Content Solutions Analyst (Healthcare

Overview

The Content Solutions Analyst 3 is aligned with our Content and Enablement team, focusing on content optimization, dataset design, and content accuracy. This role partners with various divisions and leadership levels to research, implement, and maintain healthcare policies, billing errors, contract compliance, and duplicate information related to data mining and auditing. It also involves working closely with R&D engineering to QA datasets and ensure content delivery for auditing.

Content Solutions Analyst 3 is responsible for designing and managing content datasets, ensuring their accuracy and compliance with healthcare payment policies and regulations. This role collaborates with product managers, internal cross-functional teams, and R&D engineering to deliver high-quality content for auditing purposes. Key responsibilities include documentation, data analysis, product status reporting, performance metrics, business requirements grooming, and other operational functions. The role also oversees the QA process for datasets, manages project timelines and deliverables, and leads the implementation of new technology to support content auditing.

Additionally, Content Solutions Analyst 3 will question established processes and provide creative solutions to achieve time and cost savings.

• Conduct thorough research on healthcare policies, billing errors, contract compliance, and duplicate over payments.
• Design and develop content datasets based on policy research.
• Collaborate with R&D engineering to QA datasets and ensure their accuracy and compliance.
• Manage the content delivery process for auditing, ensuring timely and quality output.
• Analyze and interpret data to identify trends, discrepancies, and areas for improvement.
• Develop and maintain comprehensive documentation of policies, procedures, and audit findings.
• Monitor and report on the quality and compliance of content datasets.
• Assist in the development and implementation of audit plans and strategies.
• Provide training and support to internal stakeholders on healthcare policies and compliance requirements.
• Interact directly with internal stakeholders via calls and meetings, document meeting notes and action items, and follow up accordingly to ensure project objectives remain on task.
• Identify unmet business needs and/or requirements and work collaboratively with Analysts, Specialists, Team Leads, and Managers to investigate process improvement opportunities.
• Project manage the implementation of new technology to support content auditing.
• Contribute to and collaborate on generating project status updates.

• Bachelor's degree in healthcare administration, data analytics, business, or a related field.
• Minimum of 5 years of experience in healthcare auditing, compliance, or a related field.
• Excellent written and verbal communication skills.
• Proficiency in data analysis tools and software.
• Knowledge of healthcare regulations and standards.
• Proven ability to handle stressful situations, multiple tasks, and deadline pressures.
• Process improvement skill set required.
• Preference for some experience with agile methodologies.
• Strong preference for SQL, Tableau, PowerBI, or other data visualization tools.
• Excellent organization skills, with the ability to track multiple projects simultaneously.
• Strong interpersonal and cross-functional skills required.
• Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.
• Strong technical skills, with a proven track record of working across multiple technology platforms.
• Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience preferred.
• 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 2-years Cotiviti experience is recommended for individuals seeking their next opportunity internally.

Cognitive / Mental Requirements:

• Analytical Thinking:
  Ability…