The primary role of the Data Integration Analyst is to capture and to articulate business requirements for client data file layouts and various enterprise level projects. An understanding of relational databases, Project Management and the full Software Development Lifecycle (SDLC) is required. A functional understanding of Enterprise Big Data IT, HIPAA data security, FTP and ETL is desired.

Senior Manager, Information Security and Risk positions offered by Cotiviti Inc. (South Jordan, UT). Responsible for providing leadership, executive support, strategic and tactical guidance and effective execution of the organization’s information security engineering and operation functions. Provide oversight and direction over all cybersecurity related activities and to ensure management awareness, metrics and compliance posture of the enterprise cybersecurity landscape. Responsible for all technical security reviews and controls and serves as the primary liaison between executive leadership and internal stakeholders. Liaise with various governance, compliance, and incident response teams...

Quality Analyst Automation Engineer II positions offered by Cotiviti Inc. (South Jordan, UT). Test Cotiviti’s applications that are part of Cotiviti’s Eliza product suite, defining and executing comprehensive test plans and test cases, ensuring that quality issues and defects are properly identified and tracked. Create, maintain, and execute detailed test cases and test plans. Develop and maintain both automated and user-level testing tools, as well as provide guidance and mentorship to junior team members. Collaborate effectively with software engineers, business owners, project managers, and other internal stakeholders. Develop and maintain automated testing tools and tests. Analyze...

We are seeking a highly experienced and dynamic Strategic Sourcing Director to lead our procurement and sourcing initiatives. The ideal candidate will have a proven track record in strategic sourcing, supplier management, and cost optimization. This role requires a visionary leader with exceptional negotiation skills and the ability to drive continuous improvement in our sourcing processes.

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...

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 Technical QA Analyst is knowledgeable in both the configuration and testing of our cloud based omni and multi-channel healthcare engagement solutions and responsible for their release into our production environment. This is done through proprietary tools that are integrated with Amazon Web Services, third party vendors, and conventional code languages. This role is responsible for contributing towards the daily release of omni-channel solutions implementations per the client agreed scheduled dates and times, by partnering with multiple teams across the enterprise to ensure...

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.  

The Senior Solution Architect is responsible for creating best-in-class business offerings. This is accomplished through collaboration with business leaders, sales and support teams, and client conversations. The Senior Solution Architect will have responsibility for establishing and sustaining processes and practices that support present and future sales and implementations, ensuring sales are aligned with current technical offering and capabilities, and that custom client requests are substantiated and well understood. The Senior Solution Architect should have a passion for helping others understand our technical solutions and architecture, creating well defined...

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 Cotivitis’ revenues and...

The Vice President, Global Total Rewards will lead the strategy, design, implementation, and administration of all compensation, benefits, and recognition programs globally. This strategic leader ensures that total rewards programs are competitive, equitable, and aligned with the company’s business objectives, talent strategy, and culture. The VP will drive innovation and global consistency while respecting regional market needs and compliance requirements

We are looking for an Recovery Resolution Specialist to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations. Works closely with audit team, payers and providers to understand claims and or concepts to facilitate effective communication and collection. Engages in verbal and written communication involving the provider, audit staff and client. Identifies problems in the collection process for escalation to the appropriate parties.

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 Implementation Consultant assists in the testing and implementation of Cotiviti’s 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 Consultant/Architect and may do so either at our offices or at client sites. This includes installation of products on client hardware; configuration and development of programs, tasks and guidelines, and setup to fully implement a Cotiviti solution. Duties can range from delivering product training to new client specific requirements, development and deployment. The role involves client coordination...

The Director, Audit Operations (Contract Compliance Recovery Audit) position is responsible for providing leadership and management for our vast and expanding global client base. Oversee the existing and expanding team in the delivery of all contract review and financial audit activities for assigned accounts to maximize team performance, ensure our client’s service providers are fulfilling their contractual obligations, achieve internal and client financial and operations objectives, and deliver customer satisfaction consistent with established operating practices and audit procedures. This will be accomplished through effective audit operations management, quality and service assurance, and effective people...

The Vice President of Audit Operations (Contract Compliance Recovery Audit) will lead and grow our global contract compliance practice within both the retail and commercial sectors. This role involves not only managing the current business unit but also collaborating with the sales department to identify and secure new clients and service opportunities. The ideal candidate will be adept at managing a contract compliance recovery audit business unit with a focus on profitable growth, resource optimization, talent development, market trend analysis, and industry engagement.   The Vice President will provide leadership and management for our...

The Data Scientist II - AI/ML 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 set...

The Manager, Internal Audit is responsible for planning, executing, and reporting on operational, financial, Information Technology, regulatory and SOC1 related audits/reviews.

We are seeking a highly skilled and experienced developer to join our dynamic team. The developer will be responsible for designing, developing, and maintaining software applications using various programming languages and technologies. The ideal candidate must have a strong background in Power Apps, Power Automate, AI Builder, and Azure AI Studio, as well as proficiency in languages such as Python, C# sharp, .NET, Blazor, JSON, etc.

The Senior Implementation Program Manager will be responsible for managing and coordinating multiple implementation projects across various product lines 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 the intended business outcomes. 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 support the internal delivery teams from program...

The 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...

Cotiviti is seeking a Senior Operations Engineer to join our Engineering Team. The Senior Operations Engineer works primarily with enterprise customers of Cotiviti products, proactively assisting them with post- sales installation, configuration, upgrade, troubleshooting and day to day operational management. Responsibilities include leading the Engineering team and Customers to address complex technical and application issues affecting product performance and customer adoption of Cotiviti products. The Senior Operations Engineer will collaborate with Development, Sustaining Engineering, and Sales Engineering teams to resolve support...

The Sr. Implementation Program Manager will be responsible for managing and coordinating multiple implementation projects across various product lines 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 the intended business outcomes. 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 support the internal...

The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the Claims Processing Editing Engine (CPE).     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...

The Delivery/Project Manager-Public Sector 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 support the internal delivery teams from program coordination,...

Join the Cotiviti Security team and be at the forefront of protecting our cutting-edge hybrid cloud infrastructure and applications! We're on the lookout for a dynamic Principal Cloud Security Engineer to elevate our security game. In this exciting new role, you'll be the driving force behind integrating top-notch security practices into our DevOps pipeline, ensuring our applications and infrastructure are secure, compliant, and rock-solid. If you have a passion for DevSecOps and a deep understanding of security principles, DevOps practices, and frameworks like NIST 800-53, we want you on our team!

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 value- based care that’s a plus. The Regional Vice President, Payer Sales will be responsible for managing all Health Care...

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.

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 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.

As a Senior Database Admin, you will help drive team(s) in meeting project objectives. You are expected to contribute to and foster high performing technical teams. You will also be responsible for the design and coding of complex DB systems. You will collaborate and communicate effectively with architects, engineers, QA, DBAs, and Business managers to solve complex problems spanning their respective areas and resolving technological disagreements with informed,...

Cotiviti is hiring a Product Analyst to join our dynamic products team. As a Product Analyst, you will play a crucial role in guiding our products from conception through launch and beyond, managing the entire product lifecycle. You will be instrumental in integrating our new product with various partner products. Your expertise will be key to ensuring seamless integration, particularly in the realm of claims management and standard EDI...

Provides day-to-day supervision and direction to assigned audit team. Ensures operations are running optimally and processes and procedures are being followed. Ensure appropriate staffing levels, and plan and organize workloads and staff assignments according to the needs of the audit. Manages the overall performance, productivity and quality assurance of the assigned audit team. Maximizes opportunities of the audit; optimizes timely audit processes and efficiencies. Involved in formulating all budget related aspects of the audit. Executes and adjusts to budget demands. Drives the profitability of the audit engagement.

We are looking for a full-time Senior Accountant to join our Financial Reporting team. This role is responsible for assisting with the financial reporting function of the organization. Primary responsibilities include the preparation of financial statements and footnotes in accordance with GAAP, leading the monthly trend analysis, and preparing technical accounting memos. This role will be working cross-functionally with various departments which will primarily include General Accounting, Research and Development, and FP&A. This role will be reporting to the Director, Accounting - Financial Reporting and Investor Relations.

The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD 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’s Medical Director. The CMD will evolve as the trusted advisor for the Health Plan...

The Product Director will drive strategy for Cotiviti’s Payment Integrity Client platform product roadmap. This individual will have responsibility and leadership for understanding and prioritizing market needs, performing competitive analysis, performing product discovery, supporting design, delivering business cases and leading delivery and commercial product launches for new products and capabilities

We are seeking a developer to join our dynamic team. The developer will be responsible for designing, developing, and maintaining software applications using Microsoft Power Platform. The ideal candidate will have experience with all of these Microsoft technologies: Power Apps, Power Automate, AI Builder, Azure AI Studio, Co-Pilot and DataVerse as well as proficiency in one other language, such as Python.

We are seeking a senior developer to join our dynamic team. The developer will be responsible for designing, developing, and maintaining software applications using Microsoft Power Platform. The ideal candidate will have significant working experience with all of these Microsoft technologies: Power Apps, Power Automate, AI Builder, Azure AI Studio, Co-Pilot and DataVerse as well as proficiency in one other language, such as Python.

We are a Healthcare Data Analytics company looking for a Sr Manager of Engineering. In this role you will lead, direct, and manage the day-to-day operations of software engineers and TPOs. You will work closely with other R&D teams, enterprise data management teams, IT, and Client Services teams, as well as the Clinical operations teams. You will manage all the operational aspects of the software development to ensure business and project objectives are met and delivered on time. 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....

A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position is responsible for complex levels of recurring and/or daily functions and processes that are necessary for business execution; including but not limited to, ensuring the quality of various functions within the department (check application, offsets, invoicing,...

Under the direction of the Vice President of Interoperability, the Business Development Associate, Interoperability will be a key team member in Cotiviti’s strategy for acquiring electronic health data. This individual will be responsible for contacting healthcare providers, identifying decision makers, and conducting business development meetings to accelerate Cotiviti’s acquisition of digital health data. Success in this role is the ability to influence providers or health systems to move from manual record retrieval workflow to a fully automated, digital process.  

The Program Manager, Operations will partner directly with the assigned Client Executive, retrieval, coding, and reporting team leads and will focus on the execution and delivery of the Cotiviti Risk Adjustment Products and Services for enterprise-level accounts. The Program Manager, Operations will directly own assigned accounts and is responsible for overseeing all aspects of our engagement for our Risk Adjustment solution set. The Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti...

This Coding Validation Analyst I 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. This position requires strong organizational skills and the ability to meet strict key performance indicators in a fast-paced work environment. Daily, substantive contact with internal staff.    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)....

A Manager of Revenue Cycle is a member of the Revenue Cycle team within the Yield Management Division. 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 and overpayment recoveries, meet contractual commitments, and deliver customer 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.

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.   While this team has several areas of expertise, we will be looking to fill this role with a nurse/coder with inpatient DRG experience. 

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.   The critical function of a Contract Compliance Auditor I is to audit billings from our clients’ suppliers in...

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...

We are eagerly looking for several motivated administrative professionals for our Retail Audit team in our new Mexico City office. In this role, you will efficiently and professionally handle the daily administrative activities within the department, to assist our retail auditor(s), collectors, managers, Business Optimization and others to meet and exceed customer expectations. You will act as a point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external customers. This role is an excellent way to "get your foot in the door" and learn the business so that you can grow with the company as we expand.  Must be...

The Integration Solutions Engineer 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. Additionally, you'll have the opportunity to research emerging technologies, enhance integration capabilities and driving innovation.