Job Title

Hello,Please share your updated resume at gemini.goyal@ 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.Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS, BPT, BDS (Mandatory)CPC/CIC/CCS certificationAdditional relevant certifications would be an added advantage15 years of experience in BPO/KPO industry5+ years of experience as Senior Manager/Director Operations/ AVP OperationsExperience managing Managers or similar levelsExperience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferredImplementations/transitions experience preferredPrincipal Duties/ Responsibilities:Program Management: Ensure that the SLAs are met consistentlyIdentify initiatives and have the Team Leads work on them for improvement of key metricsSupport QIPs to improve efficiency and qualityPresent SLAs and associated metrics to reporting manager as well as to the clientHandle 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 before Escalate to the reporting manager and client engagement team as requiredPeople 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 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 DrivenCollaborativeAccountableOpenThanks & RegardsTalent Acquisition Team COTIVITI