Medical Director

Cotiviti

Client Medical Director for Cotiviti serving as a subject matter expert in medical payment policy. Supporting client growth and new sales activity in the healthcare domain.

Posted 6/29/2026full-timeRemote • 🇺🇸 United StatesLead💰 $225,000 - $275,000 per yearWebsite

About the role

Key responsibilities & impact

Supporting existing client growth and new sales activity by identifying value-creation opportunities for our clients
Presents appropriate payment policy to clients for adoption based on review of data analytics
Defines mission and strategy with Client Engagement Leader; delivers strategy to client’s medical policy team
Works alongside Medical Policy team to evaluate and validate editing
Acts as a clinical liaison with our health plan clients
Lend guidance to the research & development efforts of our Medical Policy and Solutions teams
Have in-depth knowledge of claims, claims adjudication, medical policy edits and configurations
Inspire trust and credibility, deliver on commitments, provide value-add analytics
Assist in discovering opportunities for other Cotiviti product sales
Other duties as assigned.

Requirements

What you’ll need

Licensed MD/DO with clinical and health plan experience
Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse
Experience in clinical medicine
Adaptive capacity for rapidly changing priorities and workloads, multitasking, prioritizing and meeting deadlines
Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels
Comfortable with presenting to small and large groups of people
Strong organizational, analytical and problem-solving skills
Results driven with focus on producing high-quality, error free service and deliverables
Ability to work well independently and in a team environment
Excellent verbal and written communication skills
Proficient with Microsoft Office Suite (Word, Excel, Power Point); advanced Excel proficiency preferred
Exhibits behaviors consistent with Cotiviti values.

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

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Medical CodingPayment IntegrityFraud/Waste/AbuseData AnalyticsProblem-Solving

Soft Skills

Organizational SkillsAnalytical SkillsCommunication SkillsMultitaskingTeam Collaboration