Team Lead, Payment Accuracy (COB)

Team Lead, Payment Accuracy (COB)

Job Locations US-Remote

Category Audit - Healthcare

Position Type Full-Time

Overview

The Team Lead is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team Lead role are passionate about leading a team to accomplish the identified goals for the success of the team, Cotiviti, and client partnerships. This role is responsible for leading a team of individuals to meet established goals and deliver on both internal and external client requirements. This individual will have responsibilities including but not limited to performance management, interviewing, forecast, and planning as well as fostering a culture aligned with Cotiviti's values of Collaboration, Openness, Accountability, and Customer-Driven.

Responsibilities

• Recruit, develop, coach, lead and retain diverse talent from varied backgrounds, with a focus on building an inclusive team and culture that employs equitable practices to support and drive high levels of internal and external customer satisfaction.
• Performs time management reviews for payroll processing utilizing a time management system, ensuring employees are working an approved schedule by leadership, applying necessary time off codes, and adhering to company policies for timely approval.
• Performs performance management of employees to ensure employees are meeting and achieving work expectations and deliverables.
• Performs goal planning and distribution, 30 / 60 / 90-day onboarding reviews for new hires and / or individuals newly promoted in a role, performance review check-ins and annual performance reviews.
• Participates in assigned leadership training as assigned as well as enhances individual leadership skills by participating in LinkedIn Learning self-directed sessions.
• Creates and maintains standard operating procedures as well as training manual and materials.
• Provides mentorship and guidance to team members through coaching, training and / or 1 : 1s.
• Completes bi-weekly or monthly 1 : 1 meetings / team meetings with team members to review individual and team performance.
• Participates in functional leadership presentations for townhalls, clients and / or other projects as assigned, internally and externally.
• A subject matter expert on all levels of work scope and clients reporting into Team Lead.
• Forecasts projected productivity to review financial targets with Senior Leadership and identify solutions should projects demonstrate a deviance to the target.
• Creates and assigns work as required to team members for each level within their scope.
• Has subject matter expertise in understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability.
• Has full understanding of client parameters and can communicate these effectively to team members and others throughout the organization.
• Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunity.
• Performs additional quality control review of team members work, as well as assists with senior management in quality review summary.
• Has advanced level of knowledge of Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) and can articulate to team members when to utilize various systems.
• Monitors production of team members against...

Equal Opportunity Employer / Protected Veterans / Individual with Disabilities