Product Director - Fraud, Waste & Abuse
Company: Cotiviti Inc.
Location: Atlanta
Posted on: February 25, 2021
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Job Description:
If you are a job seeker with a disability and require a
reasonable accommodation to apply for one of our jobs, you will
find the contact information to request the appropriate
accommodation by visiting the following page: Please note:--For the
safety of our employees and those considering employment with
Cotiviti, we are currently conducting all interviews virtually. In
addition, the majority of the Cotiviti team is currently working
remotely, and we are onboarding new hires remotely as well. As we
monitor the pandemic, these arrangements may change and we will
update accordingly. Cotiviti healthcare fraud detection is entering
a new level to service our commercial and government healthcare
payers to identify and prevent abusive or fraudulent billing of
medical and pharmacy claims. The Product Director of Fraud, Waste
and Abuse, will drive product strategy within the Cotiviti Fraud,
Waste and Abuse solution suite. Working closely with business unit
operations and technology team this individual will lead the design
and development to advance Cotiviti healthcare fraud detection and
prevention products and services.-- This individual will have
subject matter expertise on system design, workflow, policy
development, data mining, and familiarity with Surveillance
Intelligence Units (SIU) policies and procedures.-- Reporting to
the VP of Product, Prospective Payment, this individual will have
years of background working to understand the ever changing
landscape in healthcare fraud, waste and abuse. We are looking for
an individual who is interested in taking their knowledge and
experience to build prospective payment solutions, not just
reacting to retrospective fraudulent and abusive behavior.
Experience with analytical as well as workflow applications will
further enhance this individual's ability to develop high-impact
solutions. The successful candidate will demonstrate a unique blend
of leadership, product and market domain expertise, business
acumen, creativity, business judgment, entrepreneurial spirit,
industry knowledge, and analytical knowledge. Responsibilities Key
responsibilities: The Product Director will lead cross-sectional,
matrixed teams in support of specific products in the Cotiviti
portfolio. Key responsibilities include:
Keywords: Cotiviti Inc., Atlanta , Product Director - Fraud, Waste & Abuse, Executive , Atlanta, Georgia
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