Cotiviti logo
Cotiviti

Enabling a high-quality and viable healthcare system

Senior Director Health Enablement Operations

Revenue OperationsRevenue OperationsOtherRemoteLeadTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$150K - $170K / year

Seniority

Lead

No structured requirement data.

Job Description

Senior Director Health Enablement Operations

Cotiviti

Role Description The Sr. Director is responsible for ensuring the day-to-day operational engine of Health Enablement runs seamlessly, predictably and at scale. This role serves as a run the business operator across delivery, vendors, sales support and contracting. This role is critical in owning the matrix pieces that enable the organization to deliver on customer commitments without disruption. Working closely with Clinical and Coding Operations leadership, Client Advisory, Customer Success, Sales, Product, Legal and Vendor partners, this role translates strategy into execution, ensures operational discipline, and proactively identifies risks before they impact customers or financial performance. The is a high-autonomy, high accountability role designed to increase operational rigor and strengthen critical business functions. Responsibilities - Drive cross functional coordination and execution. - Act as a central orchestrator across delivery (clinical and coding services), client advisory and success, product and engineering, legal, and vendor partners. - Ensure alignment, accountability, and clarity across functions. - Establish clear handoffs, escalation paths, and operating rhythms. - Build and maintain repeatable operational processes (SOP’s, tracking mechanisms, reporting). - Identify inefficiencies and drive scalability improvements across teams and vendors. - Improve visibility into operational metrics, risks, and performance drivers. - Introduce more rigorous structure without slowing execution. - Operational oversight, triage of risks and issue resolution, and run-the-business execution. - Maintain real-time visibility into delivery performance or risks. - Proactively identify and resolve issues impacting customer commitments, timelines, or quality. - Provide business unit representation as SME for RFP’s, renewals, and client contracts. - Assess operational feasibility of SLAs, KPIs, pricing structures and delivery commitments. - Function as SME in late-stage deals and complex customer conversations. - Third party vendor strategic planning and performance management oversight. - Continue to assess scalability, performance, longer term planning and negotiations. - Ensure proactive tracking and planning of funding, work orders, and investment approvals. - Lead operational readiness for large scale onboarding and implementation support for clinical and coding services third party vendors. - Ensure coordination across systems access, training, vendor readiness, and delivery launch. - Hire, develop, coach, lead and retain top-tier talent. - Complete all responsibilities as outlined in the annual performance review and/or goal setting. - Complete all special projects and other duties as assigned. - Must be able to perform duties with or without reasonable accommodation. Qualifications - 12+ years in leading Risk Adjustment, Quality or other like Healthcare operations role in payer, provider or vendor setting. - Bachelor’s degree required, Master’s degree preferred. - Relevant industry experience of 15+ years may be considered in lieu of a degree. - Experience supporting complex, multi-stakeholder delivery environments. - Experience working alongside Sales, Legal, and Delivery organizations. - Active coding credentials through AAPC/AHIMA in good standing preferred. - 5+ years’ experience in client success, account management, or related client facing roles. - Strong operator, proven success in optimizing business processes to achieve cost savings while delivering and exceeding client expectations. - Strong skills in program and project management. - 5+ years managing third party partnerships, including performance and contract compliance. - Excellent written and verbal communication skills. - Awareness and adherence to HIPAA privacy and security regulations. - Strong computer and tech skills, expert level of comfort with Microsoft applications. - Flexibility and willingness to participate in the work processes of an international organization. - Ability to travel, very minimal expected for this role. Requirements - Comfortable working across ambiguity, complexity, and competing priorities. - Ability to connect strategy to execution across multiple teams and functions. - Strong operational judgment—can identify risk in contracts, delivery models, and scaling decisions. - Operates as a high-agency, independent operator who can “keep the business running” without constant direction. - Memory recall and ability to retain large amounts of information quickly. - Multi-tasking without sacrificing quality, strong attention to detail. - Problem-solving and thinking critically, making rapid, accurate decisions. - Strong commercial and operational instincts. - Brings a mindset of ownership, accountability, and proactive problem-solving. - Excellent at cross-functional coordination without formal authority. - Assessing the accuracy, neatness and thoroughness of the work assigned. - Learning new tasks and completing tasks in situations that have a speed or productivity quota. - Remembering and adhering to processes and protocols. - Applying established protocols in a timely manner. 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. - Must be able to provide a dedicated, secure work area. Benefits - Base compensation ranges from $150,000 to $170,000 per year. - This role is eligible for discretionary bonus consideration. - Cotiviti offers a competitive benefits package including medical, dental, vision, disability, and life insurance coverage. - 401(k) savings plans. - Paid family leave. - 9 paid holidays per year. - 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

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