Lead Sales Solutions Consultant

Overview A Lead Solution Consultant will play a pivotal role in driving Cotiviti ’s growth by combining deep technical expertise with strong pre-sales acumen across the healthcare payer landscape. This is a client-facing role requiring the ability to lead technical discovery, perform detailed assessments, and design solution architectures aligned to payer business and IT environments. The role will support clients across Cotiviti ’s Health Enablement, Interoperability, and Payment Integrity solutions, while developing the ability to position integrated, cross-product solutions. This role requires hands-on experience with payer systems, data flows, and regulatory frameworks, along with the ability to translate complex technical concepts into business value. While expertise will span the full Cotiviti portfolio, role may develop deeper specialization in areas such as Payment Integrity. Responsibilities Technical Expertise & Domain Knowledge Serve as a technical subject matter expert within assigned solution domains, with deep understanding of healthcare payer operations, core administrative systems (e.g., claims, enrollment, prior auth), and data ecosystems Contribute to solution designs and recommend technical approaches, including integrations, data flows, and interoperability patterns Stay current on payer industry trends, regulatory mandates (CMS, interoperability rules, prior auth), and competitive landscape Good working knowledge of claims, membership, payment integrity, risk adjustment, quality measures and provider mgmt. workflows Discovery, Solutioning & Architecture Lead technical discovery sessions, current-state assessments, and architecture discussions with payer clients to identify gaps and solution opportunities Support pre-sales engagements end-to-end, including solutioning, whiteboarding, technical validation, and deal strategy in partnership with sales and senior team members Pre-Sales Execution & Deal Support Develop and deliver high-impact demos, t