Senior Sales Solutions Consultant

Cotiviti

. Serve as a subject matter resource for healthcare payer interoperability use cases .

Posted 10/16/2026full-timeRemote • United StatesSenior💰 $115,000 - $133,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare payer interoperability, applying EDI/X12 and FHIR knowledge to enhance client workflows. Capable of leading technical discovery sessions and developing solution architectures while effectively communicating complex concepts to diverse stakeholders.

Highest-signal resume keywords

Healthcare Technology ExperienceEDI/X12 Transactions KnowledgeFHIR Interoperability ExpertiseClient-Facing Technical Role ExperienceStrong Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EDI/X12 TransactionsFHIR KnowledgeSolution Architecture DevelopmentData Flow DocumentationMapping and Validation ServicesWorkflow OrchestrationException ManagementTechnical Discovery SessionsPerformance Review ResponsibilitiesRFP/RFI Content Contribution

Soft Skills

Critical ThinkingProblem-SolvingDecision-MakingOrganizational SkillsAdaptability

Tools & Technologies

EDI GatewaysFHIR ServersAnalytics ToolsPresentation SoftwareCollaboration Tools

Industry Keywords

Healthcare Payer EcosystemClaims WorkflowsPrior AuthorizationHIPAA ComplianceClient Engagement

About the role

Key responsibilities & impact

Serve as a subject matter resource for healthcare payer interoperability use cases
Apply EDI/X12 and FHIR interoperability knowledge to client workflows
Explain how EDI and FHIR coexist, including translation, orchestration, validation, routing, exception handling, acknowledgements, and monitoring
Stay current on CMS interoperability and prior authorization requirements
Lead or support technical discovery sessions
Document current- and future-state data flows, integration points, interfaces, assumptions, dependencies, risks, and non-functional requirements
Develop solution approaches involving EDI gateways, FHIR servers, mapping and validation services, workflow orchestration, identity and access controls, monitoring, and analytics
Whiteboard solution architectures and communicate tradeoffs to stakeholders
Partner with Product, Engineering, Security, and Delivery to validate feasibility
Support account executives through qualified sales pursuits from discovery through technical validation and handoff
Develop and deliver presentations, demonstrations, workshops, and solution narratives
Contribute technical and functional content to RFP/RFI responses and proposals
Support proofs of concept or pilots
Respond to questions, objections, competitive concerns, and clarification requests
Capture market and client feedback for Product and Technology teams
Create reusable discovery questions, architecture patterns, presentation content, demonstration scenarios, and technical reference material
Maintain accurate opportunity documentation and support transition from presales to delivery
Complete performance-review responsibilities, special projects, and other assigned duties

Requirements

What you’ll need

Bachelor’s or Associate degree in computer science, information technology, engineering, healthcare, business, or a related field, or equivalent relevant experience
5+ years of experience in healthcare technology, interoperability, solution consulting, sales engineering, implementation consulting, or a comparable client-facing technical role
Meaningful experience in the healthcare payer ecosystem
Familiarity with claims, encounters, enrollment, eligibility, prior authorization, remittance, provider, or member workflows
Hands-on knowledge of healthcare EDI/X12 transactions and validation, mapping, acknowledgements, routing, and exception-management concepts
Working knowledge of HIPAA EDI/X12 transactions, including 270/271, 276/277, 278, 834, 835, 837, 999, and TA1 acknowledgements
Working knowledge of FHIR and payer-provider exchange patterns
Ability to translate complex technical concepts into clear business value for technical and non-technical stakeholders
Excellent communication, presentation, and whiteboarding skills
Experience engaging senior client stakeholders
Experience working across sales, product, engineering, and delivery teams
Ability to manage multiple concurrent priorities
Willingness to travel as required for client-facing engagements
Ability to analyze complex information and communicate it clearly to diverse audiences
Strong critical thinking, problem-solving, and decision-making skills
Ability to maintain attention to detail
Ability to stay current on solution knowledge and industry practices
Ability to adapt communication style and approach to different situations
Ability to remain composed and think quickly under pressure
Strong organizational and planning skills
High-speed internet access/connectivity and office setup and maintenance
Dedicated, 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