Senior Director, Payment Integrity Operations

Cotiviti

Senior Director overseeing operations within Cotiviti’s Payment business unit. Critical role in supporting client engagement and operational improvements with team leadership.

Posted 5/8/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $160,000 - $190,000 per yearWebsite

Tech Stack

Tools & technologies

C++PMP

About the role

Key responsibilities & impact

Represent the business unit and operations by defining operational requirements that enable scalable, efficient, and high-quality delivery
Respond promptly to Payment Requests for Information and Requests for Proposals
Support client intake requests for the PrePayment business unit by understanding client requirements and providing tailored solutions and cost estimates
Hire, develop, coach, lead, and retain top-tier talent, fostering a team and culture dedicated to implementing best-in-class practices that drive superior internal and external customer satisfaction
Optimize labor and operating expenses while increasing productivity, service quality, and supporting future client growth
Collaborate with key partners to ensure operational excellence
Sponsor, lead and support operational improvement initiatives related to people, processes, and technology to deliver incremental value, enhance operational efficiency, and meet or exceed service and quality goals
Develop lean business cases, establish key performance indicators, and create requirements and test plans for business improvement initiatives
Communicate business unit performance and improvement initiatives to relevant stakeholders
Enforce Cotiviti’s intellectual property protection best practices
Ensure clinical operations comply with regulatory, accreditation, corporate, and client requirements
Diagnose and resolve issues, prepare schedules, and set deadlines to ensure timely completion of work
Develop short-term and long-term plans to anticipate client needs and drive operational improvements
Foster a positive culture that supports corporate goals, encourages initiative, and promotes open communication across all levels of the organization
Work closely with and support business leaders throughout the organization
Establish and maintain effective client and team dynamics in a highly collaborative manner
Manage and delegate team and individual projects and assignments
Review performance against operating plans and standards
Provide reports and metrics to drive continuous operational quality
Cultivate and maintain personal relationships with executive leadership
Complete all responsibilities as outlined in the annual Performance Plan
Complete all special projects and other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in business, operations, healthcare or equivalent in a related field required and Master’s preferred
Relevant certifications such as Lean Six Sigma, PMP, or Certified Payments Professional (CPP) are highly regarded
A minimum of 10 years’ experience managing operations, consulting, or healthcare management, including decision rights for hiring and terminating employees, and management of operational budgets
Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred
Implementations/transitions experience preferred
Exceptional operational acumen, advanced problem-solving capabilities, and proven leadership skills
Demonstrated experience collaborating with key stakeholders and executive decision-makers
Robust leadership background in directing operational divisions, establishing policies, and driving achievement of division objectives
Highly developed interpersonal, analytical, and communication abilities
Proven record of delivering significant business improvements and operational excellence
Deep expertise in process optimization, enabling simplification and scalable quality solutions
Comprehensive understanding of technology, including experience with software development initiatives
Extensive experience presenting to clients and senior leadership teams
Skilled in responding to client information requests, audits, and proposal submissions
Ability to thrive in a fast-paced, high-accountability, and diverse environment, with relentless focus on client and customer service
Distinguished leadership qualities and a successful track record in talent management and development
Strong analytical and problem-solving acumen, with the ability to deeply assess and resolve operational inefficiencies
Superior written and verbal communication skills, including expertise in public speaking
Advanced proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint
Professional demeanor with the ability to maintain confidentiality
Capable of working independently and collaboratively within team settings; adept at multitasking, prioritizing, and meeting deadlines
Experience operating effectively in a matrixed organizational structure
Willingness and ability to travel as required
Demonstrates flexibility and willingness to actively participate in the operations of an international organization, including attending conference calls scheduled to accommodate global time zones
Experience in collaborating with sales teams and driving initiatives that support business growth
Consistent track record of achieving and surpassing service level agreements (SLAs) and performance benchmarks
Strategic capability to position the organization for sustained growth in alignment with the Payment business unit’s objectives

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 managementprocess optimizationbusiness improvementperformance metricsbudget managementlean business casesproblem-solvingclient proposal submissionssoftware development initiativeshealthcare management

Soft Skills

leadershipcommunicationinterpersonal skillsanalytical skillscollaborationtalent managementflexibilitymultitaskingprioritizationcustomer service

Certifications

Lean Six SigmaPMPCertified Payments Professional (CPP)