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The Content Analyst is a key member of the Content Center of Excellence, responsible for the research and implementation of new and existing medical policies. In addition, the Analyst is responsible for review and analysis of Clinical Content metadata from national sources (CMS, CPT, ICD, etc..) that support the current medical policies in the Cotiviti payment policy library.
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We are looking for a curious, driven Data Science intern to join our analytics team for the summer. You will work on real healthcare data problems alongside full-time data scientists and engineers — not internal demos — touching everything from data wrangling and feature engineering to model evaluation and lightweight deployment.
This is not a passive internship. Healthcare is a domain where accuracy, compliance, and explainability matter, and you will help shape how predictive and analytical models inform decisions for payers and providers. Expect to ship something...
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The Genetic Testing & Laboratory SME serves as the clinical and technical authority supporting the development, validation, and client presentation of payment integrity rules related to genetic testing and laboratory services. This role partners with Content Solutions Analysts (CST) to translate complex genomic and laboratory concepts into scalable, defensible rule logic across prepay and postpay (where appropriate) environments. This role is a key enabler of Cotiviti’s genetic testing and laboratory payment integrity strategy, responsible for unlocking scalable prepay rule development and supporting measurable savings outcomes in a highly complex and rapidly evolving domain.
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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 team as Platform Product Manager.
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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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A Payment Accuracy, Data Mining (DM) Specialist, is a member of the greater Data Mining Business Unit (BU). Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types.
A Payment Accuracy Data Mining (DM) Specialist is responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, identifies and inputs recovery claims, voids, or other over-underpayment types. Documents relevant facts,...
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We are looking for a Revenue Cycle Specialist to join our Yield Management team! This role is responsible for the reconciliation and posting of all payments received, identify discrepancies and analyze issues to ensure all payments are posted timely. Other responsibilities include managing inventory and system alignment between Cotiviti and our clients, reconciling data between different sources, research, and the ability to work with cross-functional teams.
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The Part-Time Temporary Administrative Coordinator provides hands-on support with high-volume printing, document preparation, and outbound mailing. This role is ideal for someone who is detail-oriented, organized, and comfortable managing repetitive, time-sensitive tasks in an office environment,
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The Manager, Audit Content position is responsible for leading a team of Concept Development Analysts (CDA) and Operations Administrators in delivering value to Cotiviti’s operations and clients. This leader is responsible for oversight of their team, as well as participating in the development of new and existing complex audit concepts, executing audit projects, and updating concept policies based on changes in clinical and coding developments, statutes, regulations, and client policies.
The...
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The Technical Product Owner is responsible for driving solution definitions that support business ideas and product concepts at a team and program level through gathering and translating testable requirements into application software solutions. They have deep domain knowledge and strong experience in collaborating with diverse teams including product managers, software developers, testers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing.
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The Yield Support team works to facilitate daily administrative activities efficiently and professionally within the department and business unit by assisting our Data Mining (DM) and Coordination of Benefits (COB) Specialists, Recovery Operations, Revenue Cycle, and Inventory Management Specialists teams, to achieve success as an overall organization. This team will also work with the greater leadership team to improve and manage our business optimizations as well as meet and exceed our goals and deliver exceptional customer expectations both internally and externally.
As a Yield Support Specialist this role is under direct supervision...
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We are looking to add a Senior Audit Support Assistant to our Provider Services team! This role will efficiently and professionally handle more complex, broad daily administrative activities within the audit engagement. Responsibilities include providing claim level review of payment methodology, investigating claim payment discrepancy and coding mismatches, and performing re-calculation of claim payments based on audit results. This role will support the auditing team in determining the value of their finding and may engage in basic audit activities under the direct supervision of an audit professional. This role will spend roughly 50% of their time on the phone.
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This is a highly visible senior strategic individual contributor role within Cotiviti’s National Accounts segment, with the opportunity to shape growth across some of the most important payer relationships in the market. The role is responsible for accelerating sales growth across Cotiviti’s full Healthcare portfolio by building executive relationships, advancing complex enterprise opportunities, and delivering strategic value to national health plans. Extensive experience and a demonstrated track record of selling enterprise solutions to Health Plan C-level executives, SVP business owners, procurement leaders, VPs, and directors are essential. We are seeking remote...
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We are seeking a highly experienced Principal Software Engineer to design and build the backend infrastructure for our centralized AI platform. This role will focus on developing robust, scalable backend services that power our agentic framework and enable teams across the company to securely deploy, manage, and access AI agents through unified APIs and user interfaces.
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We are seeking a Senior Software Engineer to join our team in building the core backend services for our centralized AI platform. This role will focus on implementing backend APIs and services that power our agentic framework, helping teams across the company securely deploy and use AI agents through unified interfaces. The ideal candidate has strong Python skills, eagerness to learn, and interest in working with cutting-edge AI technologies.
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We are seeking an experienced Lead Frontend Engineer to design and build the user interface for our centralized AI platform. This role will focus on creating an intuitive, responsive frontend that enables teams across the company to build, deploy, and manage AI agents through a seamless web application. You'll also develop reusable chatbot modules that can be integrated into various SaaS products within our ecosystem.
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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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The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The MPDs role is to serve as a coding and medical payment policy subject matter expert (SME), with the assistance of a CMD. The MPD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The MPD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back-end support for...
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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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The Senior Vice President, Brand is responsible for setting the global direction and defining and operationalizing the enterprise brand strategy for Cotiviti, ensuring the brand functions as a measurable driver of growth, market differentiation, enterprise alignment and enterprise value. This role sets the creative vision and standard for the company, ensuring all brand expression is distinct, ownable, and reflects a cohesive, premium market presence.
This leader will build and scale a cohesive brand and creative system that distills complex healthcare analytics and payment integrity solutions into...
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Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. As we continue to grow, we are seeking experienced Payment Accuracy Specialists to join our team. This is a great opportunity to join a well-established company with competitive pay, opportunities to develop professionally and excellent benefits.
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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.
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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 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
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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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Perform Dental daily review/audits on client data for completeness and accuracy of coding, utilizing coding background to ensure appropriateness for reimbursement when providing recommendations on clinical claims to the client: Makes certain the requirements for Current Dental Terminology (CDT), ADA and other related concessions are met. Performs duties according to structured algorithms or other written guidelines. Handles moderately complex issues, refers all medical necessity procedures to higher-level staff for approval or denial. Possesses solid working knowledge of subject...
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The Strategic Pricing, Director is a member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for leading Cotiviti’s pricing strategy, including maintaining the company’s existing pricing and creating pricing models for new solutions. This person will...
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The Generative AI Developer Intern focuses on researching and developing advanced healthcare informatics, particularly in the realm of Generative AI and emerging Artificial General Intelligence. It is designed to support improvements in healthcare treatment, payment, and operations. The intern will assist and take a primary role in developing, researching, creating analytical materials, and collaborating with various teams to drive AI-related projects.
We are currently looking for interns who can start...
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The Senior Manager, Revenue Cycle Operations leads a team of Business Operations Analysts and Revenue Cycle Specialists supporting Cotiviti’s Clinical Chart Validation (CCV) operations and client delivery. This leader oversees revenue cycle management, month-end close activities, inventory management, client SLA delivery, and financial analysis for assigned clients within the Clinical Chart Validation business unit. The role is accountable for maximizing revenue recognition, minimizing financial leakage, strengthening process controls, and accelerating client savings value while serving as a trusted internal and client business partner. This position also supports workflow modernization through...
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The Policy Integration Coordinator I position holds the primary responsibility for ensuring that each client’s initially chosen policy set & tables have been configured accurately based on the client’s decisions. Manages lower complexity projects. This includes copy of existing payer data, E&M over code, and payer termination projects.
Also loads table mappings for Clinical Chart Validation projects. The Policy Integration Coordinator I provides technical support related to payment policies to the Implementation MD, Implementation Service...
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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.
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The Team Lead Coder Coding Validation position will have responsibility for supervising a team of Coding Validation analysts or coders. Team Leaders ensure that the work of others meets productivity standards, quality and client guidelines. Primary responsibilities include queue management, work distribution, performance and production optimization, audit planning, coder interactions, training of new hires/existing staff, on appeals support while meeting SLA obligations. The Team Lead goal is to ensure the team audits client data on behalf of our clients, generating high quality payment determinations and displays professional skepticism that enhances the work performed in order to achieve success in position.
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The Information Security Engineer’s responsibilities include the build and 2nd level support of key security systems in support of the information security objectives. Operationalizing a wide variety of security systems to include cloud security, IDS/IPS, Next-Gen AV, CASB, email security gateways, SIEM, inventory discovery, and vulnerability management. You will provide training, mentorship, and proper transition of systems to security operations team members. In addition, you will investigate escalated security incidents in partnership with security operations center.
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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 Corporate Development Associate is a member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for evaluating strategic acquisitions for Cotiviti, as well as supporting end-to-end M&A execution and corporate development initiatives across Cotiviti’s portfolio of products. This person will identify and evaluate new opportunities, conduct due...
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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 Senior Technical Specialist.
This role...
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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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This role is expected to work Monday through Friday from 9:00 AM Pacific to 6:00 pm Pacific
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 production, data...
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This role is expected to work Saturday through Wednesday from 9:00 AM Pacific to 6:00 pm Pacific
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 production, data quality, and data...
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The Implementation Consultant is a post-sales position focused on individual clients and the implementation of Edifecs solutions they have purchased. This role involves installing, configuring, and overseeing the implementation of Edifecs products for the client. Responsibilities include installing products on Edifecs or client hardware, and configuring and developing programs, tasks, and guidelines to fully implement Edifecs solutions based on the client's specific needs. The Implementation Consultant will serve as the primary technical resource for Client Services, interfacing with the client's technical resources. Duties range from delivering product training to developing and deploying new client-specific requirements. This role...
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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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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 Software Engineer is responsible for the design and development of software applications and reusable
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Cotiviti is seeking a Director, Business Architecture to build and lead the Business Architecture capability for the Payment Integrity business unit. This role will define how the business needs to work to support scale, reduce fragmentation, improve business-to-technology alignment, and enable more efficient execution across the operating model.
This leader will clarify business capabilities, value streams, ownership, decision paths, and target-state operating models; identify redesign opportunities; and create the foundation for automation, AI enablement, innovation, and scalable transformation. The role requires a strategic leader who...
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The Rule Value Analysis Analytics (RVA) Product Manager is a visionary, strategic leader responsible for guiding the evolution of the RVA insights platform, a tool that uncovers new savings opportunities for clients. This individual excels in product management best practices, inspires cross-functional teams, and communicates effectively with all stakeholders. The RVA Product Manager is a strong collaborator and communicator, passionate about delivering measurable client value and driving innovation.
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The Cotiviti Retail division are seeking an experienced Scrum Master to lead and support Agile delivery across Retail development teams and initiatives. This role partners closely with product owners, developers, and senior stakeholders to remove impediments, facilitate effective Scrum practices, and drive consistent, high‑quality delivery at scale.
We are looking for a special individual who is not only technically sound but curious and interested in learning our unique and results-oriented...
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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 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
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The Senior Counsel, Partnerships will be the main legal resource overseeing strategic partnership contracting. The role will also support the Director, Senior Corporate Counsel in overseeing the full life cycle of Cotiviti’s healthcare and non-healthcare vendor contracts – from initial negotiation through execution, ongoing management, renewal, and termination. This role will be responsible for reviewing, drafting, and negotiating a broad range of commercial agreements, including master services agreements, license agreements, SaaS agreements, business associate agreements, non-disclosure agreements, and other related commercial agreements. The ideal candidate will have...
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The Data Solution Specialist role is aligned to our Implementation team and will partner will various divisions and levels of leadership within the whole organization.
They will be accountable to internal stakeholders for the successful implementation of both new and recurring projects. They will manage milestone tracking and task execution for assigned projects and internal process improvement initiatives. This role involves close collaboration with Product Managers and cross-functional teams to ensure the timely and high-quality delivery of project outputs, such as documentation, data analysis,...
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The Immigration Counsel will serve as in-house immigration legal advisor to Cotiviti. They will be responsible for partnering with leadership on company immigration operations in compliance with federal and state laws and administrative policies. This person will act as the extensive knowledge on all immigration related activities including, but not limited to, visa caseloads, immigration law, immigration document retention, communications with employees, etc. The Immigration Counsel will draft key documents, assist in the completion and filing of all immigration related paperwork, present clear recommendations, and assure legal compliance. They will handle the preparation of immigration...