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Senior Solutions Consultant - Retrospective Risk Adjustment

Remote / Online - Candidates ideally in
Coos Bay, Coos County, Oregon, 97458, USA
Listing for: Cotiviti US & Canada Page
Remote/Work from Home position
Listed on 2026-03-06
Job specializations:
  • Healthcare
    Healthcare / Medical Sales
Salary/Wage Range or Industry Benchmark: 175000 USD Yearly USD 175000.00 YEAR
Job Description & How to Apply Below

Employer Industry: Healthcare Technology

Why consider this job opportunity
  • Salary up to $175,000 per year
  • Eligible for discretionary bonus consideration
  • Competitive benefits package including medical, dental, vision, disability, and life insurance coverage
  • Generous Paid Time Off (PTO) ranging from 17-27 days per year, plus 9 paid holidays
  • Opportunity for career advancement and growth within the organization
  • Flexible remote work option available
What to Expect (Job Responsibilities)
  • Partner with Sales on strategic opportunities involving retrospective risk adjustment solutions
  • Lead product demonstrations and technical deep-dives for prospective and existing customers
  • Develop and maintain technical content for retrospective risk adjustment RFP responses
  • Capture and synthesize customer feedback, competitive intelligence, and market trends
  • Maintain deep expertise in Medicare Advantage retrospective risk adjustment operations
What is Required (Qualifications)
  • Bachelor's degree in Healthcare Administration, Business, or related field
  • 10+ years of experience in healthcare technology, risk adjustment operations, or health plan consulting
  • Deep knowledge of Medicare Advantage retrospective risk adjustment programs and operations
  • Strong presentation and demonstration skills with executive audiences
  • Willingness to travel up to 25% for customer meetings and industry events
How to Stand Out (Preferred Qualifications)
  • Prior role in health plan risk adjustment or revenue optimization operations
  • Familiarity with medical record retrieval, HCC coding, and encounter data submission
  • Understanding of Commercial and Medicaid risk adjustment models
  • Experience with healthcare analytics platforms and data visualization

#Healthcare Technology #Risk Adjustment #Career Opportunity #Remote Work #Competitive Benefits

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Position Requirements
10+ Years work experience
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