[Remote] Principal Sales Solutions Consultant

Note: The job is a remote job and is open to candidates in USA. Cotiviti is hiring a Principal Sales Solutions Consultant to lead strategic discovery, enterprise solution architecture, value engineering, and technical pre-sales for healthcare payer clients. The role develops integrated solution strategies, supports complex sales pursuits, and connects Cotiviti’s capabilities to measurable client outcomes.

Responsibilities

• Lead strategic discovery sessions with prospective and existing healthcare payer clients to understand their business priorities, operational challenges, technology environments, regulatory obligations, and desired outcomes
• Conduct current-state assessments that evaluate client workflows, administrative platforms, data ecosystems, integration requirements, technical constraints, and organizational readiness
• Identify the underlying business problems clients are seeking to solve and translate those challenges into clear solution requirements and success measures
• Facilitate executive workshops, architecture discussions, solution-design sessions, and strategic whiteboarding engagements
• Serve as a trusted advisor to executive, business, operational, and technical stakeholders throughout the sales cycle
• Develop a strong understanding of assigned clients and accounts to provide relevant, informed, and forward-looking solution guidance
• Help clients evaluate future-state opportunities related to operational performance, payment accuracy, interoperability, regulatory readiness, data exchange, member experience, and healthcare outcomes
• Develop integrated, end-to-end solution strategies that connect Cotiviti capabilities across interoperability, data, analytics, intelligence, workflow, and healthcare payer domains
• Design and articulate solution architectures that address data ingestion, transformation, integration, APIs, interoperability patterns, security considerations, operational workflows, and scalable deployment approaches
• Architect the broader client environment and explain how individual solution components work together to deliver measurable business value
• Translate complex business, operational, regulatory, and technical requirements into feasible and differentiated solution designs
• Develop current-state and future-state architecture views, data flows, integration models, and solution roadmaps
• Balance client requirements with Cotiviti’s product capabilities, implementation models, delivery resources, and strategic direction
• Identify solution assumptions, dependencies, technical risks, implementation considerations, and potential barriers to client adoption
• Lead or support proofs of concept, pilots, architecture reviews, and technical validations to confirm solution fit and reduce implementation risk
• Lead the technical and solution-consulting strategy for assigned complex healthcare payer opportunities throughout the sales cycle
• Partner with Sales to develop pursuit strategies, clarify client value drivers, position Cotiviti’s differentiators, and align proposed solutions with client priorities
• Coordinate Product, Technology, Engineering, Delivery, Security, Legal, and domain experts during complex pursuits
• Anticipate and proactively address technical, operational, functional, regulatory, commercial, and competitive objections
• Support opportunity qualification by assessing solution fit, technical feasibility, implementation considerations, competitive positioning, and the potential value to the client
• Strengthen the sales pipeline by identifying technical differentiators, cross-sell opportunities, expansion opportunities, and future client needs
• Maintain a forward-looking perspective on assigned accounts by identifying what the client may need next and connecting those needs to the broader Cotiviti portfolio
• Help reduce sales-cycle friction by establishing early alignment among client expectations, proposed solution capabilities, and delivery requirements
• Ensure solution commitments are documented, achievable, and aligned with Cotiviti’s product capabilities and delivery expectations
• Develop compelling executive-level narratives that explain why the proposed solution matters, how it supports the client’s strategy, and what outcomes it can deliver
• Connect solution capabilities to measurable financial, operational, clinical, member, regulatory, and strategic value
• Develop value propositions and business cases that quantify, where feasible, the potential impact of Cotiviti solutions
• Apply value-engineering principles to help clients understand expected benefits, improvement opportunities, implementation considerations, and investment rationale
• Communicate effectively with C-suite executives, business leaders, operational stakeholders, enterprise architects, data teams, and other decision-makers
• Adjust the depth, terminology, and presentation style based on the audience while maintaining consistency in the overall solution narrative
• Build credibility with executive stakeholders by demonstrating strong healthcare payer knowledge, business acumen, and technical expertise
• Lead executive workshops, solution-strategy sessions, technical workshops, and architecture discussions tailored to client priorities, stakeholder needs, and desired business outcomes
• Develop business-led solution narratives that connect client challenges, Cotiviti capabilities, architectural choices, and measurable outcomes
• Use presentations, demonstrations, and other visual techniques selectively to support the broader solution narrative and validate fit; avoid feature-led or isolated product presentations
• Lead whiteboarding sessions that clearly communicate current-state challenges, future-state designs, workflows, data exchanges, decision points, and expected business value
• Respond effectively to real-time questions, objections, competitive concerns, and evolving client priorities while maintaining a coherent strategic narrative
• Present sophisticated healthcare, operating-model, data, and technology concepts clearly and persuasively to executive, business, operational, and technical audiences
• Create reusable executive narratives, workshop frameworks, value stories, architectural patterns, presentation materials, and—where appropriate—demonstration assets that strengthen the broader Solutions Consulting practice
• Serve as a subject matter expert in healthcare payer operations, technology environments, and data ecosystems
• Apply knowledge of payer administrative platforms and workflows, including claims, encounters, enrollment, eligibility, membership, prior authorization, provider management, payment integrity, risk adjustment, quality improvement, Stars, HEDIS, and member engagement
• Demonstrate a good understanding of healthcare interoperability standards and technologies
• Apply knowledge of integration patterns, ETL processes, cloud technologies, enterprise architecture, analytics platforms, workflow automation, and complex healthcare data flows
• Understand how artificial intelligence, machine learning, advanced analytics, and automation may be applied to relevant healthcare payer use cases
• Maintain current knowledge of CMS requirements, interoperability and prior authorization mandates, market developments, emerging technologies, payer priorities, and competitive offerings
• Develop deep expertise in one or more Cotiviti solution or healthcare domains while maintaining the breadth required to position integrated, cross-portfolio solutions
• Articulate how technical components work together to address broader payer business challenges and produce measurable outcomes
• Develop integrated solution recommendations and business cases that connect client priorities to Cotiviti capabilities, differentiators, implementation considerations, and expected outcomes
• Ensure client-facing recommendations communicate a cohesive enterprise solution and value strategy rather than disconnected product capabilities
• Partner with Sales, Product, Technology, Finance, Legal, Security, and Delivery stakeholders to validate solution strategy, proposed architectures, value assumptions, commitments, implementation assumptions, and delivery requirements
• Identify risks, dependencies, gaps, decision points, and areas requiring additional validation before commercial or delivery commitments are made
• Lead or support proofs of concept, pilots, technical workshops, and other validation activities when they are the most effective way to reduce decision risk and advance client alignment
• Lead the solution strategy and substantive technical and value content for proposals and RFP responses; proposal administration and coordination are not the primary purpose of this role
• Build and maintain account-specific knowledge to support stronger client engagement, solution continuity, and enterprise growth
• Partner with Sales and Account Management to identify cross-sell, upsell, and multi-solution opportunities within existing accounts
• Connect immediate client requirements to broader Cotiviti capabilities and longer-term strategic opportunities
• Help develop an actionable opportunity funnel by identifying emerging needs, future initiatives, and potential transformation priorities
• Recognize patterns across clients and markets that may indicate new solution opportunities or evolving buyer expectations
• Support larger and more strategic pursuits by positioning Cotiviti as an enterprise solution partner rather than solely as a product or point-solution provider
• Partner closely with Sales, Product, Technology, Engineering, Delivery, Client Engagement, and other internal teams to develop coordinated solution strategies
• Engage appropriate product, healthcare-domain, architecture, and delivery experts based on the client’s needs and the complexity of the proposed solution
• Serve as connective tissue among clients, the market, Sales, Product, and Technology by translating external insights into actionable internal feedback
• Provide structured client, market, competitive, and technology insights to support product strategy, roadmap planning, investment decisions, and innovation
• Identify capability gaps and recurring client requirements that may inform future product development or partnership opportunities
• Contribute to the Solutions Consulting community by sharing best practices, competitive insights, value-engineering approaches, reusable assets, and architectural patterns
• Mentor and provide guidance to other Solutions Consultants during complex pursuits, demonstrations, workshops, and client engagements
• Represent Cotiviti at client forums, executive workshops, industry events, conferences, and other strategic engagements as needed
• 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

Skills

• 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 working within the healthcare payer ecosystem and a strong understanding of payer business models, operational processes, technology environments, and data ecosystems
• Experience selling, positioning, or supporting complex enterprise healthcare technology solutions
• Demonstrated ability to lead 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 payer domains such as 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 the ability to connect technology capabilities to financial, operational, clinical, member, regulatory, and strategic value
• Demonstrated 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 the practices associated with 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
• Demonstrated ability to work independently, manage multiple concurrent opportunities, and remain effective in a fast-paced sales environment
• Ability to collaborate effectively across Sales, Product, Technology, Engineering, Delivery, and client-facing teams
• Ability to analyze complex business, operational, regulatory, and technical information and communicate conclusions clearly to diverse audiences
• Strong critical-thinking, problem-solving, and decision-making capabilities
• Ability to evaluate incomplete or evolving information and recommend an appropriate path forward
• Ability to manage multiple priorities while maintaining accuracy, responsiveness, and attention to detail
• Ability to retain and apply evolving knowledge of Cotiviti solutions, healthcare regulations, industry practices, client environments, and competitive offerings
• Mental flexibility to adapt communication style, presentation strategy, and technical depth to different audiences and situations
• Ability to remain composed, think quickly, and respond professionally during high-pressure client and sales engagements
• Strong organizational and planning skills to support multiple concurrent opportunities, accounts, and client activities
• Experience with Cotiviti solutions or comparable healthcare analytics, interoperability, payment integrity, payer technology, or enterprise healthcare software platforms
• Deep expertise in one or more areas such as Payment Integrity, Risk Adjustment, Quality, Stars, HEDIS, Interoperability, Prior Authorization, Provider-Payer Connectivity, or payer data exchange
• Experience positioning integrated enterprise solutions that span multiple products, business units, healthcare domains, or technology platforms
• Experience with enterprise architecture, APIs, integration patterns, ETL processes, cloud-based data platforms, analytics, workflow automation, and complex healthcare data ecosystems
• Familiarity with CMS requirements, interoperability mandates, prior authorization regulations, and other healthcare payer compliance considerations
• Experience developing quantified business cases or applying value-engineering principles during complex sales pursuits
• Experience supporting proofs of concept, pilots, enterprise transformation initiatives, and strategic account expansion
• Experience applying artificial intelligence, machine learning, automation, or advanced analytics to healthcare payer use cases
• Experience with consultative selling, design thinking, customer journey mapping, or outcome-based solution development
• Master's degree in healthcare, business, technology, engineering, or a related discipline
• Relevant healthcare, enterprise architecture, cloud, interoperability, sales engineering, or technology certifications

Benefits

• This role is eligible for commission.
• 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

Company Overview

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