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The Leave Programs Specialist is responsible for administering and supporting company leave programs, including ADA, FMLA, Short-Term Disability (STD), Paid Time Off (PTO), and other related absence management policies. This role ensures compliance with federal, state, and local regulations, partners with internal stakeholders and third-party administrators (TPAs), and provides exceptional service to employees and managers throughout the leave process.
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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.
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The Implementation Consultant assists in the testing and implementation of Edifecs’ solutions purchased by that client. The Implementation Consultant will generally be involved in installing & configuring under the direction of the Technical Project Manager and/or Implementation/Solution Architect. This includes installation of products on client hardware; configuration and development of programs, tasks and guidelines, and setup to fully implement an Edifecs solution. Duties can range from delivery of product training to new client specific requirements, development and deployment. The role involves client coordination and communication as well as technical...
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This is a senior hunter sales role focused on selling Cotiviti’s Dental Claim Accuracy solutions to Dental Benefit Administrators (DBAs) and Health Plans that administer dental benefits. Target customers include organizations such as Delta Dental Plans, MetLife Dental, Guardian, Cigna Dental, Aetna Dental, UnitedHealthcare Dental, Blue Cross Blue Shield plans with dental lines of business, and regional dental administrators.
The role requires extensive experience selling complex healthcare software and services into dental payer organizations, with demonstrated success...
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The Accounts Receivable Specialist III manages receivables, cash application, and collections for strategic customer accounts. This role supports month-end close, audits, cross-functional initiatives to reduce aging, resolve high-impact discrepancies, and improve overall cash flow. Strong interpersonal skills, Excel proficiency, and the ability to conduct in-depth research and facilitate interdepartmental meetings are essential.
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The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining teams. This individual will efficiently and professionally handle daily administrative activities within the COB and DM departments to assist the audit to meet and exceed client expectations. This role requires exceptional verbal communication by audio as well as attentive attention to detail for data entry-related written communication and follow–ups for both internal and external client inquiries to achieve success in the generation of overpayments.
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Cotiviti is a leading provider of data-driven solutions that help healthcare organizations, retailers, and payers improve financial performance and operational efficiency. Our mission is to deliver actionable insights through advanced analytics, innovative technology, and deep domain expertise. As part of our engineering team, you will contribute to building scalable, secure, and high-performing systems that power critical business processes and enable better outcomes for our clients.
The Senior Software Engineer is a senior...
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The Accounts Receivable Specialist/Analyst is a dynamic role that encompasses receivables and collections activities. This individual, will contribute within a team environment in the preparation, posting, verification and recording of customer payments and transactions related to Accounts Receivable and perform regular collection activities of delinquent accounts.
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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 Audit Quality Specialist (AQS) is a member of the greater Data Mining and Coordination of Benefits business unit where Cotiviti employees are responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, the AQS is responsible for post-audit internally and externally for the quality and compliance of audit engagements, ensuring expectations are met as well as established standards and requirements. This team works closely with internal audit teams to provide guidance, support, and oversight throughout the audit process. This is an entry-level position supporting client requests, overpayment quality review, system reconciliation, and claim audit requests. Documentation...
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The Technical Analyst will serve as a key contributor in delivering technical support and platform optimization for enterprise GTM systems, including SharePoint, CRM, and related applications. This hands-on role combines deep technical expertise with business acumen to translate complex requirements into scalable solutions that enhance functionality, system performance, and user experience. The Technical Analyst also functions as the primary point of coordination for interdepartmental GTM technical needs—intaking requests, clarifying requirements, triaging issues,
and partnering with IT, Product, Security, and other stakeholders to drive timely resolution and...
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This internship centers on researching and developing advanced healthcare informatics solutions with a specialization in Agentic AI—AI systems capable of autonomous reasoning, decision-making, and goal-directed behavior. The intern will explore applications of Agentic and Generative AI in healthcare, supporting improvements in treatment, payment, and operations. You will play a key role in developing, analyzing, and collaborating on
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The Project Manager – Payment owns delivery of defined project(s) from initiation through close. Ensures plans are realistic, stakeholders are aligned, execution stays on track, and risks/issues are actively managed.
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This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG and/or episode of care. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.
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The Principal Recruiter is a true strategic business partner to our hiring teams, with the ability to utilize recruitment expertise to effectively partner with managers across assigned departments in proactively sourcing, attracting and hiring the best qualified talent. This role will have specific focus areas, so the Recruiter will need to have solid experience in corporate hiring (such as Finance, HR, Sales, Marketing, Legal, etc.) with healthcare tech experience a big plus.
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The Technical Program Manager (R&D) is responsible for overseeing the execution of complex initiatives. These initiatives require coordination of teams using a variety of software delivery practices that will include SAFe. The Technical Program Managers collaborate closely with cross-functional teams to ensure projects are delivered on time, within budget, and meet the required quality standards. Programs can involve simultaneous coordination across the Executive, Finance, Operations, Sales, Marketing, Product Management, R&D, Legal, Compliance, Client Implementations and external vendors. The Technical Program manager needs strong...
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The Technical Program Manager is responsible for overseeing the execution of complex initiatives. These initiatives require coordination of teams using a variety of software delivery practices that will include SAFe. The Technical Program Managers collaborate closely with cross-functional teams to ensure projects are delivered on time, within budget, and meet the required quality standards. Programs can involve simultaneous coordination across the Executive, Finance, Operations, Sales, Marketing, Product Management, R&D, Legal, Compliance, Client Implementations and external vendors. The Technical Program manager needs strong leadership and problem-solving skills to achieve successful outcomes. The...
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Cotiviti is seeking a forward-thinking Technical Architect to join the team. This is a high-impact, hands-on leadership role responsible for defining and governing the end-to-end technical architecture of a mission-critical Commercial & CMS audit platform — while simultaneously driving the platform’s AI-native transformation.
The ideal candidate brings deep enterprise architecture expertise, proven...
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The Senior Program Manager, Operations partners closely with assigned Client Executives and internal delivery teams to lead the execution, coordination, and ongoing delivery of Cotiviti’s Quality, Value‑Based Payment, and related platform solutions. This is a dedicated role serving as the primary day‑to‑day program lead for a strategic client and is accountable for overseeing all aspects of the client engagement across multiple products, teams, and workflows. The Senior Program Manager applies deep healthcare domain knowledge in Value Based...
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The focus of the VP, Client Engagement is to develop and execute against growth, renewal and retention strategies on their customers within the top customer tier. The VP Client Engagement is accountable for the coordination and transparency needed to drive a successful, multi-pronged growth and retention strategy as well as a multi-level relationship engagement across the customer leadership team.
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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 post-pay Fraud Waste & Abuse team.
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The Sr. Project Manager will be responsible for managing and coordinating multiple implementation projects within Cotiviti. This role will serve as the primary liaison between the Customer teams and the Cotiviti teams including implementation/delivery, Product and other relevant teams as necessary, ensuring that products/solutions delivered align with agreed upon Customer requirements and scope. The successful candidate will also be responsible for capturing Customer feedback, understanding the reasons behind any gaps, and managing the process to triage and resolve these gaps. The candidate will also lead or support the internal delivery teams from program coordination, communication, execution, and management standpoint.
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The Implementation Consultant assists in the testing and implementation of Edifecs’ solutions purchased by that client. The Implementation Consultant will generally be involved in installing & configuring under the direction of the Technical Project Manager and/or Implementation/Solution Architect. This includes installation of products on client hardware; configuration and development of programs, tasks and guidelines, and setup to fully implement an Edifecs solution. Duties can range from delivery of product training to new client specific requirements, development and deployment. The role involves client coordination and communication as well as technical...
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The Intern Technology Solutions Analyst is responsible for researching technologies and use cases for Cotiviti solutions. This internship role will report to the Director of Health Tech Research and work on Technical Prospecting within the Research and Development department. Technical Prospecting reduces investment risk and improves speed to value through early exploratory validation, development, and delivery of solutions. Portfolio Prospecting is tasked with maintaining transparency into the strategic environment and positioning Cotiviti with validated long-term pathways to competitive advantage.
Preferred location is South...
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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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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.
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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...
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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...
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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 Senior Payment Accuracy Specialist.
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Government & Policy Intelligence Manager monitors, analyzes, and communicates federal and state policy developments that impact Cotiviti's business and product portfolio. This role serves as an "outside-in" intelligence function, bringing legislative, regulatory, and policy insights into the organization to inform product strategy and commercial positioning. This is not a lobbying role; the focus is on intelligence gathering, analysis, and strategic communication to internal stakeholders.
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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...
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Cotiviti is looking for a Director of Engineering within our payment Integrity and audit recovery business. In this role you will lead, direct, and manage the day-to-day operations of software engineers and data analysts. You will work closely with business leaders, enterprise data management, engineering and IT. You will manage all the operational aspects of the audit tool implementations and data analytics to ensure business and project objectives are met. You will provide administrative, technical, and people leadership for multiple, diverse, and geographically distributed teams. You are responsible for providing feedback to the team and individuals on their performance. You will coach and guide teams to enable...
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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 Team Lead is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team Lead role are passionate about leading a team to accomplish the identified goals for the success of the team, Cotiviti, and client partnerships.
This role is responsible for leading a team of individuals to meet established goals and deliver on both internal and external client requirements. This individual will have responsibilities including but not limited to performance management, interviewing, forecast, and...
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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 Senior Payment Accuracy Specialist.
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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 post-pay Fraud Waste & Abuse team.
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The Project Manager is a role within the Product Organization that works across departments, Centers of Excellence/functional areas and Business Units to successfully manage the launch of new and enhanced products or other projects as needed. The role is responsible for managing the project, process and success and overseeing the product design, development, distribution training and market launch, implementation and operational readiness. In this role you will partner with a cross functional team, including Marketing, Go-to-Market Effectiveness, Product, R&D, Operations, Implementations, Finance and other organizations to plan, organize and execute project plans for product launches.
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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...
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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.
The Senior Software Engineer role is primarily responsible for the support of the existing software applications and enhanced...
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Cotiviti is looking for an enthusiastic and dedicated Account Manager (AM) who is motivated to support the transformation and improvement of our nation’s healthcare system through the use of healthcare consumer engagement. The AM role is a critical, client-facing position with both internal- and external responsibilities. The AM is assigned ownership of an existing set of accounts and has primary responsibility for maintaining and increasing revenue within their assigned accounts. This includes the upsell of Consumer solutions through “farming” within their assigned account base. The AM also owns all satisfaction, renewal, and retention efforts. The AM...
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The Content Solutions Analyst II (RX) 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 to this role we are looking for a pharmacist to work on our pharmacy claims editing policies.
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Cotiviti is seeking a passionate and results-driven Technical Customer Solutions Manager to join our team and play a key role in driving long-term success for our clients through the effective use of Cotiviti products. In this strategic role, you will act as a trusted advisor to our healthcare payer clients, leveraging your deep operational knowledge of data processing systems, regulatory compliance, and enterprise system integration. Your expertise will help clients maximize the value of their Cotiviti investment while expanding our impact across the healthcare payer landscape. The ideal candidate combines strong technical acumen with a deep understanding of healthcare EDI operations, encounter data...
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As an AI Program/Project Manager, you will play a pivotal role in driving the development and deployment of innovative AI/ML solutions. You will collaborate closely with cross-functional teams, including engineers, data scientists, and business stakeholders, to identify, prioritize, and deliver high-impact AI/ML products. You are data driven and influence our business strategy and technical priorities with that vision. This role will drive alignment between data
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We are seeking a passionate, talented, and enthusiastic AI Product Manager to join the AI R&D team and help build industry-leading AI technologies, enabling lines of business with cutting edge and impactful solutions. Not only would you accelerate the adoption of AI but also push the boundaries of advanced ML and Generative AI techniques at scale.
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The Policy Design Specialist role is responsible for managing health plan clients and executing monthly project requests. Perform policy configuration maintenance of current medical policies along with implementing new health plan medical policies per client request. Adhere to and remain in alignment with the most up to date healthcare industry medical coding guidelines. Perform data analysis to determine how to accurately apply coding updates and client requested customizations. Execute quality assurance checks to ensure appropriate claim editing recommendations are applied based on client request.
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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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The Senior Integration Solutions Engineer Level II will play a key role in building and supporting integration solutions within the company’s software ecosystem. This role requires close collaboration with clients, business teams, developers, and infrastructure providers to design and implement scalable, high-quality integrations that meet business needs. As a senior technical contributor, you will also mentor junior engineers, develop best practices, and ensure that integration processes are efficient, reliable, and aligned with the company’s goals. Additionally, you'll have the opportunity to research emerging technologies, enhancing integration capabilities and driving innovation.
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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 of treatment setting, and services delivered.
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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 2.
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Cotiviti is looking for a motivated and creative marketing intern to join our dynamic and innovative team for
Summer 2026, offering valuable experience in the B2B healthcare technology sector. As a marketing intern, you
will have the opportunity to rotate across several areas of marketing including content and communications,
strategic conferences and events, public relations and social media, product marketing, operations, performance
and analytics, and creative services. You...