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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare payer operations and technology, with a strong ability to design integrated solution architectures and facilitate strategic discussions with C-suite executives. Proven track record in developing value-oriented narratives and managing complex sales cycles within the healthcare technology domain.
Highest-signal resume keywords
Healthcare Technology ExperienceSolution Architecture DesignStrategic Discovery FacilitationExecutive Presentation DevelopmentHealthcare Payer Ecosystem Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Solution ConsultingData IntegrationAPI DevelopmentInteroperability StandardsTechnical ValidationWorkflow DesignData AnalyticsEnterprise ArchitectureSales EngineeringBusiness Case Development
Soft Skills
CommunicationRelationship ManagementProblem-SolvingDecision-MakingFacilitation
Industry Keywords
Healthcare PayerClaims ManagementPrior AuthorizationRisk AdjustmentQuality ImprovementMember EngagementSales MethodologiesStakeholder EngagementOperational ReadinessTechnical Constraints
About the role
Key responsibilities & impact- Lead strategic discovery sessions with prospective and existing healthcare payer clients
- Conduct current-state assessments of workflows, administrative platforms, data ecosystems, integration requirements, technical constraints, and organizational readiness
- Identify client business problems and translate them into solution requirements and success measures
- Facilitate executive workshops, architecture discussions, solution-design sessions, and strategic whiteboarding engagements
- Advise executive, business, operational, and technical stakeholders throughout the sales cycle
- Develop integrated, end-to-end solution strategies across interoperability, data, analytics, intelligence, workflow, and healthcare payer domains
- Design and articulate solution architectures covering data ingestion, transformation, integration, APIs, interoperability, security, workflows, and scalable deployment
- Develop current-state and future-state architecture views, data flows, integration models, and solution roadmaps
- Lead technical and solution-consulting strategy for complex healthcare payer opportunities
- Partner with Sales to develop pursuit strategies, position differentiators, and align solutions with client priorities
- Coordinate Product, Technology, Engineering, Delivery, Security, Legal, and domain experts
- Address technical, operational, functional, regulatory, commercial, and competitive objections
- Identify cross-sell, expansion, and future client opportunities
- Develop executive narratives, value propositions, and business cases
- Quantify financial, operational, clinical, member, regulatory, and strategic value where feasible
- Lead executive workshops, solution-strategy sessions, technical workshops, demonstrations, and architecture discussions
- Lead or support proofs of concept, pilots, technical validations, and architecture reviews
- Serve as a subject matter expert in healthcare payer operations, technology environments, and data ecosystems
- Develop solution recommendations and substantive technical and value content for proposals and RFP responses
- Provide client, market, competitive, and technology insights to support product strategy and roadmap planning
- Mentor and guide other Solutions Consultants
- Represent Cotiviti at client forums, executive workshops, industry events, and conferences
Requirements
What you’ll need- Bachelor’s degree in healthcare, business, computer science, information technology, engineering, or a related field, or equivalent relevant experience
- 12+ years of experience in healthcare technology, solution consulting, pre-sales, sales engineering, enterprise architecture, healthcare consulting, or a comparable client-facing role
- Significant experience within the healthcare payer ecosystem
- Experience selling, positioning, or supporting complex enterprise healthcare technology solutions
- Experience leading strategic discovery, current-state assessments, solution workshops, architecture discussions, whiteboarding sessions, demonstrations, and technical validation
- Experience designing and articulating integrated, end-to-end solution architectures, including data flows, integrations, APIs, workflows, and interoperability patterns
- Knowledge of healthcare payer domains including claims, encounters, enrollment, eligibility, prior authorization, payment integrity, provider management, risk adjustment, quality improvement, and member engagement
- Understanding of healthcare interoperability standards and technologies
- Strong commercial acumen and ability to connect technology capabilities to financial, operational, clinical, member, regulatory, and strategic value
- Ability to engage credibly with C-suite executives, business leaders, operational stakeholders, enterprise architects, data teams, and technical professionals
- Experience developing and delivering executive presentations, solution demonstrations, technical workshops, business cases, and architecture recommendations
- Ability to translate complex technical and operational information into clear, compelling, value-oriented narratives
- Knowledge of enterprise sales methodologies and complex, multi-stakeholder sales cycles
- Strong analytical, problem-solving, facilitation, prioritization, and decision-making skills
- Excellent communication, presentation, relationship-management, and stakeholder-engagement capabilities
- Ability to influence decisions and build alignment without direct authority
- Ability to work independently, manage multiple concurrent opportunities, and remain effective in a fast-paced sales environment
- Ability to collaborate across Sales, Product, Technology, Engineering, Delivery, and client-facing teams
- Willingness and ability to travel for client meetings, workshops, conferences, and other business needs
- Reliable high-speed internet connectivity and appropriate remote-office setup
- Dedicated and secure work area
Benefits
Comp & perks- Commission eligibility
- Medical insurance
- Dental insurance
- Vision insurance
- Disability insurance
- Life insurance
- 401(k) savings plan
- 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 work
- Virtual interviews
