Principal Program Manager – Customer Success

Cotiviti

. Ensure successful delivery of products and services to Cotiviti clients within the Health Enablement portfolio .

Posted 9/24/2026full-timeRemote • United StatesLead💰 $152,000 - $182,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in healthcare industry client management, particularly in Health Enablement areas such as HEDIS/Quality and Encounter Submission. Proven ability to lead complex projects, mentor teams, and drive client satisfaction through effective communication and problem resolution.

Highest-signal resume keywords

Healthcare Industry ExperienceClient/Program ManagementHEDIS/Quality ExpertiseEncounter Submission WorkflowsProject Management Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare Claims ProcessingRisk Adjustment ProgramsEDI ProcessingMicrosoft Office SuiteSaaS Distribution Models

Soft Skills

Outstanding Communication SkillsLeadership and MentoringProblem ResolutionStress ManagementPresentation Skills

Tools & Technologies

FACETSQNXTSAP ECC

Certifications & Qualifications

PMP CertificationEnterprise Project Management Certification

Industry Keywords

Health EnablementClient EngagementMulti-Client PortfolioClient SatisfactionPerformance Review

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Ensure successful delivery of products and services to Cotiviti clients within the Health Enablement portfolio
Partner with Client Executives, Product Owners, Operational teams, and cross-functional teams
Serve as primary liaison for complex or high-visibility client engagements
Resolve issues independently without requiring leadership escalation
Produce and manage documents related to client projects, calls, meetings, special initiatives, and follow-up
Interact directly with client stakeholders to drive satisfaction, retention, and product adoption
Manage open issues in a timely manner and ensure key milestones are not missed across a complex, multi-client portfolio
Track and report client SLAs and identify portfolio trends for broader process improvements
Identify obstacles and proactively coordinate Cotiviti resources to resolve them
Lead projects and process improvements that streamline program management operations
Mentor and develop Associate, Program, and Senior Program Managers
Serve as subject matter expert on selected Health Enablement products and services
Handle remote project collaboration to execute milestones and tasks
Complete annual performance review/goal-setting responsibilities and assigned special projects

Requirements

What you’ll need

Bachelor's degree required; relevant Master's degree preferred
10+ years of healthcare industry experience with a health plan, TPA, or vendor supporting claims processing, encounter submissions, and risk adjustment programs
Strong expertise in one or more Health Enablement areas: HEDIS/Quality, Encounter Submission, EDI Processing, and/or Risk Adjustment programs
For Encounter submissions, strong experience in healthcare claims processing workflows, including Medicare, Medicaid, ACA data, and platforms such as FACETS, QNXT, and SAP ECC
Minimum of 8 years of client/program management experience leading large, complex, or strategic accounts
Demonstrated success managing multiple clients, cultivating executive relationships, and independently resolving escalations
Ability to handle stressful situations, multiple tasks, and deadline pressures across a complex portfolio
Outstanding presentation and communication skills, including preparing and delivering audience-appropriate presentations
Ability to interact appropriately and professionally with internal and external individuals
Ability to follow up on outstanding tasks/deliverables
Leadership experience mentoring program managers and influencing cross-functional, matrixed teams
Excellent computer skills in Microsoft Office Suite: Word, Excel, PowerPoint, and Outlook
Well versed in Software as a Service (SaaS) distribution models
Formal training and certification in enterprise project management methods preferred, such as PMP or equivalent
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
Must be able to travel up to 20%
Must be able to perform duties with or without reasonable accommodation

Benefits

Comp & perks

Discretionary bonus eligibility
Medical insurance coverage
Dental insurance coverage
Vision insurance coverage
Disability insurance coverage
Life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17–27 days of Paid Time Off (PTO) per year, depending on level and length of service
Remote project collaboration
Dedicated, secure work area provided by the team member
High-speed internet access/connectivity and office setup and maintenance provided by the team member