Head of Innovation & Business Planning

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. 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:

• Provider performance optimization
• Patient digital health

The Director will help ensure innovation efforts are aligned to enterprise priorities, real workflow needs, and future healthcare market direction.

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.
• 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.
• Bachelor’s degree in business, healthcare administration, health informatics, information systems, engineering, public health, or a related field. 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.
• Experience working across matrixed enterprises and cross-business-unit initiatives preferred.
• Experience in management consulting, enterprise transformation, or healthcare strategic advisory environments preferred.

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 innovation mindset balanced by practical discipline, operational realism, and commercial judgment.

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.

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
• 9 paid holidays per year
• Since this job will be based remotely, all interviews will be conducted virtually.

Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/8/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.