Please Enable Cookies to Continue
Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job.
Here are our current job openings. Please click on the job title for more information, and apply from that page if you are interested.
The system cannot access your location for 1 of 2 reasons:
- Permission to access your location has been denied. Please reload the page and allow the browser to access your location information.
- Your location information has yet to be received. Please wait a moment then hit [Search] again.
Click column header to sort
-
Operations Administrator (OA) is responsible for daily support of functions across the CCV BU teams, including audit and client support to ensure that all processes are adhered to, metrics are met or exceeded, and documentation is created and maintained with high attention to quality and detail. The OA may flex to support various teams throughout the day, utilizing a variety of Cotiviti proprietary tools to complete tasks. OA may also access client data systems directly to validate claim information.
-
This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.
This work is focused on Training for our Outpatient & Specialty Clinical & Coding Validation...
-
The Payment Insight Analyst I is a position within the CCV business unit responsible for reviewing internal and client systems, as well as contracts, to determine how healthcare claims should be paid. This role involves analyzing claim information, interpreting client requirements, and applying contractual terms to ensure accurate claim pricing in accordance with established guidelines and client expectations. The analyst partners with internal audit teams to support compliance and quality initiatives, consistently meets performance metrics, and adheres to appropriate workflows and Standard Operating Procedure (SOP) documents to ensure consistency and accuracy across all claim activities.
-
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,...
-
The Vice President, Sales is responsible for the development and strategic execution of annual sales plans to support the acquisition of new clients and sale of new solutions for the Cotiviti Retail division. This is a hunter role focused on hunting new business for Cotiviti’s Retail Payment Integrity Services and Solutions to the world’s largest retailers, e-commerce, and commercial enterprises. Demonstrated experience calling on and selling to “C” level executives, SVP Business Owners, CFO’s, Procurement, VPs, and Directors is essential. Experience working in a disruptive software and services sector selling Data Analytics, Payment Integrity / Recovery Auditing services and...
-
The Technical Architect II specializing in AI Architecture & Enablement provides advanced architectural leadership within an assigned business area, aligning AI-enabled solution development with broader architecture direction while remaining closely connected to implementation.
This role translates business and product needs into practical, implementable architectures for AI-enabled applications, agents, retrieval-augmented generation solutions, intelligent workflows, and supporting application, service, API, data, and platform components. The architect helps engineering and Support technology teams evaluate where AI can create meaningful business value...
-
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 Vice President, Engineering is a senior leadership role within the Engineering organization, responsible for defining and executing the product engineering strategy and leading the development and delivery of high-quality, scalable software products.
This role oversees a global engineering organization and partners closely with Product Management, Design, and Go-to-Market teams to build innovative, customer-centric solutions that drive business growth and market differentiation. The VP is accountable for delivering impactful product outcomes, accelerating time-to-market, and ensuring engineering excellence across the product lifecycle.
-
A Revenue Cycle Specialist 2 is a member of the Revenue Cycle team within the Yield Management Division. The Specialist 2 is responsible for moderate to complex levels of recurring and/or daily functions and processes that are necessary for business execution. This would include the reconciliation and posting of all payments received, identification of discrepancies, and analyzed issues to ensure payments are posted timely. Other responsibilities will include processing invoices, managing large sets of inventories and the ability to process electronic requests in multiple systems and platforms.
-
The Sr. Technical Product Owner (STPO) is responsible for driving solution definitions that support
business ideas and product concepts that can be turned into application software solutions. The STPO
works at a team, program, and enterprise level, gathering needs and translating those into testable
requirements.
The STPO has deep domain knowledge and strong experience in collaborating with a
-
The Senior Market Intelligence Analyst transforms market signals into actionable business insight as part of the Market & Competitive Intelligence team, supporting strategic decision-making across Marketing, Product Marketing, GTM, Corporate Strategy, Product, and Executive Leadership. This role combines market research, competitive intelligence, customer and buyer analysis, industry monitoring, and intelligence operations.
-
The Product Marketing Director owns go-to-market strategy and execution for an assigned solution area within Cotiviti's portfolio. This particular individual contributor role will support our Quality, HEDIS and Stars solutions by working directly with our Product, Operations and Sales/Client Engagement teams.
-
As a Medical Reviewer, you will be auditing medical records to evaluate the accuracy of medical coding and health plan policies for our Fraud, Waste & Abuse clients.
-
The Senior Manager Program Management – Payment serves as a people leader responsible for overseeing program delivery while directly leading, coaching, and developing a team of project management professionals. This role balances strategic execution with day-to-day people leadership to ensure successful delivery of payment-related initiatives aligned with business objectives.
-
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...
-
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.
-
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 II role is primarily responsible for the support of the existing software applications and enhanced software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior...
-
Opening available for Senior Software Engineer, CCV at Cotiviti, Inc. in South Jordan, UT:
-
The Enterprise Marketing Director owns execution of Cotiviti's enterprise narrative, category story, and executive-facing positioning — work that spans every portfolio rather than belonging to one. This role maintains the enterprise messaging framework and supporting campaigns, supports Cotiviti presenters in analyst relationships and executive briefings, and synthesizes competitive and market signal into the corporate story. Unlike a portfolio-aligned Director, Product Marketing role, this position has no assigned solution area: its scope is the company's story as a whole.
-
The Product Manager leads the strategy, design, and delivery of solutions for Medicare, Medicaid, and ACA Risk Adjustment programs. The role partners with cross‑functional teams to improve documentation accuracy, optimize risk capture, and ensure...
-
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 Manager of Revenue Cycle is a member of the Revenue Cycle team within the Yield Management Division of our healthcare data analytics company, where we support health plans with their revenue optimization. This department may work directly with other members of Yield to ensure department expectations are accomplished.
The Manager, Revenue Cycle position is responsible for providing leadership and management for one or more accounts or significant audit support projects. Oversee audit support revenue cycle activities for assigned account to maximize valid claim identification...
-
The Content Solutions Analyst I is a key member of the clinical operations and content team responsible for the research, quality assurance, and opportunity analysis associated with new medical policies. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define additional logic and algorithms to expand the Cotiviti payment policy library.
The Content Solutions team works within Payment Policy Management and supports all of our PPM Solutions: outpatient, inpatient,...
-
The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM) and client-facing Medical Directors.
-
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...
-
The Data Governance & Analytics Architecture Director is a leader within the Health Enablement Analytics organization responsible for ensuring all data, analytics, and AI initiatives are built on a scalable, standardized, and governed foundation. This role serves as a subject matter expert for data governance, analytics architecture, and AI/ML best practices across Health Enablement. This role provides advisory leadership, technical guidance, and architecture standards to ensure analytics and innovation efforts are aligned to enterprise data strategy and built in a scalable, sustainable manner.
This position operates as a consultative technical partner to Innovation, Analytics, and 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 Senior Manager, Audit Manager Training leads the design, delivery, and continuous improvement of training and capability-building programs for audit managers and quality audit staff across CCV. This leader owns the curriculum that prepares auditors and audit managers to apply audit guidelines accurately and consistently, including training on AI-supported review tools, human-in-the-loop workflows, and the judgment required to validate AI-assisted findings. The role partners closely with Quality Audit Operations, concept development, machine learning and strategic analytics, and client service teams to translate evolving audit guidelines, quality findings, and...
-
A Payment Accuracy, Coordination of Benefits (COB) Specialist 2, 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.
The Payment Accuracy, Coordination of Benefits (COB) Specialist 2 position is essentially a subject matter expert (SME), provides innovation to introduce new ideas, research as well as creative thinking. This individual will have the opportunity to demonstrate multi-client...
-
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 Support Engineer will assist in managing and coordinatingrecovery efforts for all events impacting production processes, SLA’s and client satisfaction.
-
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.
-
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 cases, including a variety of temporary...
-
The Staff Accountant reports to the Accounting Manager and is responsible for preparing journal entries, account reconciliations balance sheet and income statement variance analysis and other activities associated with the monthly general ledger close.
-
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,...
-
A Lead Solution Consultant will play a pivotal role in driving Cotiviti’s growth by combining deep technical expertise with strong pre-sales acumen across the healthcare payer landscape. This is a client-facing role requiring the ability to lead technical discovery, perform detailed assessments, and design solution architectures aligned to payer business and IT environments.
-
The Senior Technical Specialist will collaborate closely with the RCA - Content & Enablement Department, the Implementations Team, and the Audit Operations and R&D teams. This role is responsible for the intake, logic development, deployment, and maintenance of Business Rules that support RCA’s platform applications. The Specialist will also lead efforts to identify and remediate technical limitations, design advanced exclusions logic, and support operational scalability through strategic rule development.
In addition to driving rule implementation, the Senior Technical Specialist will act as a key liaison between the operations team and the BRMS...
-
Cotiviti Healthcare is a leader in payment accuracy services, serving top-tier companies in healthcare and retail. We're seeking visionary tech talent ready to revolutionize healthcare systems, drive innovation at scale, and accelerate their career to the next level. Join our dynamic team of problem solvers and lead strategic initiatives that reshape healthcare payment integrity as a Principal Insights Analyst. This role is a key contributor to healthcare team, playing a crucial role in supporting the Payment Integrity area, and will partner closely with other business units, providing both...
-
This is a Senior Auditor, Team Lead, with responsibility for supervising a team of Clinical Validation Auditors or other audit team members. Team Leaders ensure that the work of others meets productivity standards, quality guidelines and audit efforts of the client engagement. Primary responsibilities include queue management, work distribution, performance and production optimization, audit planning, auditor interactions, training of new hires/existing staff, Audit Report and Claims writing and support of audit closure activities. The Senior Auditor goal is to ensure the team audits client data on behalf of our clients, generating high quality recoverable claims. Displays professional skepticism that...
-
The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Audited claim types include: Outpatient and Specialty Review Types to include SNF, IRF, HH, DME, Hospice and medical necessity. Quality assurance emphasizes compliance with established procedures, accuracy of claim identification and supportive documentation. Identifies and notifies management of observed quality and communicates opportunities for process improvements based on independent audit claims review. Displays professional...
-
This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which services are being provided. This involves accessing proprietary systems to audit medical records, applying critical thinking and decision-making skills, and accurately documenting a rationale with the findings and supporting references. The ideal candidate for this role would be a Registered Nurse with experience in utilization or case management.
-
We are seeking a highly experienced Senior AI Engineer to own the development and evolution of two foundational components of our clinical AI platform: the clinical NLP integration layer that connects existing coding infrastructure with the AI pipeline, and the golden dataset pipeline that establishes trusted evaluation standards across the program. In this role, you will design and implement scalable data and AI workflows that enable
-
We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for the Risk Adjustment (RA) Coding Agent, you will own the end-to-end technical architecture—from clinical NLP integration and production routing to core AI platform components that enable...
-
The Principal Product Manager, AI plays an expanded strategic and executional role within the AI Product organization, responsible for owning more complex AI-enabled products or multiple product lines within Retro Claims Accuracy (RCA). This role helps build industry-leading AI technologies that enable lines of business with cutting edge, impactful solutions, and helps accelerate the adoption of AI, including advanced ML and Generative AI techniques, at scale. The Principal Product Manager, AI leads product development, strategy, and performance while driving stronger alignment across business, technology, and customer stakeholders, and guides product ideation, execution, and validation, balancing customer needs with business...
-
The Client Services Manager services as the point of contact for clients and is focused on providing the highest level of service to our clients. Role serves as both internal and external client liaison, including triaging, managing, monitoring and support of client related activity, primarily related to Cotiviti Fraud, Waste and Abuse products.
-
The Sr. Software Database Engineer is primarily responsible for designing, developing, and maintaining database applications and reusable software components deployed in the Cotiviti product suite, with a strong focus on performance tuning for large-volume data sets and leveraging AI-assisted development tools. 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.
-
The SVP Enterprise Client Engagement and Strategy is Cotiviti's most senior client-facing executive outside the C-suite. Reporting directly to the Chief Growth Officer, this leader carries full business line accountability for Cotiviti's client relationships — owning commercial performance, multi-year area strategy, and the function's contribution to enterprise revenue and growth.
The SVP Enterprise Client Engagement and Strategy is expected to shape how Cotiviti engages Cotiviti’s clients over the next three to five years, drive innovation in how the company...
-
The Senior Manager, Quality Assurance leads a team of quality-focused individuals across multiple review types responsible for developing, executing, and continuously improving CCV’s quality assurance programs, and ultimately, delivering value to our clients. This leader oversees the governance of quality standards, criteria, audit guidelines, and monitoring processes to ensure programs are evaluated, maintained, and refined over time. The Senior Manager is responsible for ensuring the accurate application of audit guidelines applied through AI-supported and human-reviewed processes, to support high audit accuracy,...
-
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 Sr Gen AI Data Scientist I - 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...