Client Service Analyst - PPM - Remote Eligible

Client Service Analyst

The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM), and client-facing Medical Directors.

Responsibilities

• Supports Client Policy Manager (CPM) through various aspects of the Periodic Update, Prior Approval, and New Policy processes:
• Generates policy maintenance presentations, assists in the analysis, assists with decision capture, and pulls necessary reports.
• Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO) and Presentation Manager (PM) reports for analysis.
• Assists in formatting both Periodic Update and New Policy Presentation documents for client presentation by the CPM and Medical Director.
• Generates presentations for client and internal ad hoc change requests. For ad hoc requests the CSA documents and finalizes decisions in the appropriate application and creates the Project Request, attaching all documents and assigning to appropriate Operations Team member(s).
• Runs reports to identify and close Project Requests as defined by CPM/CSM after the production release lockdown each month.
• Reviews, analyzes, and responds to Policy and Operational Inquiries by defined desired completion date.
• Communicates to the client team when the desired completion date needs to be adjusted due to complexity and/or additional research.
• Performs multi-faceted data and report analytics. Determines the applicable BO reports to run based on the client team inquiry. Analyzes the report output and provides accurate client or policy information based on thorough report analytics.
• Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes which includes determining the necessary parameters and building the report, performing analysis and summarizes findings to the client team. Validates the Project Release Validation Report (RVR) report for the client team on an ad hoc or recurring basis.
• Enters client inquiries, report requests, and research requests into the designed software application (i.e., JIRA) for routing, tracking, and completion.
• Manages Client Inquiry Log entries and provides reporting to the client team. Researches and examines client questions and drafts an accurate response to the client.
• Actively participates in team, department, business unit, and corporate meetings.
• Complete all responsibilities as outlined in the annual performance review and/or goal setting.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• B.S., B.A in business or healthcare related field, or equivalent experience preferred. Requires less than 1 year of related experience.
• Advanced knowledge of Excel (pivot tables, complex formulas, VLOOKUPs, statistical functions).
• US Healthcare industry and claims analysis experience.
• Excellent analytical skills with ability to troubleshoot problems and find root causes. Effective problem-solving skills.
• Professional with ability to properly handle confidential information.
• Ability to work well independently and in a team environment.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Excellent written and verbal communication skills.
• Attention to detail and accuracy.
• Organizational skills.
• Works with a sense of urgency.
• Ability to follow defined policies and procedures.
• Strong interpersonal skills.
• Desire and capacity to learn new concepts and software.
• Exhibits behaviors consistent with Cotiviti Values:
• Customer Driven.
• Accountable.
• Open.
• Collaborative.

Cognitive/Mental Requirements:

• Ability to work in a fast-paced environment, effectively organize, plan, prioritize, and meet deadlines, producing high-quality, error-free deliverables.
• Excellent written and verbal communication and interpersonal skills.
• Demonstrated success in developing strong, trust-based professional relationships with clients in multiple roles and levels.
• Ability to work with on-site and remote cross-functional product teams and customers.

Physical Requirements and Working Conditions:

• This remote role can be located anywhere in the continental US.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• 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. No adverse environmental conditions expected.