The AI-Native Product Lead is a team-embedded product role responsible for translating business needs into clear, testable, and technically actionable requirements and owning the product backlog for a single AI-Native team. This role serves as the product owner for the team, working closely with the AI-Native Tech Lead and engineers to ensure the team is focused on building valuable, usable, and high-quality software.   This role focuses on solution definition through requirements gathering, feature and user-story creation, backlog prioritization, and story acceptance, while operating within a small, focused team and...

We are seeking a highly skilled and experienced Staff Engineer I to join our dynamic team in Payment Integrity. The Staff Software Engineer I (AI-Native Tech Lead) is a senior individual contributor responsible for providing technical leadership, architectural direction, and engineering rigor for a team building software using AI-native development practices.   This role focuses on how AI is used across the software development lifecycle, including design, architecture, 

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.   The Senior Software Engineer I (AI Orchestrator) is a senior individual contributor responsible for building production 

Cotiviti is a leading solutions and analytics company that leverages financial datasets to deliver deep insight into the performance of retail system. These insights uncover new opportunities for retail organizations to collaborate to improve their financial performance and accuracy along with reducing inefficiencies.   Cotiviti is seeking a hands‑on Data Scientist to build production‑ready machine learning solutions that power the next generation of Retail Technology. You’ll work with large on premise and cloud datasets, apply AI/ML to real-world identification...

A Payment Accuracy, Coordination of Benefits (COB) Specialist, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. Our specialists are passionate about what they do and are experts at reviewing, discovering, and validating substantial amounts of data and delivering results and insights for our clients. A Payment Accuracy, COB Specialist, is responsible for reviewing and analyzing claims, member, and group data to identify instances of recoverable claims for the benefit of Cotiviti...

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.   The Sr Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement functionality changes and defect...

The DevOps Engineer primary responsibility is driving cloud automation, best practices and enhancements on our DevOps Engineering team. The mission is to support teams by providing infrastructure, resources, and tools that allow teams to automate, develop, self-service and experiment. The DevOps Engineer will also help drive continuous improvement in our software development life cycle by improving our release processes, enhancing our tooling, and driving automation.

The Cotiviti Retail division are seeking a Senior Insights Analyst to work closely with our Retail operations and R&D teams. In this role, the analyst will design and develop reports and dashboards, provide analysis of complex data sets and provide actionable insights and strategic recommendations that drive business growth and optimize performance. This is a key role in guiding the data analysis process and collaborating with stakeholders to identify opportunities and implement data-driven solutions. This position would act as a subject matter expert to the team. We are looking for a...

The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the CPE editing engine.     Provides support and subject matter expertise on Coding Validation (CV) to both clients and internal stakeholders during the planning, implementation, go-live, transition to operational team, and through the duration of the contract. Clearly understands and articulates CV concepts and policies. Collaborates with internal teams to provide meaningful input on CV...

Cotiviti is looking for a candidate to join our team as a Regional Vice President, Healthcare Payer Sales. This is a direct sales position with quota responsibility. The ideal candidate will be an articulate, high-energy, self-motivated sales professional with a minimum of 10 years’ experience selling enterprise software solutions to the health insurance industry. If a candidate has experience selling B2B, middleware, data transformation solutions, business intelligence software, or Risk Adjustment that’s a plus. The Regional Vice President, Payer Sales will be responsible for managing all Health Care sales activity for key accounts—growing Cotiviti's revenues and client base in this territory. 

The Sr. Enterprise Process Specialist is tasked with driving large, cross-discipline, company-wide process improvement and operational projects with high executive visibility. These projects include improving operational efficiency and reducing cycle times, international operations and offshoring, deployment of new systems, and other projects as directed. As each improvement project is different, the expectation is to utilize a variety of tools, approaches, and formal methodologies to successfully complete the outlined objectives and may or may not...

A Payment Accuracy, Coordination of Benefits (COB) Specialist 1 is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans.   This role is responsible for reviewing and analyzing the multi-client impact, complex member selection, and query or filter construction of data to identify instances of recoverable Coordination of Benefit claims for the benefit of Cotiviti and our clients. This individual works under limited supervision and is responsible for establishing...

Data Engineering as a function sets the foundation to successful data intake, data management and data transformation to help drive quality and timely processing. We are searching for someone who can develop tools and techniques for improving process efficiencies and query performance. To be successful in this role you must have experience with the Healthcare or Insurance space in a Data Warehouse operations organization.

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Payment Accuracy Specialist 2.   

The Yield Support team works to facilitate daily administrative activities efficiently and professionally within the department and business unit by assisting our Data Mining (DM) and Coordination of Benefits (COB) Specialists, Recovery Operations, Revenue Cycle, and Inventory Management Specialists teams, to achieve success as an overall organization. This team will also work with the greater leadership team to improve and manage our business optimizations as well as meet and exceed our goals and deliver exceptional customer expectations both internally and externally.   As a Yield Support Specialist this role is under direct supervision...

Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality.   Our software engineers enable insurance companies to identify risk associated within their membership population, allowing insurance companies to direct resources to members most in need. If you are looking for an opportunity to lead software...

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role.

The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The MPDs role is to serve as a coding and medical payment policy subject matter expert (SME), with the assistance of a CMD. The MPD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The MPD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back-end support for...

The Client Policy Manager I manages client payment policies by ensuring client’s payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client team liaison.

The Investigator will work as part of a team responsible for investigating Healthcare Fraud, Waste or Abuse. This position partners with more senior investigators and will focus on both analyzing healthcare data, identifying potential FWA, and conducting interviews. This position can be done remote, from your home, in the continental United States.

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role.

Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. As we continue to grow, we are seeking experienced Payment Accuracy Specialists to join our team. This is a great opportunity to join a well-established company with competitive pay, opportunities to develop professionally and excellent benefits.  

This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on one of the following disciplines from a coding and billing perspective: SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. This position is responsible for auditing outpatient/specialty claims and documenting the results of those audits. with a focus on clinical review, coding accuracy, medical necessity, and the appropriateness...

The Implementation Director will guide the delivery of services and technology to one or more clients by planning, supporting and / or managing implementation activities from pre-sales support through production verification.

The Implementation Director will guide the delivery of services and technology to one or more clients by planning, supporting and / or managing implementation activities from pre-sales support through production verification.

This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which services are being provided. This involves accessing proprietary systems to audit medical records, applying critical thinking and decision-making skills, and accurately documenting a rationale with the findings and supporting references. The ideal candidate for this role would be a Registered Nurse with experience in utilization or case management.  

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role.   This role aligns with our pre-pay Fraud Waste & Abuse team. 

The Client Services Manager services as the point of contact for clients and is focused on providing the highest level of service to our clients. Role serves as both internal and external client liaison, including triaging, managing, monitoring and support of client related activity, primarily related to Cotiviti Fraud, Waste and Abuse products.

The Vice President, Business Development – Government Healthcare is responsible for devising and executing the strategy for new business opportunities and customers in the Federal Government Healthcare market and in the State Government Healthcare market. This role will drive increased revenue through new contract awards in the Federal Government Healthcare market for the Veterans Administration, Defense Health Agency, and/or the Centers for Medicare and Medicaid Services, and as appropriate other Federal/State Agencies. This position is responsible for activities in the full business development / sales cycle for Government procurements, to include:...

The Solution Consultant for Retrospective Risk Adjustment serves as Cotiviti's subject matter expert and "voice of product" in the field for our retrospective risk adjustment solutions. This role partners directly with Sales teams to drive complex deal pursuits, deliver product demonstrations, support RFP responses, and provide deep technical expertise during customer engagements. The Solution Consultant also serves as a critical feedback channel, bringing market intelligence and customer insights back to Product Management to inform roadmap decisions.

This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.

The Senior Accountant, Revenue Accounting, will participate in a wide variety of tasks including month-end, quarter-end and year-end closing processes, including analyzing and preparing Journal entries, reconciliations and other workpapers and analyses. He/she will also assist in the documentation and compliance of procedures and controls.   This position reports to the Manager, Revenue Accounting.

Executive oversight of all components of enterprise-wide financial planning and analysis, including revenue, profitability, operating expenses, and headcount/resources. Responsible for corporate financial planning, revenue analysis, forecasting, and business support.   Also responsible for monthly and quarterly closing analytics and reporting.   Liaison with SVP Corporate Controller, business leads and other CFO direct reports.  Lead Financial VPs and their teams, at both onshore and offshore locations.  This role is critical to ensuring financial excellence, strategic agility, and sustainable growth.

The Associate Release Train Engineer will be part of Cotiviti’s Innovation Portfolio Management (IPM) team and will support the management of critical projects within an Agile Release Train (ART) and across matrixed teams. Candidate must have experience in the Scaled Agile Framework (SAFe). Candidate must have understanding of best scrum and agile practices at the Team and Program levels, including being able to guide and coach Agile Teams on Cotiviti and SAFe processes and best practices. Longer term emphasis will be on supporting the RTE in program delivery and risk management (ART coordination) and portfolio management reporting needs for the IPM team.

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.   The Senior Software Engineer I role is primarily responsible for the support of the existing software applications and enhanced...

This senior sales leadership role is responsible for building, developing, and leading a high-performing team of field sales executives focused on selling Cotiviti’s Retail & Commercial Payment Accuracy solutions—including SaaS-based prevention platforms such as ZHA—to Retail and Commercial organizations across the U.S. The ideal candidate brings extensive experience leading sales teams, deep relationships with senior retail executives, and a track record of selling complex analytics, audit, payment integrity, and SaaS solutions to enterprise-level retailers.   Experience calling on retail C-suite leaders,...

As a Senior Systems Engineer you will be responsible for resolving escalated service issues, coaching other engineers to resolutions, engineering and implementing complex projects, and for maintaining and overseeing the technology of their assigned areas. This includes VMWare, Windows, and Linux environments.   A successful candidate will have the demonstrated ability to adapt to evolving requirements, devise innovative solutions in dynamic environments, work in high-pressure environments, collaborate effectively with diverse teams, and maintain focus on delivering...

The Payroll Administrator’s job duties involve issuing and distributing paychecks, managing direct deposits, benefits withholding, payroll deductions, garnishments and levies, flexible spending accounts, federal and state payroll tax deposits and returns, new hire reports, federal payroll summaries, W-2s, wage and hour law compliance, and paid leave, vacation and sick time reporting.

Cotiviti is looking for a Staff Accountant to join our Tax team. Reporting to the Senior Manager Tax, you will provide support for both income and indirect tax areas. The position offers an exciting opportunity for growth within the Company.

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist.   

The Solution Consultant serves as Cotiviti's subject matter expert and "voice of product" for our quality measurement and Star Ratings improvement solutions. This role partners with Sales to pursue strategic opportunities, deliver compelling demonstrations, and provide deep expertise on HEDIS, Star Ratings, and quality improvement programs.   The Solution Consultant bridges the gap between customer needs and product capabilities, ensuring Cotiviti's quality solutions address real-world health plan challenges.

At Cotiviti, we are custodians of data for our clients. Using their technical experience in ETL processes, Data Engineers ensure operational functions are occurring as expected. This includes but is not limited to managing data implementations, data integrations, data production, data quality, and data security.

Strategic Vendor Solutions ("SVS") provides support services to the entire Cotiviti, Inc. ("Cotiviti") organization for the contracting of vendors who provide products and services to Cotiviti as well as any vendors with potential to join Cotiviti's mission through a joint venture, product development or some other form of strategic partnership.   Cotiviti is a leader in analytics driven healthcare payment accuracy and quality-based solutions with locations in the USA, Canada, Australia, Nepal and India and relies heavily on leading edge technology to deliver these products and services to our wide range of customers. SVS is tasked with...

The Sr. Security Engineer - IAM is responsible for designing, implementing, and maintaining privileged access solutions to secure critical systems and accounts. This role focuses on managing privileged credentials, enforcing least privileged principles, and ensuring compliance with organizational and regulatory standards. The Sr. Security Engineer - IAM works closely with InfoSec, IT operations, and application teams to deploy and optimize the Delinea PAM solution.

As a Data Solution Specialist at Cotiviti, you will play a pivotal role in designing, executing, and optimizing data transformation processes that drive our strategic business objectives. Your focus will be on hands-on development and integration of healthcare data, collaborating with stakeholders to translate business requirements, acceptance criteria, and non-functional requirements—aligned with the SAFe (Scaled Agile Framework)—into actionable data solutions.   You will leverage your technical expertise to ensure the seamless processing and integration of large healthcare datasets. Using advanced tools such as the Hadoop...

Cotiviti Retail audits purchases and payments related to merchandise inventories. We develop and prioritize an audit program to ensure value negotiated is value delivered, recommending actionable process improvements that help our clients improve the way they do business and mitigate financial loss from overpayments and under-deductions.    Too often, audits, contract reviews, and recovery efforts focus on one aspect of a retailer’s operations without considering how the business works as a whole. Cotiviti Retail works smarter and digs deeper, looking at a business from all angles to find sources of profit in unexpected places....

The Medical Director (MD) is a key member of the audit, quality assurance and client team. The Medical Director is responsible for representing the team on all audit and appeals decisions. The Medical Director is also responsible for analyzing, interpreting, and developing additional policies that will allow us to enhance our medical policy library. The Medical Director will guide both internal and external processes as related to CCV inpatient audit, documentation, and communication of results.

The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define additional logic and algorithms to expand the Cotiviti payment policy library.   The Content Solutions team works within Payment Policy Management and supports all of our PPM Solutions: outpatient, inpatient,...

Technical Architect II provides advanced architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. Technical Architect II’s skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and extensive experience with relevant implementation technology, platforms, and tools. As a senior leader, a Technical Architect II is expected to influence the assigned organization and work independently with senior business and IT leaders, while acting as a mentor and role model within the development teams. Technical Architect II is...

As a Data Scientist Intern, you will contribute to the development and application of advanced analytics and machine learning methods to solve healthcare informatics challenges, with a particular emphasis on Generative AI and Artificial General Intelligence. You will collaborate with cross-disciplinary teams to build, evaluate, and deploy data-driven solutions that enhance healthcare treatment, operations, and payment systems. This internship offers hands-on experience in statistical modeling, data engineering, and AI model development in a mission-driven environment.