Remote Ad Operations Jobs in Hialeah, FL (NOW HIRING)

The Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth.  This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti as a partner. The CSM’s goals are to ensure that existing clients recognize the value of Cotiviti’s solutions and to sustain/grow the client relationship.

This position is focused on our Clinical Chart Validation (CCV) line of business.

Responsibilities

• Manages the operational execution of the auditing program by working with the client operational managers, provider services managers, network managers, claims managers, member services managers, and IT managers.
• Works closely with the Senior Client Services Manager and Director, Client Services to serve as a primary account manager for all levels of client contacts for large and/or multiple accounts. Identifies important trends by monitoring and investigating processing and financial / savings data, communicates to others both internally and externally through formal processes, and executes action plans where necessary.
• Develops, contributes, and/or manages projects, process improvements, and strategic initiatives consisting of cross functional and cross company teams that include: Provider/payer communication efforts, all Cotiviti and client systems, all miscellaneous ad hoc requests from the client.
• Acts as the client’s subject matter expert for all Cotiviti -related activities.
• Presents the operational results to all levels of client and internal contacts during regularly scheduled meetings.
• Regularly works with the Cotiviti and client operational teams on all open action items.
• Assists with the design and communication of all client-facing reporting that is specific for each client.
• Assists with the identification and creation of solutions for invoicing challenges. Ensures client-specific production metrics and expectations are achieved.
• Participates in strategic initiatives for the business.
• Assists with the coordination of all functions of onsite provider and client visits and relays key objectives to the operational team.
• Participates in the sales process for the purpose of ensuring contract term expectations result in a successful client experience.

Qualifications

• Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels.
• Project Management skills - Strong organizational and planning skills.
• Results driven with focus on producing high-quality, error free service and deliverables.
• Industry knowledge & experience - Understanding of healthcare claims adjudication and support processes.
• Proficient with Microsoft Office Suite (Word, Excel, Power Point).
• Ability to work within a matrix organization.
• 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, including public speaking.

Minimum Qualifications:

• Bachelor’s Degree required in related area including but not limited to Health Information Management, Nursing, or Management.
• Minimum four years of related healthcare experience required including operations experience in healthcare consulting, provider relations, network management, or claims operations. 
• Minimum one year of related project management experience required including management of client deliverables.
• Excellent presentation skills required including the ability to present and interact at the C-level with internal stakeholders, clients, and providers.

Job Demands:

• Travel requirement up to 10%.  
• After hours and/or weekend work may be required where necessary for major deliverables /deadlines.
• Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• 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.
• No adverse environmental conditions are expected.

Base compensation ranges from $86,000 to $113,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

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: 8/3/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/3/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, uniformed service member status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity.
Pay Transparency Nondiscrimination Provision
Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-I.35(c)

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.

We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services.

Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas:

• Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately
• Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive
• Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement