Director Quality – Payment Integrity

Cotiviti

Director of Quality ensuring quality delivery of Payment Integrity Solutions at Cotiviti. Driving excellence across multiple payment integrity products with a focus on continuous improvement and operational excellence.

Posted 5/4/2026full-timeRemote • 🇺🇸 United StatesLead💰 $140,000 - $185,000 per yearWebsite

About the role

Key responsibilities & impact

Oversee and drive quality performance across payment integrity solutions, ensuring continuous improvement and operational excellence
Collaborate with cross-functional business units to measure, report, and enhance quality performance metrics and outcomes
Develop and align best-in-class quality processes and standards, delivering exceptional results through operational excellence
Work closely with Operations and Product teams to drive quality improvements by leveraging technology, optimizing processes, and developing talent
Ensure timely and accurate responses for Payment Requests for Information (RFIs) and Request for Proposals (RFPs)
Support client intake requests for PrePayment Business Unit by understanding client requirements and providing tailored solutions and cost estimates
Hire, develop, coach, and retain top-tier talent, fostering a culture dedicated to exceptional quality and customer satisfaction
Optimize labor and operating expenses while increasing productivity, service quality, and supporting future client growth
Lead and support operational improvement initiatives encompassing people, processes, and technology to deliver incremental value and operational efficiency, consistently meeting or exceeding service and quality goals
Enforce Cotiviti’s intellectual property protection best practices throughout all operations
Diagnose and resolve issues proactively, manage schedules, and ensure deadlines are met for timely completion of work
Develop short-term and long-term plans to anticipate client needs and operational improvements
Cultivate a positive workplace culture that supports corporate goals, promotes initiative, and fosters open communication at all organizational levels
Collaborate and support business leaders throughout the organization, maintaining highly effective client and team dynamics in a collaborative environment
Manage and delegate team and individual projects/assignments, and review performance against operating plans and standards
Provide comprehensive reports and metrics to drive operational quality and inform strategic decisions, based on operational objectives and work plans at a senior level
Build, maintain and influence strong relationships with executive leadership to support organizational goals

Requirements

What you’ll need

Bachelor’s degree in business, operations, healthcare or equivalent in a related field required and Master’s preferred
Minimum of five years’ management experience, ideally within the healthcare industry
Demonstrated operational excellence, exceptional problem-solving ability, and proven people leadership skills
Expertise in collaborating with key stakeholders and executive decision-makers
Established leadership in directing operational divisions, shaping policies, practices, and achieving division objectives
Highly developed interpersonal, analytical, and communication skills
Proven track record of driving business improvement initiatives and delivering measurable outcomes
Deep process-oriented expertise, with a focus on simplifying and scaling operations while maintaining superior quality
Advanced technological proficiency, including experience in software development and payment integrity solutions
Significant experience presenting to clients and senior leadership
Exceptional performance management skills demonstrated through outstanding team and organizational outcomes
Ability to excel within fast-paced, highly accountable, and diverse environments, maintaining a strong client and customer service focus
Extensive experience in strategic planning and operational development
Superior analytical and problem-solving capabilities, with a talent for diagnosing and resolving operational inefficiencies
Experience operating in matrixed organizational structures
Willingness to travel as business needs require
Strong foundation in quality assurance and testing methodologies
Experience designing and implementing quality measurement frameworks
Demonstrated capability to align and standardize quality processes across a portfolio of products
Expertise in establishing and maintaining mechanisms for performance monitoring and reporting to senior leadership

Benefits

Comp & perks

medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

operational excellenceproblem-solvingquality assurancequality measurement frameworkspayment integrity solutionsstrategic planningperformance monitoringprocess optimizationsoftware developmentanalytical skills

Soft Skills

leadershipinterpersonal skillscommunication skillscollaborationcoachingteam dynamicsclient service focusinitiativeorganizational skillsadaptability

Certifications

Bachelor’s degreeMaster’s degree