Conduct pre-payment and post-payment claims audits to ensure financial accuracy and adherence to processing standards. Identify quality trends and collaborate with leadership to implement corrective actions and performance improvement plans.
Centivo
6 Remote Job Openings at Centivo
Own and grow strategic relationships with large enterprise employer clients, serving as a trusted advisor to senior HR and Finance leaders. Lead the end-to-end renewal strategy and orchestrate cross-functional teams to ensure a high-touch, white-glove client experience.
The Director of Product Management owns the stop loss and captive product portfolio, defining how risk is structured, priced, and transferred. They lead the full product lifecycle from design and underwriting alignment to reinsurance structure and performance management.
The Director of Product Marketing will shape Centivo's product marketing function and accelerate enterprise growth efforts. Responsibilities include developing positioning and messaging, sales enablement content, product packaging and pricing, and managing product launch planning and execution.
The Chief Commercial Officer will own and drive the full commercial engine, being accountable for the entire revenue lifecycle including new business acquisition, client retention/growth, implementation, and revenue operations across all channels. This involves crafting the enterprise-wide commercial strategy, setting market segmentation direction, and steering pricing strategy to maximize long-term revenue and margin.
This role serves as the subject matter expert on regulatory compliance for self-funded and level-funded health plan products, owning all mandated compliance reporting obligations including CMS Section 111, RxDC, and PCORI filings. Key duties also involve administering Gag Clause Attestation, leading Transparency in Coverage compliance, and supporting No Surprises Act/IDR processes.