Medical Policy Release Manager

Cotiviti

Medical policy release manager coordinating healthcare content and software releases for Cotiviti. Ensuring compliant validation, scheduling, quality assurance, and production deployment.

Posted 8/6/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $105,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing medical policy releases and coordinating IT system updates while ensuring compliance with CMS and regulatory requirements. Proficient in risk assessment, change management, and effective communication across clinical and operational teams.

Highest-signal resume keywords

Healthcare Policy ManagementIT Release ManagementChange Management ToolsRegulatory ComplianceData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding ExperienceRegulatory AnalysisPolicy ValidationRisk AssessmentChange DocumentationCPT CodingICD CodingNDC CodingClaims Payment MethodologiesContent Management Systems

Soft Skills

Analytical SkillsProblem-Solving SkillsInterpersonal CommunicationAttention to DetailCritical Thinking

Tools & Technologies

JiraServiceNowMicrosoft Office SuiteExcelContent Management Systems

Certifications & Qualifications

AHIMA CertificationAAPC Certification

Industry Keywords

CMS ComplianceMedical PolicyITIL FrameworksRelease CoordinationData Security

Tech Stack

Tools & technologies

ServiceNow

About the role

Key responsibilities & impact

Manage medical policy releases, release schedules, and IT system-related updates
Develop and maintain release calendars for medical policy updates and software patches
Coordinate dependencies across multiple teams
Ensure policy and technical releases comply with CMS, federal, state, and regulatory requirements
Liaise between Clinical Policy teams, IT, and Business Operations
Communicate release status, risks, and timelines
Lead go/no-go decisions and validate user acceptance testing
Establish rollback procedures for potential deployment failures
Coordinate tickets and communicate data-file status in release notes
Validate policy and code changes across content management systems
Manage risks and resolve issues affecting release scope, schedule, and quality
Plan and coordinate releases across development, QA, and production environments
Ensure risk assessment, prioritization, approval, and change documentation
Act as a gatekeeper for policy accuracy
Support client teams on PURs and other eLL inquiries
Participate in eLL application upgrades or functionality changes
Hire, develop, coach, lead, and retain team talent
Complete performance-plan responsibilities and special projects

Requirements

What you’ll need

6 years of coding experience in healthcare policy, billing and coding software, regulatory analysis, or IT release management
Degree and professional certification (AHIMA or AAPC) preferred
Familiarity with ITIL frameworks
Experience with change management tools such as Jira and ServiceNow
Experience planning, scheduling, and coordinating releases across development, QA, and production environments
Experience with risk assessment, prioritization, approvals, and change documentation
Ability to interpret rule descriptions, scripts, and temporary rules
Experience validating policy and code changes in content management systems
Strong analytical and comparison skills for multi-tab validation
Experience researching CPT, HCPCS, ICD, or NDC codes
Familiarity with claims payment and reimbursement methodologies
Ability to analyze data and make data-driven decisions
Ability to manage timelines and multiple projects with high accuracy and attention to detail
Strong analytical, critical-thinking, and problem-solving skills
Proficiency in Microsoft Office Suite
Preferred knowledge of Excel, pivot tables, and functions
Excellent interpersonal, verbal, and written communication skills
Work-at-home setup with high-speed internet
Flexibility to participate in conference calls across global time zones
Occasional after-hours and weekend work for major deadlines
Ability to provide a dedicated, secure work area
Ability to provide high-speed internet connectivity and maintain an office setup
Ability to perform duties with or without reasonable accommodation
Understanding of Cotiviti policies, procedures, information security, and regulatory compliance
Ability to maintain confidentiality and data security

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Disability insurance
Life insurance coverage
401(k) savings plan
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
High-speed internet and other tools will be provided
Equal employment opportunity