Senior Technical Specialist (Healthcare)
Job Locations
US-Remote
ID
2025-15246
Category |
Audit - Healthcare
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Position Type |
Full-Time
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Overview
The Senior Technical Specialist role is a key contributor to our Content and Enablement team, playing a crucial role in supporting the Payment Integrity Business Unit. This position collaborates with various divisions and leadership levels across the organization. The Senior Technical Specialist role will be responsible for working with Product Owners and Technical Architects to define project scope, technical direction, and project milestones. You will have responsibility for working with other stakeholders to define business requirements, acceptance criteria and non-functional requirement consistent with SAFe (Scaled Agile Framework). You will also handle tracking of project deliverables, as well as issue, change and release management for implementation of desired functionality. You will need to have the ability to execute cross functional tasks in a matrix environment. The STS will also perform quality assurance testing, acceptance criteria sign off and accompanying documentation. Additional responsibilities to include product demo, presentation, and training. This role will be a subject matter expertise (SME) on the aligned scope as well as effectively collaborate and excel independently.
Responsibilities
Plan and schedule project timelines and milestones using appropriate tools. Participate in refinement of existing products, product development process and operational User Acceptance Testing (UAT) sessions.
- Demonstrate strong leadership by effectively leading and managing cross-functional project teams to ensure timely project completion in alignment with objectives.
- Serve as a subject matter expert (SME) and resource for training and internal stakeholders.
- Learn and execute established processes. Suggest, refine, and document improvements to said established processes.
- Coordinate and actively participate in all stages of project development including research, design, programming, testing and implementation.
- Coordinate meetings, agendas, and track action items across Business Units within the Enterprise.
- Work closely with Technical Product Owners, Architects, and Engineers to groom business requirements and acceptance criteria consistent with SAFe events.
Qualifications
- High School Diploma Required.
- Bachelor's degree or equivalent experience (Preferred); relevant experience will also be considered.
- 5+ years of experience leading project focused initiatives in a cross functional matrix.
- Knowledge of project management and experience with agile methodologies and tools.
- Prior experience in the healthcare industry.
- Strong understanding of data structures, data processing, data integration, and experience with KQL/Python/Spark (Strongly Preferred).
- Microsoft Fabric Development and Utilization strongly preferred.
- Proficiency in analyzing complex business rules and ensuring they are up-to-date and functional consistent with user requirements.
- Experience developing, implementing, and maintaining project plans including task breakdown and work assignments.
- Ability to speak and present with authority, knowledge, and confidence to stakeholders. Must be able to adjust well to new situations and changing priorities and be motivated and able to thrive in a fast-paced environment.
- Autonomous and solution-oriented, with a strong customer service ethic.
- Familiarity working with multiple software and data applications, including proficiency in the MS Office Suite.
- Experience working on new development and services, healthcare data subject matter, Scaled Agile methodologies.
- Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.
- At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.
Mental Requirements:
- Troubleshooting: The ability to diagnose and solve complex technical issues, often under pressure. Technical Specialists must quickly identify the root cause of problems and find effective solutions.
- Critical Thinking: Specialists are expected to assess a situation, evaluate possible solutions, and make decisions based on logic and data analysis, rather than assumptions or intuition.
- Complex Analysis: Some technical problems require the specialist to break down complicated systems or data into manageable parts to analyze and understand them.
- Industry-Specific Knowledge: A deep understanding of the specific technologies, systems, or products relevant to the role. This could range from IT systems and programming languages to mechanical engineering or network architecture.
- Systems Thinking: Understanding how different components of a system interact with each other and being able to foresee how changes to one part of the system may affect others.
- Pattern Recognition: Identifying patterns in complex data or recurring problems to develop effective solutions, both in day-to-day tasks and long-term projects.
- Prioritization: The ability to determine which technical issues are the most pressing and need immediate attention versus those that can be addressed later, often in high-pressure environments.
- Empathy and Patience: In cases where the technical specialist interacts directly with customers, the ability to listen carefully, understand concerns, and provide solutions in a way that's considerate of the customer's needs is important.
- Clear Explanations: A mindset of simplifying complex technical issues and presenting them in a way that the customer or user can understand.
Working Conditions and Physical Requirements:
- Remaining in a stationary position, often standing or sitting for prolonged periods.
- 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.
Base compensation ranges from $84,000 to $105,000 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: 4/22/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/22/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-KB1 #senior
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