✦ Luna Orbit — IT Support & Helpdesk

Senior Solutions Consultant - Retrospective Risk Adjustment

at Cotiviti

📍 Remote, US Remote 💰 $140K – $175K USD / year Posted March 04, 2026
Salary $140K – $175K USD / year
Type Not Specified
Experience senior
Exp. Years 10+ years
Education Bachelor's degree in Healthcare Administration, Business, or related field
Category IT Support & Helpdesk

This role involves serving as a subject matter expert in Medicare Advantage retrospective risk adjustment, supporting sales, delivering product demos, and providing technical expertise to healthcare clients.

  • Partner with sales for strategic opportunities
  • Lead product demos and deep dives
  • Support RFP responses and proposals
  • Capture market intelligence and customer feedback
  • Develop training materials

Expertise in CMS-HCC models, RADV audits, and healthcare risk adjustment workflows, with experience in solution consulting, product demonstrations, and RFP responses within healthcare technology environments.

The ideal candidate is a senior healthcare technology professional with over 10 years of experience specializing in Medicare Advantage risk adjustment and retrospective programs. They possess deep industry knowledge, excellent communication skills, and experience in solution consulting and client engagement.

10+ years of experience in healthcare technology or risk adjustmentDeep knowledge of Medicare Advantage retrospective risk adjustmentExperience in pre-salessolution consultingor customer-facing rolesAbility to develop training materialsStrong communication skills
Experience with CMS-HCC model changesKnowledge of RADV audit requirementsIndustry best practices in risk adjustment
Healthcare technology platformsCRMPresentation tools
Retrospective Risk AdjustmentCMS-HCCRADV auditMedicare Advantagehealth plan operationssolution consultingproduct demonstrationsRFP responseshealthcare technology
Retrospective Risk AdjustmentCMS-HCCRADV auditMedicare AdvantageHealth Plan OperationsSolution ConsultingProduct DemonstrationsRFP responsesHealthcare TechnologyRisk Adjustment Programs
CommunicationTechnical expertiseCustomer engagementProblem-solvingCollaborationMarket intelligence
Industry Healthcare & Medical
Job Function Healthcare solution consulting and technical support for Medicare Advantage risk adjustment
Retrospective Risk AdjustmentCMS-HCCRADV auditMedicare AdvantageSolution ConsultantPre-sales supportCustomer engagementProduct demonstrationsRFP responsesHealthcare technologyRisk adjustmentHealth planMarket intelligenceSolution consultingTraining materials

Less than 10 years of relevant experience, Lack of healthcare or risk adjustment expertise, Inability to communicate technical concepts clearly, No experience in solution consulting

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