[Hiring] Senior Manager, Audit Operations @Cotiviti

Role Description

The Senior Manager, Audit Manager Training leads the design, delivery, and continuous improvement of training and capability-building programs for audit managers and quality audit staff across CCV. This leader owns the curriculum that prepares auditors and audit managers to apply audit guidelines accurately and consistently, including:

• Training on AI-supported review tools
• Human-in-the-loop workflows
• The judgment required to validate AI-assisted findings

The role partners closely with Quality Audit Operations, concept development, machine learning and strategic analytics, and client service teams to translate evolving audit guidelines, quality findings, and emerging AI capabilities into effective, measurable training that improves accuracy, consistency, and readiness across the audit workforce.

Grounded in Cotiviti's values—Deeply Curious, People Obsessed, Make it Count, and Build it Better—the Senior Manager fosters a culture of learning, accountability, and continuous improvement. This role is expected to move beyond delivering training sessions to proactively identify skill and knowledge gaps, close them through targeted learning interventions, and confirm sustained improvement in audit performance.

The Senior Manager serves as a business partner to audit operations leadership while fostering alignment among key stakeholders across CCV operations, quality assurance, content development, and technology teams.

Qualifications

• Bachelor's degree in related field required; Bachelor's degree with a training, instructional design, quality, or healthcare focus preferred — may also include education, organizational development, or a clinical/coding discipline.
• 3+ years of technical leadership experience: people and projects, with prior experience in a training, learning and development, or quality audit role.
• Preferred: Active Registered Nursing license.
• Preferred: Active Coding Credential.
• AI-native experience using generative AI applications such as Claude, Microsoft Copilot, or similar tools to design training content, improve workflow efficiency, communication, and decision support.
• AI accuracy mindset: understanding of validation, exception review, quality drift, and human-in-the-loop controls, with the ability to translate these into effective training content and measurable accuracy improvement.
• Instructional design skill: able to translate audit guidelines, quality findings, and workflow changes into clear, engaging, and measurable training curricula.
• Consultative influence: uses data and business context to influence teams and drive adoption of training and process changes without creating defensiveness.
• Proven experience influencing behavior, reinforcing expectations, and driving adoption of process, quality, or performance improvements across audit teams.
• Remediation execution: builds practical training remediation plans with clear owners, milestones, measurable success criteria, and follow-through.
• Executive communication: able to communicate training outcomes, skill gaps, and program performance in a concise, balanced, and leadership-ready manner.
• Advanced knowledge of Excel (Pivot Tables, Macros, VLOOKUPs, queries, advanced written formulas).
• Strong analytical and problem-solving ability.
• Organizational skills.
• Attention to detail and accuracy.
• Desire and capacity to learn new concepts and software.
• Excellent written and verbal communication and presentation skills.
• Experience in a HIPAA-regulated environment.
• Comfortable speaking in front of a group, with clients, and working with physician executives.
• Professional with ability to properly handle confidential information.
• Ability to work well independently and in a team environment.
• Ability to handle multiple tasks, prioritize and meet deadlines.
• Ability to mentor staff and enhance performance.
• Skilled in root cause analysis, trend monitoring, and needs assessment to distinguish isolated skill gaps from systemic or client-impacting training needs.

Requirements

• Experience with instructional design frameworks (e.g., ADDIE, Kirkpatrick evaluation model) or quality methodologies (e.g., Six Sigma, Lean, or CAPA) is a plus.
• Experience developing or maintaining audit training programs, certification pathways, or learning management systems is a plus.
• Knowledge of medical reimbursement/payment policies, audit review methodologies, and medical terminology is a plus.

Benefits

• Base compensation ranges from $122,000 to $147,000 per year.
• This role is eligible for discretionary bonus consideration.
• Cotiviti offers a competitive benefits package including:
• Medical, dental, vision, disability, and 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 specific level and length of service with Cotiviti