Director of Solution Innovation Strategy

Role Description

The Director of Solution Innovation Strategy leads early-stage solution strategy and innovation shaping for emerging healthcare opportunities. This role identifies, frames, and advances high-value solution concepts at the intersection of healthcare business needs, operational realities, market direction, and enabling technology. The role is translational in nature: it is not a pure product role, pure research role, or pure technology strategy role. Instead, it bridges what is technically possible to what is strategically useful, operationally viable, and commercially meaningful for the business.

The Director helps the enterprise create solution optionality by preparing credible innovation pathways before demand becomes urgent. This role does not formally set business-unit strategy, own product delivery, or lead engineering execution. Rather, it works across business leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution development teams to shape opportunities that may later become pilots, prototypes, MVPs, partnerships, or broader business investments.

The role is initially focused on supporting Project Vanguard, including Validiti 2.0 and Validiti 3.0 diversification of Cotiviti Specialized Domain Agents into new solution areas across Life Science Real-World Evidence and Pharmacovigilance, payer MLR/ALR optimization, provider performance optimization, and patient digital health. The Director will help ensure innovation efforts are aligned to enterprise priorities, real workflow needs, and future healthcare market direction.

Responsibilities

• Identify, frame, and refine high-value innovation opportunities across healthcare solution domains, including payer, provider, life science, and patient-facing markets.
• Support Project Vanguard by shaping solution pathways for Validiti 2.0 and Validiti 3.0 diversification into adjacent and new healthcare markets.
• Translate emerging technology capabilities into operationally credible, economically coherent, and commercially meaningful business narratives.
• Bridge across business-unit leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution builders to shape feasible innovation directions.
• Work across lines of business to identify linked solution value, cross-business-unit leverage, and broader platform or ecosystem opportunities.
• Help define solution opportunities that reduce friction between payers and providers and better leverage Cotiviti's position across the healthcare ecosystem.
• Ensure innovation concepts are grounded in healthcare operational realities, including workflow design, reimbursement dynamics, adoption barriers, staffing constraints, and business economics.
• Partner with healthcare technology research, advanced AI research, architecture, and solution innovation development leaders to shape opportunities into actionable solution directions.
• Develop future-facing solution hypotheses informed by healthcare market evolution, workflow change, and enabling technology.
• Communicate and evangelize innovation opportunities clearly and credibly to executive and functional stakeholders, including building support for opportunities not yet widely understood.
• Support evaluation of internal development, partnership, and ecosystem pathways for new solution innovation.
• Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
• 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.

Qualifications

• Bachelor’s degree in business, healthcare administration, health informatics, information systems, engineering, public health, or a related field. Advanced degree preferred.
• 10+ years of experience in healthcare strategy, solution strategy, healthcare consulting, innovation strategy, product strategy, healthcare operations, or a closely related field.
• 5+ years of leadership experience working across cross-functional business and technical teams.
• Demonstrated fluency across multiple healthcare domains such as payment integrity, risk adjustment, quality, fraud, waste and abuse, value-based care, consumer or patient engagement, payer operations, provider operations, revenue cycle, digital health, or related solution areas.
• Experience translating between executive priorities, operational realities, technical possibilities, and commercial implications.
• Experience framing solution opportunities, pilots, prototypes, business cases, or strategic options in complex enterprise environments.
• Experience evaluating or shaping solutions involving AI, automation, analytics, workflow orchestration, predictive modeling, digital health ecosystems, or related emerging technologies.
• Strong executive communication skills with the ability to influence business-unit leaders, product stakeholders, researchers, architects, and builders.
• Strong analytical and synthetic thinking, with the ability to connect disparate signals into coherent opportunity spaces.
• Experience working across matrixed enterprises and cross-business-unit initiatives preferred.
• Experience across payer and provider environments preferred.
• Experience in management consulting, enterprise transformation, or healthcare strategic advisory environments preferred.

Requirements

• Strong strategic thinking and problem-solving capabilities, with a focus on practical, high-impact solution innovation.
• Ability to move fluidly between healthcare business economics, workflow realities, market direction, and enabling technology.
• Strong communication skills with the ability to explain and advocate complex solution concepts to executives and senior leaders.
• Ability to distinguish between interesting ideas and viable solution pathways.
• Bias to action with sound judgment in ambiguous and emerging problem spaces.
• Ability to challenge assumptions, broker alignment, and build credibility across diverse stakeholder groups.
• Strong innovation mindset balanced by practical discipline, operational realism, and commercial judgment.

Working Conditions and Physical Requirements

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Occasional travel for conferences, leadership meetings, and strategic planning sessions required.

Benefits

• Base compensation ranges from $155,000 to $205,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
• This role is eligible for discretionary bonus consideration.
• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.