Overview
The CMS Content Operations Administrator is a member of the Concept Development Team (under the Clinical Content and Enablement Team) that is responsible for supporting CMS Concept Development operations.
This individual will ensure that all CMS Operations processes are adhered to, individual metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail.
The individual in this role will have the specific responsibilities for the administrative tasks associated with CMS New Issue development and maintenance.
This position is scheduled to work Monday-Friday daytime schedule.
Responsibilities
Administrative tasks
Document all correspondence between Cotiviti and CMS pertaining to New Issues (NI).
Collate NI-related information for inclusion in the Monthly Business Report.
Maintain NI information on Cotiviti’s RAC website.
Maintain NI information in various applications.
Manage Quality Assurance (Q6 QA) process for all NIs.
Enter NI information into the Q6 portal.
Enter tickets for Research completion.
Assign work to Concept Development Analysts.
Monitor NI limits, complete limit request forms, and track limits granted.
Participate in the monthly Accuracy Study process.
Participate in maintenance of documents containing templated language used in audit results letters.
Other Tasks
Work in several tools and applications.
Monitor emails.
Maintenance and monitoring of several trackers.
Serve as point of contact for other CCV stakeholders.
Reporting for team and other CCV stakeholders.
Provide administrative support for the Concept Development team.
Other duties as assigned.
Qualifications
Consistent and effective critical thinking skills required.
Strict attention to detail in actions and documentation.
Strong organizational skills (including a commitment to thorough documentation of results).
Strong written and verbal communication skills in person, as well as with remote and international resources.
Professional demeanor with the ability to use appropriate language, tone, style, and structure in oral and written communications with all internal/external stakeholders.
Active listening skills.
Highly skilled at handling multiple tasks simultaneously, prioritizing, and meeting deadlines.
Must be flexible and willing to adapt to an ever-changing environment (this role may have changing priorities throughout the day).
Ability to properly handle confidential information and maintain strict confidentiality in all communications involving sensitive information and algorithms.
Must be driven and a self-starter.
Ability to work well independently and in a team environment.
Ability to work within a matrix organization.
Exhibits behaviors consistent with Cotiviti Values.
Minimum Qualifications:
High School Diploma or equivalent required; Associate’s or Bachelor’s Degree preferred
Healthcare Systems and Operations experience preferred
Healthcare claims data experience preferred.
Works with a sense of urgency; ability to switch gears and change focus
Must possess intermediate skills with MS Excel and be proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint)
Excellent written and verbal communication skills.
Job Demands
This is a work at home position. Access to high-speed internet is required (all other equipment will be provided).
Must be able to sit and use a computer keyboard for extended periods of time
Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
After hours and/or weekend work required where necessary for major deliverables/deadlines (not typical)
Required hours Monday – Friday… daytime schedule
