Senior Program Manager Value Based Care

Overview

The Senior Program Manager, Operations partners closely with assigned Client Executives and internal delivery teams to lead the execution, coordination, and ongoing delivery of Cotiviti’s Quality, Value‑Based Payment, and related platform solutions. This is a dedicated role serving as the primary day‑to‑day program lead for a strategic client and is accountable for overseeing all aspects of the client engagement across multiple products, teams, and workflows. The Senior Program Manager applies deep healthcare domain knowledge in Value Based Care, strong program leadership, and cross‑functional collaboration skills to ensure predictable delivery, effective issue management, and high client satisfaction across complex, multi‑team solution environments.

Responsibilities

• Own overall program execution and operational delivery for a strategic client within Cotiviti’s Value‑Based Care solutions.
• Partner closely with Client Executives to align delivery execution with client goals, contractual commitments, and long‑term growth objectives.
• Act as the primary point of coordination across internal teams including Product Management, Engineering, Data Analytics, Operations, Implementation, and Support to ensure alignment and timely execution.
• Lead client‑facing cadence including planning meetings, operational touchpoints, release discussions, issue reviews, and roadmap alignment.
• Proactively identify delivery risks, dependencies, and obstacles; orchestrate appropriate internal resources to resolve issues before they impact clients.
• Ensure open issues, action items, and cross‑team dependencies are tracked, communicated, and resolved within agreed timelines.
• Maintain accountability for key milestones, client expectations, and delivery outcomes across concurrent initiatives.
• Track and report on contractual commitments, SLAs, and operational performance.
• Produce and manage client‑related documentation including meeting materials, program plans, requirements coordination, decisions, risks, and follow‑ups.
• Ensure client delivery activities are managed in alignment with revenue expectations and operational constraints.
• Contribute to continuous improvement of internal delivery processes, tools, and cross‑functional workflows.
• Complete annual performance objectives and additional strategic initiatives as assigned.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

• Bachelor’s degree required; relevant Master’s degree preferred.
• Minimum of 7 years of healthcare industry experience (payer, TPA, or healthcare technology/analytics vendor).
• Demonstrated experience supporting Value‑Based Care programs.
• Minimum of 5 years of successful client and/or program management experience in complex, cross‑functional environments.
• Proven ability to manage multiple interdependent workstreams, competing priorities, and executive‑level client relationships.
• Strong experience handling client escalations, aligning diverse stakeholders, and maintaining accountability for outcomes.
• Ability to remain effective under pressure while managing complex delivery timelines and dependencies.
• Excellent written, verbal, and presentation skills; able to communicate clearly with both technical and non‑technical audiences.
• Strong organizational skills with the ability to track details, follow through on commitments, and ensure closure.
• Ability to navigate and influence across matrixed teams in a dynamic, evolving environment.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Working knowledge of program and project management principles.
• Willingness to travel up to 15% as required.

Cognitive / Mental Requirements:

• Strategic Systems Thinking: Ability to understand complex, interconnected technology, business, and operational systems and anticipate downstream impacts of decisions across the enterprise.
• Advanced Analytical Reasoning: Quickly analyze large volumes of qualitative and quantitative information to identify patterns, risks, dependencies, and opportunities within transformation programs.
• Executive Judgment & Decision-Making: Apply sound judgment in ambiguous, high-stakes environments, balancing competing priorities, constraints, and stakeholder interests.
• Rapid Learning & Adaptability: Assimilate new technical concepts, business models, and program objectives quickly, adjusting strategies and execution plans as conditions evolve.
• Problem Solving in Ambiguity: Define problems that are not clearly articulated, evaluate multiple solution paths, and drive resolution in dynamic and uncertain environments.
• Risk Anticipation & Mitigation Thinking: Proactively identify potential program, technology, and organizational risks and develop mitigation strategies before issues escalate.
• Synthesis & Abstraction: Distill complex program details into clear, concise insights and narratives appropriate for executive-level decision-making.
• Change & Impact Assessment: Evaluate organizational readiness, behavioral impacts, and adoption risks associated with large-scale technology transformation initiatives.
• Prioritization & Trade-Off Analysis: Assess relative value, urgency, and impact to sequence work effectively and guide leaders through informed trade-off decisions.
• Innovation & Continuous Improvement Mindset: Identify opportunities to improve processes, leverage emerging technologies, and challenge existing assumptions to drive transformation outcomes.

Physical Requirements and Working Conditions:

• Occasional Travel as assigned by leadership (5% -10%)
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• No adverse environmental conditions expected.

Base compensation ranges from $100,000 to $140,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

 

Date of posting: Applications are assessed on a rolling basis. We anticipate that the application window will close on , but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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