The Technical Product Owner drives solution definitions that support business ideas and product concepts at a team and program level by gathering and translating testable requirements into application software solutions. The Technical Product Owner has deep domain knowledge and strong experience collaborating with a diverse team, including product managers, technical architects, software developers, testers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing. This is a combined Role of TPO and SM (Scrum Master).

  This clinical analyst position will perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical knowledge and background to ensure appropriateness for reimbursement and will also respond to provider appeals. The formal title for this role is Coding Validation Analyst I but is staffed with RN's.   This is a closely monitored productivity-driven role and can be done anywhere in the continental US (this is shift work and hours need to be flexible...this team runs 24 x 7). Shifts include (after training): second and third shifts (in Mountain Time) with...

The Support Analyst will assist in monitoring, analyzing, and resolving data platforms, configuration, and infrastructure-related issues.  This person serves as a lia

Join Cotiviti's Talent Acquisition team and support our hiring efforts! This role will provide administrative support to the Recruiting team in the delivery of the highest level of recruiting service execution to Cotiviti. You will be instrumental in supporting the coordination of candidate/Hiring Manager/Recruiter schedules for complex or multi meeting assessments activities, providing administrative support for hiring activities, completing and administering associated new hire paperwork and processes, production of defined reporting / metrics, maintenance of appropriate talent pipeline / preferred supplier / key contact lists, and any other related recruiting support as required. Bilingual English/Spanish preferred to assist with...

The Data & Insight Analyst is responsible for architecting and developing best-in-class and innovative analytics and reporting solutions.  This role will have responsibility for establishing, running, and sustaining processes and practices that support Big Data, Analytics, and Reporting solutions and applications in an Open Source environment. The Data & Insight Analyst should have a passion for data, working with business people, and creating solutions and driving value with a keen interest in mentoring and elevating other technical resources.  This role will spend time working independently and as part of a team and will focus on...

As a Business Development Manager (“BDM”), you will lead the Business Development team, support the growth of the sales pipeline, and expand target account intelligence for Cotiviti.  The Business Development Team frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations.  You will work closely with the Sales team and Sales Leadership to support the management of sales territories by establishing relationships, conducting introductory conversations, and gathering intelligence that enables Cotiviti to favorably compete for the prospects’ business.  The BDM will support analysis and reporting needs by developing business profiles...

We are 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 contributing to improving our retail clients’ profitability and want to be part of a team that provides opportunities for career growth. If you want to make a difference and contribute to the service we provide our Retail clients, consider an opportunity to join our global retail recovery team as an Auditor II.   The critical function of a Contract Compliance Auditor II is to audit billings...

Full Stack Developer will be responsible for end to end configuration management for Internal Benchmarking releases.  This position will be responsible for data modeling/transformation/integration as well as business intelligence visualization design/development.  Position also acts as senior level consultant for both Data Engineers and BI Developers.  Internal Benchmarking Full Stack Developer will also be primary lead for (new) solution functionality/POCs for team. 

As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti. The BDR frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations. You will support the management of sales territories by establishing relationships, conducting introductory conversations, and gathering intelligence that enables Cotiviti to favorably compete for the prospects’ business. BDRs support analysis and reporting needs of sales operations by developing business profiles of targeted accounts, also referred to as “New Logos.” BDRs also support marketing program development by...

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) 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.

The Client Services Manager (CSM) is a member of the Client Services Team which aligns and supports the greater business unit solutions of Data Mining (DM), Coordination of Benefits (COB) and Yield Management (YM). A CSM serves as the main day-to-day point of contact for clients both internally and externally and is focused on achieving strategic plans with clients, revenue retention, client satisfaction, and growth. This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti as a trusted partner. The CSM should be proficient across designated Payment Accuracy solutions and is able to operate independently while coordinating with multiple internal partners...

The Technical Project Manager will be responsible for leading Infrastructure-related projects as well as assisting teams to complete day-to-day

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) 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.

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) 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.

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

We are seeking a talented individual for an Investigation Specialist who is responsible for researching medical claim information from insurance companies, gathering third party information from attorneys and insurance adjusters, and verifying attorney representation and/or liability insurance involvement   The Subrogation Investigation Specialist position is a call center role where your primary responsibility is to support recovery of funds when one of our client’s members has been involved in an accident...

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.

The Client Policy Manager provides expert consultation on coding & clinical policy guidelines . This role works directly with our health plan clients and manages our clients payment policies and ensures they are accurate, up-to-date, and complete. This role is responsible for interpreting and assessing payment policy for clients and provides consultation and policy advice. This role works with a team of others: Medical Director, Client Managers, and Financial professional to deliver and implement clinical & coding guideline changes to their assigned clients.

Cotiviti is seeking an Implementation Services Analyst.  The role will be accountable to internal customers in the pursuit of implementing new and recurring projects.  Manages milestone and task execution within implementations projects and internal process improvement efforts.  Works directly with implementation managers and internal cross-functional counterparts to ensure timely and quality output of project deliverables including but not limited to data analysis, forecasting, reporting, performance metrics and other operational functions.  Maintains project status and issues / risks in the applicable project management software and reporting mechanisms. ...

The Implementation Services 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, coordinate and manage the client implementation effort with cross-functional groups, monitor complex operational reporting,...

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 support of the existing software applications and enhance software components deployed in the...

The Coding Manager leads a team of coders, directly or indirectly, to deliver key components to the Cotiviti coding program. This role works with the Director of Coding, the Client team and other areas related to production, QA, and analytics for oversight of ongoing production and quality accuracy.

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 2) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti:

The Policy Configuration Analyst role is responsible for developing and processing Rule Maintenance Requests (RMRs) and configuring the rules associated with them for each release by the configuration cutoff date reflected on the Release Schedule.

We are looking for a Software Development Manager to join our team. This role is responsible for helping build the delivery roadmap and executing on it. You will also develop and implement the technical roadmap. You will be responsible for a team of developers and QA and will guide and support them with delivery. Our ideal candidate with have strong software architecture and development experience working in an agile environment. Also, with a desire and ability to be hands-on with day to day development and architecture activities.

The Data Scientist II - Generative AI will apply knowledge and experience to real world problems, and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. 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...

The Data Scientist I - Generative AI  is focused on machine learning solutions in Healthcare Technology and builds value-oriented, production level machine learning solutions. This is not a research oriented data scientist; instead you will apply your knowledge and experience to real world problems, and seek to utilize Artificial Intelligence and Machine Learning to reduce the cost of healthcare and improve health quality and outcomes.  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...

As a Sr. Storage Engineer, you will be responsible for overseeing all aspects of SAN, NAS, and backup administration, encompassing tasks such as architecting, installation, upgrades, patching, tuning, and providing support and troubleshooting.  The role will provide guidance, analysis, and recommendations to the department on all storage subsystems and components while acting as a lead to design and implement new technologies.

The Data Integration Specialist 1 develops, enhances, and provides insight for data integration and serves as a subject matter expert for healthcare claims analysis utilizing both technical expertise and business acumen. This role also provides consultative analytical support to internal and external customers on various projects and conducts detailed claims analysis, assists in model development, assists in statistical analysis, and ad-hoc reporting as prioritized by management. The position communicates the outcomes of analysis to business owners, senior management, and clients in a manner that adds insight and...

As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed DRG. Leveraging your industry experience and deep knowledge of inpatient coding practices, APR-DRG methodologies, and billing regulations, you'll craft innovative strategies to enhance claim selection processes, contributing directly to payment integrity for our clients.  

As a Concept Development Analyst (CDA) within the Clinical Chart Validation team, you'll spearhead the identification, creation, and implementation of inpatient claim selection rules focusing on the payment integrity of the billed DRG. Leveraging your industry experience and deep knowledge of inpatient coding practices, APR-DRG methodologies, and billing regulations, you'll craft innovative strategies to enhance claim selection processes, contributing directly to payment integrity for our clients.  

Cotiviti 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.   What does it mean to be a Payment Accuracy...

As a Clinical Program Manager in our growing member engagement line of business, you will be at the forefront of improving patient outcomes by developing impactful outreach and health awareness programs implemented through Cotiviti’s leading Quality and Eliza Member Engagement solutions. Your role will center around engaging health plan members by designing best-practice based outreach campaign programs, closing care gaps based on HEDIS and Star quality measures, and working with our extensive list of health plan clients to drive value to their proactive member 

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 support of the existing software applications and enhance software components deployed in the...

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.

The Client Policy Manager provides expert consultation on coding & clinical policy guidelines . This role works directly with our health plan clients and manages our clients payment policies and ensures they are accurate, up-to-date, and complete. This role is responsible for interpreting and assessing payment policy for clients and provides consultation and policy advice. This role works with a team of others: Medical Director, Client Managers, and Financial professional to deliver and implement clinical & coding guideline changes to their assigned clients.

The Client Service Associate's (CSA) role is to ensure adequate support for the client-facing team on coding and policy-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.

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 Platform Strategy & Innovation and work on Portfolio Prospecting within the Innovation & Portfolio Management Center of Excellence (IPM). IPM Portfolio 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...

The Sr. Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues.  You are expected to foster high performing technical teams.  You will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders.

This is an onsite position at our Blue Bell, PA office.   In the End User Computing Analyst role, you will provide support for internal employees for all IT services. You will also process incoming technical support incidents and requests through the ServiceNow & JIRA ticket queue while maintaining service level agreements.

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.

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.

The Data & Insight Analyst is responsible for architecting and developing best-in-class and innovative analytics and reporting solutions. This role will have responsibility for establishing and sustaining processes and practices that support Big Data, Analytics, and Reporting solutions and applications in an Open Source environment. The Data & Insight Analyst should have a passion for data, working with business people, and creating solutions and driving innovation with a keen interest in mentoring and elevating other technical resources. Will spend time working independently and as part of a team and will focus on specific deadlines in an Agile development process as defined by the management team.  This role...

Our Healthcare Data Analytics company seeks AVP Engineering within our Payment Integrity business. In this role, you will lead, direct, and manage the cross-functional technology delivery team. You will handle all the operational aspects of software development to deliver business and project objectives. In addition, you will provide technical, administrative, and people leadership for multiple, diverse, geographically distributed teams.

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 Software Engineer is primarily responsible for the support and modernization of the existing proprietary designed IVR (automated cloud-native) software, and enhancement of other software components deployed in the Cotiviti product suite.

The focus of the VP, Client Engagement Manager is to develop and execute against growth, renewal and retention strategies for their customers within the top customer tier. The VP Client Engagement Manager 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. This role will manage a team of Client Engagement professionals.

The Software Engineer is responsible for the design and development of software applications and reusable software components for the Cotiviti, Inc. product suite, in compliance with predefined coding standards and technical design. You will be required to collaborate effectively with senior developers, QA, product owners, project management, and other internal stakeholders.   Hands-on technical role to support our audit team through client data conversion and the support, development, and delivery of audit tools and reports. Ideal candidate combines experience with Microsoft Access application development VBA, Project management, Comfort...

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 Senior Retail Auditor position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts with the goal of auditing client data generating high quality recoverable claims for the benefit of Cotiviti and our clients.