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Operations Administrator
Job Locations – US-Remote
ID2023-9839
Category Audit – Healthcare
Position Type Full-Time

Overview

The CMS Content Operations Administrator is a member of the Concept Development Team (under the Clinical Content and Enablement Team) that is responsible for supporting CMS Concept Development operations.

This individual will ensure that all CMS Operations processes are adhered to, individual metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail.

The individual in this role will have the specific responsibilities for the administrative tasks associated with CMS New Issue development and maintenance.

This position is scheduled to work Monday-Friday daytime schedule.

Responsibilities

• Administrative tasks

• Document all correspondence between Cotiviti and CMS pertaining to New Issues (NI).

• Collate NI-related information for inclusion in the Monthly Business Report.

• Maintain NI information on Cotiviti’s RAC website.

• Maintain NI information in various applications.

• Manage Quality Assurance (Q6 QA) process for all NIs.

• Enter NI information into the Q6 portal.

• Enter tickets for Research completion.

• Assign work to Concept Development Analysts.

• Monitor NI limits, complete limit request forms, and track limits granted.

• Participate in the monthly Accuracy Study process.

• Participate in maintenance of documents containing templated language used in audit results letters.

• Other Tasks

• Work in several tools and applications.

• Monitor emails.

• Maintenance and monitoring of several trackers.

• Serve as point of contact for other CCV stakeholders.

• Reporting for team and other CCV stakeholders.

• Provide administrative support for the Concept Development team.

• Other duties as assigned.

Qualifications

• Consistent and effective critical thinking skills required.

• Strict attention to detail in actions and documentation.

• Strong organizational skills (including a commitment to thorough documentation of results).

• Strong written and verbal communication skills in person, as well as with remote and international resources.

• Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications with all internal/external stakeholders.

• Active listening skills.

• Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines.

• Must be flexible and willing to adapt to an ever-changing environment (this role may have changing priorities throughout the day).

• Ability to properly handle confidential information and maintain strict confidentiality in all communications involving sensitive information and algorithms.

• Must be driven and a self-starter.

• Ability to work well independently and in a team environment.

• Ability to work within a matrix organization.

• Exhibits behaviors consistent with Cotiviti Values.

Minimum Qualifications:

• High School Diploma or equivalent required; Associate’s or Bachelor’s Degree preferred

• Healthcare Systems and Operations experience preferred

• Healthcare claims data experience preferred.

• Works with a sense of urgency; ability to switch gears and change focus

• Must possess intermediate skills with MS Excel and be proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)

• Excellent written and verbal communication skills.

Job Demands

• This is a work at home position. Access to high-speed internet is required (all other equipment will be provided).

• Must be able to sit and use a computer keyboard for extended periods of time

• Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.

• After hours and/or weekend work required where necessary for major deliverables/deadlines (not typical)

• Required hours Monday – Friday… daytime schedule

Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Cotiviti values its diverse workforce and its selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy, childbirth or pregnancy-related conditions, national origin, sexual orientation, marital status, genetic carrier status, military service, veteran status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.

Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)

Application FAQs

** This role gets paid an estimated: $41.5K – $52.5K a year