- High school Diploma – Required
- Bachelor’s degree (Preferred).
- Clinical or product background (Preferred).
- 10+ years’ experience in US healthcare; Health plan experience (Preferred).
- Experience in product development liaising between business and technical teams.
- Experience in Agile and Scrum development methodologies.
- Experience in process definition and continuous quality improvement. Flexibility in thought and approach to problem solving.
- Experience in consulting within a healthcare coding and reimbursement.
- Ability to understand process inputs/outputs and effects of all. Strong understanding of system or product development lifecycle.
- Builds credibility and establishes influence with internal team members and client team members in a way that leads individuals to solicit and follow advice or direction.
- Strong focus on detail, root-cause analysis, and change management.
- Strong knowledge and capability for process improvement, process management, and measurement.
- Experience in private sector/ Health plan operations, with focus on reimbursement, medical coding (CPT, ICD-10).
- Strong analytical, problem solving and conflict resolution skills.
- Proficiency in presentation, facilitation, and negotiation.
- Excellent written and verbal communication skills.
- Proficient with Microsoft Office Suite (Word, Excel, Power Point). Professional with ability to properly handle confidential information.
- Ability to work well independently and in a team environment.
- Ability to handle multiple tasks, prioritize and meet deadlines.
- Ability to work within a matrix organization.
- Must have ability to positively handle/manage stress, such as high work volume and frequent change.
- Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.
- Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.
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 $115,000 to $145,000. 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: 11/10/2025
Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/10/2025, 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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