Job Information
COTIVITI, INC. Senior Solutions Consultant in SOUTH JORDAN, Utah
Senior Solutions Consultant
Job Locations
US-Remote
ID
2026-18404
Category
Program Management
Position Type
Full-Time
Overview
The Solution Consultant serves as Cotiviti's subject matter expert and "voice of product" for our quality measurement and Star Ratings improvement solutions. This role partners with Sales to pursue strategic opportunities, deliver
compelling demonstrations, and provide deep expertise on HEDIS, Star Ratings, and quality improvement programs.
The Solution Consultant bridges the gap between customer needs and product capabilities, ensuring Cotiviti's quality solutions address real-world health plan challenges.
Responsibilities
Pre-Sales Support and Customer Engagement
Partner with Sales on strategic opportunities involving quality measurement and Star Ratings solutions.
Lead product demonstrations showcasing HEDIS performance analytics, care gap identification, and quality improvement capabilities.
Present to health plan quality directors, Star Ratings teams, and executive leadership.
Conduct discovery sessions to understand customer quality challenges, current performance, and improvement goals.
Support pilot and proof-of-concept initiatives to demonstrate solution value.
RFP and Proposal Support
Develop technical content for quality and HEDIS-focused RFP responses.
Articulate how Cotiviti's solutions address NCQA HEDIS certification requirements.
Present solutions during finalist presentations with focus on quality improvement outcomes.
Support implementation scoping and level-of-effort estimates for complex engagements.
Market Intelligence and Product Feedback
Capture customer feedback on product capabilities, gaps, and enhancement priorities.
Monitor competitive landscape in quality measurement and Star Ratings improvement space.
Communicate market trends and NCQA specification changes to Product Management.
Contribute to sales enablement materials, case studies, and competitive positioning.
Subject Matter Expertise
Maintain deep expertise in NCQA HEDIS measures, specifications, and reporting requirements.
Understand CMS Star Ratings methodology, measure weights, and improvement strategies.
Stay current on CAHPS survey administration, analysis, and improvement approaches.
Develop and deliver training for Sales teams on quality measurement fundamentals.
Complete all responsibilities as outlined in the annual performance review and/or goal setting.
Complete all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
Qualifications
Bachelor's degree in Healthcare Administration, Public Health, Nursing, or related field.
12+ years of experience in healthcare quality measurement, HEDIS operations, or Star Ratings improvement.
Deep knowledge of NCQA HEDIS measures, specifications, and certification requirements.
Understanding of CMS Medicare Star Ratings methodology and Part C/D measures.
Experience in pre-sales, consulting, or customer-facing roles in h ealthcare technology.
Strong presentation skills with ability to engage executive and technical audiences.
Excellent written communication for RFP responses and technical documentation.
Preferred Qualifications
CPHQ (Certified Professional in Healthcare Quality) or similar certification.
Experience at a... For full info follow application link.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities