As a Data Analyst you’ll be assisting with the development of predictive modeling processes at the project and product level for Medicare and Health Insurance Marketplace segments. This position helps to design innovative analytic methods that improve the accuracy or efficiency of existing services while meeting the design requirements and project timelines. You’ll also identify opportunities in the development of new capabilities that increase the value added to our clients. 

• Meet with users to gather requirements for project definition. Analyze existing procedures to identify system/process changes needed to meet such requirements
• Assist in testing of deliverables to ensure that requirements are accurately met. 
• Develop specifications for needed data structures and execute plans for exploratory analysis of data. Identify inefficiencies and recommend changes to improve quality streamline processes. 
• Become a subject matter expert on our data, processes and business methodologies. 
• Be a liaison between product development, technology and internal business units. 
• Be responsible for the design, analysis, development and testing of ad hoc or standard reports to support effective and rapid decision-making. 
• Assist in determining and monitoring of quality measures for reporting and analytics processes. 
• Ensure that consistent documentation is developed and actively maintained throughout all phases of work including but not limited to:  Process overviews, Reporting Inventory, Business Requirements, Technical Requirements, Report Workbooks, Release Checklists. 
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.
• 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. 
• This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. 

• Bachelor’s degree in an allied health, analytics/informatics, computer science, programming or equivalent work experience with a minimum of 4 years preferred.
• Experience analyzing and manipulating health care data, including general knowledge of medical procedures, health conditions and provider practices.
• Healthcare industry experience required. Thorough knowledge of Medicare Risk Model and CMS guidelines, Encounter data submissions, Risk Adjustment processing and data validations (RADV) preferred.
• Data manipulation skills using database and spreadsheet applications. Working knowledge of database applications, including extraction and querying skills.
• Proficient using SQL to extract data, SAS experience a plus.
• Experience analyzing raw data, with ability to think logically and process sequentially with a high level of detailed accuracy.  Problem solver, resourceful, quick learner. 
• Strong written and verbal communication skills and discipline to multitask and prioritize projects to meet scheduled deadlines.
• Professionally interact with a diverse group of stakeholders including executives, managers, clients and subject matter experts.

Mental Requirements:

• Communicating with others to exchange information.
• Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

• 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.
• No adverse environmental conditions expected.

Base compensation ranges from $72,000 to $86,000. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. 

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. For information about our benefits package, please refer to our Careers page.

Date of posting: 8/4/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/4/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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