The Client Pharmacist, Drugs and Biologicals will be responsible for supporting existing client growth and new sales activity by identifying value-creation opportunities with the D&B policy for our clients. This individual will be able to present policy to clients, utilizing data analytics while also acting as a liaison with our clients regarding D&B policy. Develop and support relationships at multiple levels with diverse business and client stakeholders; partner with the D&B content team to evaluate and validate editing; utilize in-depth knowledge of claim, claim adjudication, D&B policy edits and configuration.

• Support existing client growth and new sales activity by identifying value-creation opportunities within the D&B policy for our clients.
• Present appropriate D&B payment policy to clients for adoption based on review of data analytics. 
• Work alongside Medical Policy team to evaluate and validate editing.
• Act as a liaison with our health plan clients regarding D&B policy.
• Lend guidance and insight to the D&B content team based on client interactions and feedback. 
• Have in-depth knowledge of claims, claims adjudication, D&B policy edits and configurations. 
• Inspire trust and credibility, deliver on commitments, provide value-add analytics.
• Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels, with focus on client pharmacy teams.
• Comfortable with presenting to small and large groups of people.
• Results driven with focus on producing high-quality, error free service and deliverables.
• Working knowledge of drug database(s) such as FDB, Medispan, or Clinical Pharmacology.
• Demonstrated ability to work with diverse business and client stakeholders.
• Intermediate to minimal guidance needed.

• Pharmacist (BS Pharm or PharmD).
• Valid Registered Pharmacist license required.
• RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe (or willingness to obtain).
• 5 years in clinical, hospital, or retail setting as a pharmacist.
• An additional 5 years of work experience for a health plan OR a minimum of 5 years in an internal Cotiviti role (CPM, CSM, Content Analyst).
• Strong analytical, critical thinking and problem-solving skills.
• Proficiency in Microsoft Office Suite.
• Excellent interpersonal, verbal and written communication skills.

Job Demands

• Must have flexibility and willingness to participate in the work processes of an international organization.
• After hours and/or weekend work required where necessary for major deliverables/deadlines (not consistent).
• Travel is required and varies throughout the year but could be up to 30% annually. 

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 are expected.

Base compensation ranges from $135,000 to $175,000 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. For information about our benefits package, please refer to our

Careers page.

Date of posting: 9/23/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/23/2025, 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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