Manager Audit Content (CCV)

COTIVITI, INC.

SOUTH JORDAN, UT

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JOB DETAILS

SKILLS

Artificial Intelligence (AI), Auditing, Certified Coding Specialist (CCS), Distributed Control Systems (DCS), Documentation Standards, Government, Healthcare, Identify Issues, Industry/Trade Analysis, Leadership, Machine Learning, Medical Coding, Mentoring, Offshoring, People Management, Performance Analysis, Procedure Implementation, Process Improvement, Regulations, Regulatory Requirements, Reimbursement, Relationship Management, Sales Management, Staff Motivation, Standard Operating Procedures (SOP), System Integration (SI), Tableau, Team Building, Team Lead/Manager, Training Program, Trend Analysis, White Papers

LOCATION

SOUTH JORDAN, UT

POSTED

2 days ago

Manager Audit Content (CCV) Job Locations US-Remote ID 2026-19330 Category Audit - Healthcare Position Type Full-Time Overview The Manager, Audit Content position is responsible for leading a team of Concept Development Analysts (CDA) and Operations Administrators in delivering value to Cotiviti's operations and clients. This leader is responsible for oversight of their team, as well as participating in the development of new and existing complex audit concepts, executing audit projects, and updating concept policies based on changes in clinical and coding developments, statutes, regulations, and client policies. The Manager, Audit Content, guides their team in the identification, development, and implementation of new concepts based on industry experience and a strong knowledge of regulatory requirements. This role conducts and documents complex projects and mentors less senior team members in project completion. The Manager, Audit Content uses subject matter expertise and experience to lead their team in successfully investigating and identifying issues, trends in concept performance and selections, and the maximization of audit opportunity. This role acts as a subject matter expert in concept development and selections for all Cotiviti Content Validation (CCV) business partners. Responsibilities Leadership and Team Development: * Provide leadership to the team by communicating all expectations and ensuring alignment with Cotiviti's long-term objectives. * Motivate employees through individual, team, and department recognition. * Recruit and hire new staff, manage existing staff, and develop and implement training and orientation programs that ensure consistency and accuracy. * Ensure goals and standards are consistently met, removing roadblocks to exceptional performance. * Monitor team coverage of responsibilities and ensure accountability. * Strategic Contributions: * Lead all efforts with new products, collaborating with Product Managers to ensure success. * Implement CCV initiatives such as PCCV, selection tool integrations, CCCR, and AI model management. * Partner with AI and machine learning teams to align long-term plans with ACV goals. * Optimize business tools, including DCS, CCS, Tableau, Cube, QTS/CA, Ops AI, Operational Intelligence, and Power-automate, to support innovation and optimize coding-based content. * Build collaboration opportunities across government and commercial teams, including offshore teams like Operational Insights and the Research Team. * Innovation and Process Optimization: * Foster an environment of innovation, such as Tableau reporting reforms and process efficiencies. * Document and enforce standard operating procedures * Develop a deep understanding of Spark DCS systems and their integration with PCCV and CAT/CCS. * Coordinate reference table management, whitepaper training, Q6 portal upgrades, and research maintenance. * Partner with content leaders as the business lead overseeing products, tools, and teams servicing CCV, including AI/Model, HIBIS, Product, Operational Insights, and selection reference table management. * Subject Matter Expertise: * Provide expertise regarding reimbursement methodologies and applicable regulations. * Remain abreast of industry and client trends, anticipating impacts to the team and regulatory changes. * Use experience and analytics knowledge to identify concept effectiveness and opportunities for refinement. * Act as a subject matter expert for concept development and selections a cross all Cotiviti business partners. * Collaboration and Relationship Management: * Ensure an optimized relationship between the DIS team. * Coordinate with Exclusions and Selections Operations... For full info follow application link. Equal Opportunity Employer/Protected Vete ans/Individuals with Disabilities

About the Company

COTIVITI, INC.

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