Senior Director – Government Programs

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the overall profit and loss for key strategic contracts and agency programs within Cotiviti Government Services.

• Manage both directly and indirectly the operational staff responsible for delivering government contracts.

• Handle complex program tasks and initiatives required by clients within a matrixed organizational structure.

• Plan, budget, and oversee government contracts, including the management of subcontractors, forecasting accuracy, staffing, revenue, and growth objectives.

• Act as the primary client liaison for contract performance, risk management, and ensuring customer satisfaction.

• Educate and guide contract and operational staff on protocols, deliverables, communications, meetings, and subject matter expertise.

• Establish strategic business objectives and direction for a Federal and/or State Program Department unit.

• Create business proposals and written budget justifications for task orders, additional funding, and contract extensions.

• Gain a deep understanding of client businesses and showcase technical proficiency in Cotiviti services.

• Monitor the government agency, legislative, regulatory, political, and competitive environments to safeguard and expand the business.

• Cultivate relationships with Cotiviti teams, clients, and strategic partners.

• Recognize client expectations and strive to exceed mutually agreed-upon objectives.

• Participate in industry events and conferences, developing strategic agendas and partnerships.

• Attract, manage, retain, develop, and plan for succession of employees.

• Promote Cotiviti and establish connections within the business community and healthcare sector.

• Shape client needs and identify expansion opportunities to enhance service and delivery.

• Identify and foster partnerships that support entry into new contracts and markets.

• Recruit, develop, mentor, lead, and retain high-caliber talent while fostering a high-performing team and culture.

• Complete annual performance reviews, special projects, and other assigned responsibilities.

⛳️ Requirements

• A Bachelor’s degree is required.

• Certification as a Project Management Professional (PMP) is preferred.

• A minimum of 10 years of account management experience in a healthcare insurance setting.

• Experience with Medicaid and Medicare is desired.

• A financial background is preferred.

• At least 5 years of experience in government program integrity/payment integrity is required.

• A minimum of 5 years of experience directly managing staff is necessary.

• At least 5 years of project management experience is required.

• Knowledge of Federal and State Government Healthcare Contracting is essential.

• Familiarity with Claims Processing and Reimbursement Methodologies is required.

• Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements is needed.

• Understanding of federal and state Medicaid regulations is important.

• Exceptional skills in client management and business development are essential.

• Strong communication abilities with internal stakeholders, external entities, and customers are necessary.

• Proficiency in preparing and facilitating executive-level presentations is required.

• Capable of negotiating and collaborating at an executive level.

• Ability to analyze and interpret financial information is crucial.

• Excellent time management skills and ability to multitask are required.

• Capability to manage contract deliverables in hierarchical and matrix-based organizations is essential.

• Must be able to handle highly confidential information with professionalism.

• A dedicated, secure work area must be provided.

• High-speed internet access/connectivity and proper office setup and maintenance must be ensured.

🏝️ Benefits

• Consideration for discretionary bonuses.

• Coverage for medical insurance.

• Coverage for dental insurance.

• Coverage for vision insurance.

• Coverage for disability insurance.

• Coverage for life insurance.

• Access to 401(k) savings plans.

• Paid family leave benefits.

• Nine paid holidays each year.

• Paid Time Off (PTO) ranging from 17 to 27 days annually, depending on level and length of service.

• Remote work arrangements are available.

• Virtual interviews are conducted.