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 clientHighlight issues and propose solutions even beforeEscalate to the reporting manager and client engagement team as requiredPeople Management :
Managing people related issues that are escalated by TLsCoordinate with department heads for resolutionCareer planning of direct reports and guiding TLs in doing so for their teamsRealistic and measurable goal settingMonitor & control attrition and shrinkageCreate back up for each support roleInitiative :
Either come up with or identify initiatives that will result in measurable improvementConstantly monitor these initiatives and guide the team in making it a successChange Management :
Manage various types of changes :Change in processExpansion due to volume increaseNew implementationsOrganizational changes e.g. Mergers, accreditation, etcAttributes and behavior :
Should not just be a fast learner but also an effective mentorHave sound knowledge of the program and know where & how to access the finer detailsWillingness to work under pressure and stay motivated when there is less to be doneHas credibility with peers and seniorsHave a positive influence on othersSelf-motivated – driven to achieve resultsHave 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 againGood knowledge of general policies and procedures in industryAbility to adapt to policies and procedures specific to CotivitiMaturity and leadership to manage senior support staff such as managers.Exhibit behavior consistent with Cotiviti ValuesCustomer DrivenCollaborativeAccountableOpenRelevant Experience and educational requirements :
Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences preferredCPC / CIC / CCS certificationAdditional relevant certifications would be an added advantage15 years of experience in BPO / KPO industry3+ years of experience as Senior Manager / Director OperationsExperience managing Managers or similar levelsExperience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferredImplementations / transitions experience preferredRegards
Talent Acquisition Team COTIVITI