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The Associate Integration Solutions Engineer will play a role in building and supporting integration solutions within the company’s software ecosystem. This role requires collaboration with clients, business teams, developers, and infrastructure providers to design and implement scalable, high-quality integrations that meet business needs. Additionally, you'll have the opportunity to research emerging technologies, enhance integration
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The Content Analyst II 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. Specific focus for this role will be on our Medicaid team.
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The Design Manager provides operational and people leadership within the Experience Design organization. This role manages the flow of Design work across the portfolio, coordinating intake, assessing priorities and capacity, helping determine the right Design support for each need, removing obstacles, developing talent, and strengthening how Design works with Product and Engineering. This role also carries day-to-day portfolio coordination and requirements-related responsibilities as part of a broadened scope of operational ownership within Design.
As the organization evolves toward AI-native product...
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The Lead Cloud Security Architect is the principal security advisor for cloud infrastructure, with primary focus on Google Cloud Platform. You own security design decisions, evaluate architecture for vulnerabilities, and guide teams on implementing secure infrastructure across cloud platforms. You work with engineering teams, cloud architects, and leadership to ensure systems meet security and compliance standards while delivering on timeline. The role requires both strategic thinking and tactical execution. You will design critical security...
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The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.
We are currently looking for multiple Remote Risk...
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The Marketing Business Operations Specialist supports the Corporate Affairs organization by helping maintain the operational infrastructure that keeps the marketing function organized, efficient, and scalable. This role supports vendor and technology inventory, contract and SOW tracking, renewal coordination, procurement and invoice support, license and utilization tracking, vendor performance monitoring, SharePoint administration, process documentation, and cross-functional operational requests. This is a growth-oriented opportunity for a highly organized, detail-oriented individual to learn the marketing function, build business operations expertise, and develop a career path within Marketing Operations, Business Operations, Marketing Technology, or Project...
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The Subrogation Recovery Specialist is responsible for analyzing and recovering dollars related to an accident, injury, or illness in which another party is responsible. The Subrogation Recovery Specialist must work with attorneys, other health carriers, adjustors and more to both accelerate and maximize settlement amounts which will lead to savings for our clients. This position requires a combination of both oral and written communication skills combined with the ability to proficiently review healthcare claims and case documentation to deliver value and maintain a high standard of quality.
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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...
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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.
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The Implementation Manager is accountable for the operational execution of the project plan for new customers or new projects specific to existing customers. They will partner with the client services organization to meet client expectations and revenue goals, as well as with any/all internal departments in support of the plan execution to include IT, product, product development, operations, finance, and training. They will define and lead the creation of project implementation project plans, identify process improvement opportunities,
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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.
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The Staff Gen AI Scientist will apply knowledge and experience to real world problems and seek to improve health quality outcomes and reduce the cost of healthcare. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare issues of our time. A Data Scientist at Cotiviti will be given the opportunity to work directly with a team of healthcare professionals including analysts, clinicians, coding specialists, auditors and innovators to set...
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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.
This work is focused on Training for our Outpatient & Specialty Clinical & Coding Validation...
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The Principal IAM/PAM Security Architect defines and evolves security architecture for identity and privileged access across a large, complex, multi-domain environment spanning Active Directory, Microsoft Entra ID, and Okta, as well as cloud-native identities across AWS, Azure, GCP, and OCI.
This role sets security standards for each identity environment, leads the definition of emerging Agentic Identity standards for AI agents and other non-human identities, defines requirements for and drives implementation of the Delinea PAM platform, and owns secrets governance...
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The Artificial Intelligence Governance, Director provides enterprise-wide oversight, coordination, and visibility for Cotiviti’s AI governance framework, ensuring consistent documentation, responsible AI use, regulatory readiness, and ongoing post deployment compliance monitoring across all business units.
The position operates with significant autonomy at the Enterprise level to develop and oversee enterprise AI governance standards, compliance reporting mechanisms, and evidence collection processes, while ensuring business units retain ownership, accountability, and responsibility for...
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Provide technical and operational support to enterprise customers by resolving product-related issues and delivering high-quality customer experience. Mentor Product Support and Product Operations teams, collaborate with Implementation and Development teams, and support release activities through testing, validation, performance analysis. Collect, analyze, and document critical information required for accurate problem diagnosis and resolution.
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The Vice President, Sales is responsible for the development and strategic execution of annual sales plans to support the acquisition of new clients and sale of new solutions for the Cotiviti Retail division. This is a hunter role focused on hunting new business for Cotiviti’s Retail Payment Integrity Services and Solutions to the world’s largest retailers, e-commerce, and commercial enterprises. Demonstrated experience calling on and selling to “C” level executives, SVP Business Owners, CFO’s, Procurement, VPs, and Directors is essential. Experience working in a disruptive software and services sector selling Data Analytics, Payment Integrity / Recovery Auditing services and...
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The Vice President, Engineering is a senior leadership role within the Engineering organization, responsible for defining and executing the product engineering strategy and leading the development and delivery of high-quality, scalable software products.
This role oversees a global engineering organization and partners closely with Product Management, Design, and Go-to-Market teams to build innovative, customer-centric solutions that drive business growth and market differentiation. The VP is accountable for delivering impactful product outcomes, accelerating time-to-market, and ensuring engineering excellence across the product lifecycle.
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The Sr. Support Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with other developers, offshore development team members, business owners, project management, and other internal stakeholders.
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The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause...
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The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause...
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The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause...
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A Revenue Cycle Specialist 2 is a member of the Revenue Cycle team within the Yield Management Division. The Specialist 2 is responsible for moderate to complex levels of recurring and/or daily functions and processes that are necessary for business execution. This would include the reconciliation and posting of all payments received, identification of discrepancies, and analyzed issues to ensure payments are posted timely. Other responsibilities will include processing invoices, managing large sets of inventories and the ability to process electronic requests in multiple systems and platforms.
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The Sr. Technical Product Owner (STPO) is responsible for driving solution definitions that support
business ideas and product concepts that can be turned into application software solutions. The STPO
works at a team, program, and enterprise level, gathering needs and translating those into testable
requirements.
The STPO has deep domain knowledge and strong experience in collaborating with a
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The Product Marketing Director owns go-to-market strategy and execution for an assigned solution area within Cotiviti's portfolio. This particular individual contributor role will support our Quality, HEDIS and Stars solutions by working directly with our Product, Operations and Sales/Client Engagement teams.
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As a Medical Reviewer, you will be auditing medical records to evaluate the accuracy of medical coding and health plan policies for our Fraud, Waste & Abuse clients.
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The Senior Manager Program Management – Payment serves as a people leader responsible for overseeing program delivery while directly leading, coaching, and developing a team of project management professionals. This role balances strategic execution with day-to-day people leadership to ensure successful delivery of payment-related initiatives aligned with business objectives.
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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...
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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.
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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.
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As a member of the Corporate legal team, you will provide exceptional legal services to internal business units by responding to routine matters and questions in a timely manner. You will also review, draft and negotiate various contracts, but not limited to business associate agreements and statements of work. Additional responsibilities include contracts library research, administration, review of regulatory agreements and answering inquiries on RFPs.
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The Enterprise Marketing Director executes marketing initiatives that support Cotiviti's established enterprise narrative and brand positioning under guidance from marketing leadership - work that spans every portfolio rather than belonging to one. This role supports development and deployment of enterprise messaging assets and campaign materials aligned with approved messaging frameworks, supports Cotiviti presenters in analyst relationships and executive briefings, and synthesizes competitive and market signal into the corporate story. Unlike a portfolio-aligned Director Product Marketing role, this position has no assigned solution area: its scope is the company's story as a whole.
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The Product Manager (within Payment Accuracy Product Suite) will be responsible for product management and development supporting Cotiviti payment integrity prospective products Payment Policy Management (PPM) and Coding Validation (CV). This role is dedicated to creating and optimizing products that enhance and expand the Cotiviti payment integrity services for our clients. This role will serve as a product subject matter expert working closely with stakeholders to drive product requirements, design, and successful delivery.
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This is a hunter role in the healthcare payer space. Extensive experience calling on and selling to Health Plan “C” level executives, SVP Business Owners, procurement, VPs and directors is essential. Experience working in a leading Health Plan software and service vendor in the Payment Integrity space is required with specific experience selling Coordination of Benefits and/or Data Mining solutions being highly desired. We are looking for candidates across the US.
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The Manager of Revenue Cycle is a member of the Revenue Cycle team within the Yield Management Division of our healthcare data analytics company, where we support health plans with their revenue optimization. This department may work directly with other members of Yield to ensure department expectations are accomplished.
The Manager, Revenue Cycle position is responsible for providing leadership and management for one or more accounts or significant audit support projects. Oversee audit support revenue cycle activities for assigned account to maximize valid claim identification...
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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,...
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The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM) and client-facing Medical Directors.
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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 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 ecosystem (including Hue...
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This role provides senior-level technical engineering and troubleshooting support for enterprise clients running hybrid environments that span legacy Windows and Linux systems and Kubernetes-based infrastructure. Responsibilities center on root-cause analysis of complex, multi-tier defects - reproducing issues in controlled environments, engineering fixes, and validating them through automated test suites.
The role also carries direct ownership of delivery infrastructure: building and maintaining CI/CD pipelines (Jenkins, GitLab CI, or Azure DevOps),...
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The Data Governance & Analytics Architecture Director is a leader within the Health Enablement Analytics organization responsible for ensuring all data, analytics, and AI initiatives are built on a scalable, standardized, and governed foundation. This role serves as a subject matter expert for data governance, analytics architecture, and AI/ML best practices across Health Enablement. This role provides advisory leadership, technical guidance, and architecture standards to ensure analytics and innovation efforts are aligned to enterprise data strategy and built in a scalable, sustainable manner.
This position operates as a...
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The Senior Manager, Audit Manager Training leads the design, delivery, and continuous improvement of training and capability-building programs for audit managers and quality audit staff across CCV. This leader owns the curriculum that prepares auditors and audit managers to apply audit guidelines accurately and consistently, including training on AI-supported review tools, human-in-the-loop workflows, and the judgment required to validate AI-assisted findings. The role partners closely with Quality Audit Operations, concept development, machine learning and strategic analytics, and client service teams to translate evolving audit guidelines, quality findings, and...
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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.
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The Staff Accountant reports to the Accounting Manager and is responsible for preparing journal entries, account reconciliations balance sheet and income statement variance analysis and other activities associated with the monthly general ledger close.
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A Lead Solution Consultant will play a pivotal role in driving Cotiviti’s growth by combining deep technical expertise with strong pre-sales acumen across the healthcare payer landscape. This is a client-facing role requiring the ability to lead technical discovery, perform detailed assessments, and design solution architectures aligned to payer business and IT environments.
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The Senior Technical Specialist will collaborate closely with the RCA - Content & Enablement Department, the Implementations Team, and the Audit Operations and R&D teams. This role is responsible for the intake, logic development, deployment, and maintenance of Business Rules that support RCA’s platform applications. The Specialist will also lead efforts to identify and remediate technical limitations, design advanced exclusions logic, and support operational scalability through strategic rule development.
In addition to driving rule implementation, the Senior Technical Specialist will act as a key liaison between the operations team and the BRMS...
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Cotiviti Healthcare is a leader in payment accuracy services, serving top-tier companies in healthcare and retail. We're seeking visionary tech talent ready to revolutionize healthcare systems, drive innovation at scale, and accelerate their career to the next level. Join our dynamic team of problem solvers and lead strategic initiatives that reshape healthcare payment integrity as a Principal Insights Analyst. This role is a key contributor to healthcare team, playing a crucial role in supporting the Payment Integrity area, and will partner closely with other business units, providing both...
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This is a Senior Auditor, Team Lead, with responsibility for supervising a team of Clinical Validation Auditors or other audit team members. Team Leaders ensure that the work of others meets productivity standards, quality guidelines and audit efforts of the client engagement. Primary responsibilities include queue management, work distribution, performance and production optimization, audit planning, auditor interactions, training of new hires/existing staff, Audit Report and Claims writing and support of audit closure activities. The Senior Auditor goal is to ensure the team audits client data on behalf of our clients, generating high quality recoverable claims. Displays professional skepticism that...
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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.
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The Technical Project Manager will be responsible for leading Infrastructure-related projects as well as assisting teams to complete day-to-day
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We are seeking a highly experienced Senior AI Engineer to own the development and evolution of two foundational components of our clinical AI platform: the clinical NLP integration layer that connects existing coding infrastructure with the AI pipeline, and the golden dataset pipeline that establishes trusted evaluation standards across the program. In this role, you will design and implement scalable data and AI workflows that enable