFe Agilist (SA) KEY CONSTITUENTS • Product Owner • Business Analyst • Delivery Team • Technical working group RELEVANT EXPERIENCE & QUALIFICATIONS • Masters or bachelor’s in engineering in IT/ Electronics / Communication / Computer Science / Information Systems. • 10 + years in IT development with 5 years in Agile Scrum & Kanban experience as Scrum Master. • Exposure to Agile / TDD / BDD based development • Exposure to Continues Integration, deployment & static code analysis Jenkins, Sonar • Organizational skills with ability to be flexible and work with minimal direction • Ability to work well independently and in a team environment • Troubleshoot bottlenecks and propose changes to fix them SKILLS & COMPETENCIES • Excellent verbal and written communication skills • Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads • Ability to work well independently and maintain focus in a highly dynamic work environment. • Comfort in working with team members that are remote and located in the US, India or other geographies • Ability to work within a matrix organization • Familiarity with DevOps practices and guiding and facilitating discussions to enable release on demand.
Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you Summary: We are currently seeking an AVP – Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance which would result in client delight. Handle large number of teams with the support of managers, AMs and team leads. Principal Duties/ Responsibilities: Program Management: Ensure that the SLAs are met consistently Identify initiatives and have the Team Leads work on them for improvement of key metrics Support QIPs to improve efficiency and quality Present SLAs and associated metrics to reporting manager as well as to the client Handle various teams in different phases (i.e. implementation, stabilization, BAU) Client Management: Timely, complete and articulate communication with the client Highlight issues and propose solutions even before Escalate to the reporting manager and client engagement team as required People Management: Managing people related issues that are escalated by TLs Coordinate with department heads for resolution Career planning of direct reports and guiding TLs in doing so for their teams Realistic and measurable goal setting Monitor & control attrition and shrinkage Create back up for each support role Initiative: Either come up with or identify initiatives that will result in measurable improvement Constantly monitor these initiatives and guide the team in making it a success Change Management: Manage various types of changes: Change in process Expansion due to volume increase New implementations Organizational changes e.g. Mergers, accreditation, etc Attributes and behavior: Should not just be a fast learner but also an effective mentor Have sound knowledge of the program and know where & how to access the finer details Willingness to work under pressure and stay motivated when there is less to be done Has credibility with peers and seniors Have a positive influence on others Self-motivated – driven to achieve results Have a levelheaded mindset which makes one think that ‘no problem is so big that it cannot be solved and none are too small to be attended to’ Passionate about delighting the customer time and again Good knowledge of general policies and procedures in industry Ability to adapt to policies and procedures specific to Cotiviti Maturity and leadership to manage senior support staff such as managers. Exhibit behavior consistent with Cotiviti Values Customer Driven Collaborative Accountable Open Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences preferred CPC/CIC/CCS certification Additional relevant certifications would be an added advantage 15 years of experience in BPO/KPO industry 3+ years of experience as Senior Manager/Director Operations Experience managing Managers or similar levels Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred Implementations/transitions experience preferred Regards Talent Acquisition Team COTIVITI
Hello, Please share your updated resume at [HIDDEN TEXT] if interested. Thank you Summary: We are currently seeking an AVP Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance which would result in client delight. Handle large number of teams with the support of managers, AMs and team leads. Principal Duties/ Responsibilities: Program Management: Ensure that the SLAs are met consistently Identify initiatives and have the Team Leads work on them for improvement of key metrics Support QIPs to improve efficiency and quality Present SLAs and associated metrics to reporting manager as well as to the client Handle various teams in different phases (i.e. implementation, stabilization, BAU) Client Management: Timely, complete and articulate communication with the client Highlight issues and propose solutions even before Escalate to the reporting manager and client engagement team as required People Management: Managing people related issues that are escalated by TLs Coordinate with department heads for resolution Career planning of direct reports and guiding TLs in doing so for their teams Realistic and measurable goal setting Monitor & control attrition and shrinkage Create back up for each support role Initiative: Either come up with or identify initiatives that will result in measurable improvement Constantly monitor these initiatives and guide the team in making it a success Change Management: Manage various types of changes: Change in process Expansion due to volume increase New implementations Organizational changes e.g. Mergers, accreditation, etc Attributes and behavior: Should not just be a fast learner but also an effective mentor Have sound knowledge of the program and know where & how to access the finer details Willingness to work under pressure and stay motivated when there is less to be done Has credibility with peers and seniors Have a positive influence on others Self-motivated driven to achieve results Have a levelheaded mindset which makes one think that no problem is so big that it cannot be solved and none are too small to be attended to Passionate about delighting the customer time and again Good knowledge of general policies and procedures in industry Ability to adapt to policies and procedures specific to Cotiviti Maturity and leadership to manage senior support staff such as managers. Exhibit behavior consistent with Cotiviti Values Customer Driven Collaborative Accountable Open Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences preferred CPC/CIC/CCS certification Additional relevant certifications would be an added advantage 15 years of experience in BPO/KPO industry 3+ years of experience as Senior Manager/Director Operations Experience managing Managers or similar levels Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred Implementations/transitions experience preferred Regards Talent Acquisition Team COTIVITI Show more Show less
Overview: Recruiter/ HR Executive is responsible for driving the strategic and operational aspects of recruiting top talent for the organization. This role partners closely with business leaders, HR teams, and hiring managers to understand hiring needs and develop proactive talent acquisition strategies. Responsibilities: Sourcing, screening, interviewing, checking references, and recommending qualified candidates for assigned requisitions. Conducts regular follow-up meetings with managers and business leaders to determine the effectiveness of recruiting plans and implementation. Actively develops and maintains a pool of qualified candidates for current and future business needs Utilizes creative and cost-effective sourcing strategies. Stays informed of trends and innovative recruiting/interviewing techniques in order to be competitive in state-of-the-art recruiting practices. Works with hiring managers to prepare and present job offers to candidates. Work with the team and business leaders to develop a strategy that builds proactive talent network. Infuse technology and operational improvements throughout the talent acquisition lifecycle that improve key recruiting metrics and drive business results. Develop trusted and meaningful relationships with Business leaders and managers to continually evaluate and improve the talent acquisition processes. Responsible for delivering high quality candidates, while guiding hiring managers and candidates through the selection process in an expedient manner. This individual will frequently be required to perform multiple demanding tasks simultaneously and must demonstrate experience and judgment to effectively manage these situations. Relevant experience and educational requirements: Bachelors/master’s degree in human resources, Business, or a related field. 8-10 years of progressive experience in both IT & Non-IT. Demonstrated success in full-cycle recruitment and strategic workforce planning. Strong understanding of ATS platforms (e.g., Naukri, LinkedIn, ICIMS etc.) Experience working in a fast-paced, high-growth, or global environment. Excellent communication, interpersonal, and project management skills. Disclaimer: 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.
Hello, Please share your updated resume at jitendra.pandey@cotiviti.com if interested. Thank you ! PRINCIPLE PURPOSE OF JOB We are currently seeking Team Leader to support a growing client base and manage the day-to-day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams JOB RESPONSIBILITIES Handle the day-to-day operations and effectively lead a team of production auditors on the assigned project Ensure team delivers 100% on projects within contracted turn-around-time and meets accuracy metric as per client SLA Ensure optimum utilization of the staff and manage shrinkage to meet daily deliverables Identifying the areas of improvement for training for a team/individual based on error trend analysis Effective planning in place to manage OJT period within the specified period Support the team by discussing complex cases, resolving queries, providing education and interfacing with both company and client leadership Steer internal education program to ensure team has required training to meet accuracy and turn-around-time metric Ensures proactive identification of any negative deviations in the process Contribute to PCI product by providing feedback to Management/Development Teams on changes to enhance editing and efficiency. Willing to work during US business hours during training and OJT phase and may last for 3 to 4 months Required to be available in the office for training and first few weeks of go-live, depending on the future pandemic conditions as well as company’s ability to resume operations from an office setting ATTRIBUTES AND BEHAVIORS Develops and maintains positive working relationships with others Shares ideas and information and has ability to collaborate efficiently Assists colleagues and the team unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated – driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity. RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Graduate with CIC/CCS certification. Minimum of one year experience working as Team Leader or equivalent Experience in US Healthcare, medical coding, medical billing health plan operations strongly preferred. Possesses knowledge of healthcare claims payment policy and processing – specifically CMS, Medicaid regulations, ICD-10-PCS etc. Practical clinical experience working in a hospital/office or nursing home strongly preferred. Has general knowledge of medical procedures, conditions, illnesses, and treatment practices Possesses excellent written and verbal communication skills. Ability to think logically and process sequentially with a high level of detailed accuracy and efficiency Has excellent personal computer skills in Microsoft Word, Excel, PowerPoint, Outlook, etc. SKILLS & COMPETENCIES Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills Be a quick learner and proficient in application of learnings Excel proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to work well independently and maintain focus on a topic for prolonged periods of time Regards, Talent Acquisition Team COTIVITI
As an Operations Manager, you will be responsible for supporting a growing client base and managing the day-to-day operational activities of the production team. Your role will involve coordinating with both internal and external teams to ensure the team delivers projects as per set expectations while maintaining the required quality standards. **Key Responsibilities:** - Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project. - Ensure the team delivers 100% on projects within the contracted turn-around-time and meets accuracy metrics as per client SLA. - Optimize staff utilization and manage shrinkage to meet daily deliverables. - Identify areas of improvement for training for the team/individual based on error trend analysis. - Plan effectively to manage On-the-Job Training (OJT) period within the specified timeframe. - Support the team by discussing complex cases, resolving queries, providing education, and interfacing with both company and client leadership. - Implement an internal education program to ensure the team has the required training to meet accuracy and turn-around-time metrics. - Proactively identify any negative deviations in the process. - Contribute to product enhancement by providing feedback to Management/Development Teams. - Willingness to work in a 24*7 work environment post-training. - Coordinate effectively with the India team. **Qualifications Required:** - Medical degree/Life graduate with CIC/CCS certification or in-patient DRG experience. - Minimum of two years" experience working as Asst. Mgr./Mgr. or equivalent. - Experience in US Healthcare, medical coding, medical billing, RCM health plan operations preferred. - Practical clinical experience in a hospital/office or nursing home is a plus. - Excellent written and verbal communication skills. - Proficiency in Microsoft Word, Excel, PowerPoint, Outlook, etc. - Strong analytical, critical thinking, and problem-solving skills. - Quick learner and proficient in applying learnings. - Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads. The company values positive working relationships, collaboration, and self-motivation among its employees. You will be expected to maintain a high level of customer service ethic, handle confidential information with sensitivity, and keep pace with changes in the business environment. Your ability to work well independently, maintain focus for prolonged periods, and acquire knowledge/skills as the business evolves will be crucial for success in this role.,