[Remote] Senior Director Payment Integrity Operations

Note: The job is a remote job and is open to candidates in USA. Cotiviti is a company focused on payment integrity operations, and they are seeking a Senior Director of Payment Integrity Operations to oversee their Payment business unit. This role involves providing strategic direction, team leadership, and ensuring exceptional service for clients while driving operational improvements and managing business processes effectively.ResponsibilitiesRepresent the business unit and operations by defining operational requirements that enable scalable, efficient, and high-quality deliveryRespond promptly to Payment Requests for Information and Requests for ProposalsSupport client intake requests for the Pre-Payment business unit by understanding client requirements and providing tailored solutions and cost estimatesHire, 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 satisfactionOptimize labor and operating expenses while increasing productivity, service quality, and supporting future client growthCollaborate with key partners to ensure operational excellenceSponsor, 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 goalsDevelop lean business cases, establish key performance indicators, and create requirements and test plans for business improvement initiativesCommunicate business unit performance and improvement initiatives to relevant stakeholdersEnforce Cotiviti’s intellectual property protection best practicesEnsure clinical operations comply with regulatory, accreditation, corporate, and client requirementsDiagnose and resolve issues, prepare schedules, and set deadlines to ensure timely completion of workDevelop short-term and long-term plans to anticipate client needs and drive operational improvementsFoster a positive culture that supports corporate goals, encourages initiative, and promotes open communication across all levels of the organizationWork closely with and support business leaders throughout the organizationEstablish and maintain effective client and team dynamics in a highly collaborative mannerManage and delegate team and individual projects and assignmentsReview performance against operating plans and standardsProvide reports and metrics to drive continuous operational qualityCultivate and maintain personal relationships with executive leadershipComplete all responsibilities as outlined in the annual Performance PlanComplete all special projects and other duties as assignedPerform duties with or without reasonable accommodationSkillsBachelor's degree in business, operations, healthcare or equivalent in a related field required and Master's preferredRelevant certifications such as Lean Six Sigma, PMP, or Certified Payments Professional (CPP) are highly regardedA minimum of 10 years' experience managing operations, consulting, or healthcare management, including decision rights for hiring and terminating employees, and management of operational budgetsExceptional operational acumen, advanced problem-solving capabilities, and proven leadership skillsDemonstrated experience collaborating with key stakeholders and executive decision-makersRobust leadership background in directing operational divisions, establishing policies, and driving achievement of division objectivesHighly developed interpersonal, analytical, and communication abilitiesProven record of delivering significant business improvements and operational excellenceDeep expertise in process optimization, enabling simplification and scalable quality solutionsComprehensive understanding of technology, including experience with software development initiativesExtensive experience presenting to clients and senior leadership teamsSkilled in responding to client information requests, audits, and proposal submissionsAbility to thrive in a fast-paced, high-accountability, and diverse environment, with relentless focus on client and customer serviceDistinguished leadership qualities and a successful track record in talent management and developmentStrong analytical and problem-solving acumen, with the ability to deeply assess and resolve operational inefficienciesSuperior written and verbal communication skills, including expertise in public speakingAdvanced proficiency in Microsoft Office Suite, including Word, Excel, and PowerPointProfessional demeanor with the ability to maintain confidentialityCapable of working independently and collaboratively within team settings; adept at multitasking, prioritizing, and meeting deadlinesExperience operating effectively in a matrixed organizational structureWillingness and ability to travel as requiredDemonstrates flexibility and willingness to actively participate in the operations of an international organization, including attending conference calls scheduled to accommodate global time zonesConsistent track record of achieving and surpassing service level agreements (SLAs) and performance benchmarksStrategic capability to position the organization for sustained growth in alignment with the Payment business unit's objectivesExperience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferredImplementations/transitions experience preferredBenefitsDiscretionary bonus considerationMedical, dental, vision, disability, and life insurance coverage401(k) savings plansPaid family leave9 paid holidays per year17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with CotivitiCompany OverviewCotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com.Company H1B SponsorshipCotiviti has a track record of offering H1B sponsorships, with 23 in 2026, 165 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.