Cotiviti works with more than 200 healthcare payers and health systems, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. We take in billions of clinical and financial data points, analyze them, and help our clients discover ways they can improve the efficiency and the quality of care. The Implementation Director will guide the delivery of services and technology to one or more clients by planning, supporting, and managing implementation activities from pre-sales support through production verification.
Responsibilities
Project Management - Coordinate/manage the implementation efforts by ensuring organizational execution against the defined workplan:
Identify and initiate joint company and client teams to complete pre-sales and/ or implementation opportunity analysis, establish medical policy, integrate applications, establishing invoicing, test configuration and interface, train end users and to communicate to internal and external audiences.
Establish internal IT team to ensure coordination of all our delivery activities through weekly meetings.
Establish project plan based on scope of services.
Ensure company and client buy-in to project plan and milestones.
Ensure work of each company and client committees progress as scheduled against the plan.
Serve as a key collaboration catalyst, coordinating and documenting strategic meetings across medical policy, technology, communication, finance, and testing domains to ensure seamless cross-functional alignment.
Ensure follow-through against commitments made by company and client resources.
Identify, track and ensure closure of all implementations related issues across all aspects of delivery.
Report status against key milestones (progress against plans, upcoming activities and issues) on a weekly basis.
Deliver projects in conjunction with the client, balancing scope, schedule, resources and quality.
Fulfill delivery responsibilities as outlined in the Implementations Responsibility Matrix.
Establish outstanding professional relationships within each of the client departments participating in the pre-sales implementation support activities (as needed); implementation; and post go live warranty period such as: executive leadership, medical policy, claims operations and grievance / appeals, provider relations, corporate communications, information technology, and Finance/actuarial.
Serve as the key day-to-day client contact to present a consistent primary point of contact for the company.
Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit.
Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily.
Serve as key day-to-day client contact to present a consistent primary point of contact with company.
Identify opportunities to expand the scope of our business relationship with the client and communicate opportunities to Implementation Services VP and/or AVP for pursuit.
Leverage IS VP and/or AVP to solidify relationships with client executives not involved with the implementation daily.
Transition to Client Services and Network Operations:
Ensure client operational cycles are understood and supported by company.
Integrate and effectively transition to Client Service Manager to provide a seamless transfer for on-going business support.
Integrate and effectively transition to Network Operations to ensure seamless transfer for on-going technology support.
Implementation Process Improvement:
Undertake process and departmental improvement projects identified individually, as a team or as assigned by the Implementation Services VP and/or AVP.
Coordinate process improvement initiatives with other team members and organizational components.
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.
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.
Other responsibilities as assigned.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.
PMP Certification preferred.
Health Claims system knowledge on any of the following: Facets, Paradigm/Diamond, Amisys or Amisys Advance, QMacs/QNXT, QCare.
5+ years of experience with program and complex project management, matrix management, client-facing service delivery, health plan systems delivery, and custom or packaged application delivery.
Proficient in Microsoft Office Suite (Word, Excel, Power Point, Visio, Project).
Professional with ability to properly handle confidential information.
Ability to work well independently and in a team environment.
Ability to handle multiple tasks, prioritize and meet deadlines.
Ability to work within a matrix organization.
Excellent written and verbal communication skills.
Must have ability to positively handle/manage stress, such as high work volume and frequent change.
Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.Mental Requirements:
Communicating with others to exchange information.
Problem-solving and thinking critically.
Completing tasks independently.
Interpreting data.
Demonstrating agile decision-making skills to drive workflow efficiency and maintain project momentum.
Maintaining focus.
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.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 expected.Base compensation ranges from $122,000 to $155,000 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.
This role is based remotely and all interviews will be conducted virtually.
Date of posting:6/15/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 08/15/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.