The purpose of the MIPS (Medical Image Processing) Agent is to review and associate medical records to the appropriate requests while maintaining adequate production and quality levels through tracked metrics.   This is a REMOTE Position and TEMPORARY for up to 6 months. 

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 required to assist...

A Payment Accuracy, Coordination of Benefits (COB) Senior 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. Individuals in the Senior Specialist role are passionate about what they do and are subject matter experts (SMEs) at identifying opportunities for strategic growth, reviewing, discovering, and validating substantial amounts of data, to deliver results and insights for our clients.

The QA I, Clinical Ops position works with the Coding & Clinical Validation Audit team focused on risk coding. The QA position monitors & reports on the accuracy of all code captures on a % of all images of their assigned coders. This position also answers all questions for their coders through the Questions Queue or via email. QA is also responsible for assisting in the remediation for their coders which include full image review of all images coded prior to release to ensure accuracy of image, for any coder below project benchmark.   Experience in HCC/Risk Adjustment coding is required along with an active coding certification...

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 will play a key role in designing, building, and optimizing large‑scale analytics platform running on AWS. The role...

The Program Manager for Pilots & Proof of Concepts (POCs) is responsible for the end-to-end management and successful execution of all pilot programs and proof-of-concept initiatives within Cotiviti's Product organization. The Program Manager ensures pilots are delivered on time, demonstrate measureable value, and convert successfully into full production engagements.

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 Content Marketing Manager is responsible for working with writing, editing, and overseeing the development of a wide variety of marketing content, including website and email copy, blogs, white papers, eBooks, case studies, product collateral, infographics, and checklists. This role involves collaborating heavily with product marketing managers, operations, creative, and SMEs throughout the organization to generate high-quality, rigorously edited content that drives growth.

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. The Business Analyst has deep domain knowledge, and strong experience in collaborating with a diverse team including product managers, software developers, testers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing.

The Product Marketing Director for the Retail Business Unit is responsible for developing and managing the strategic marketing objectives for Cotiviti’s business and financial solutions portfolio, including but not limited to, merchandise recovery audits, AP audits for commercial market, error prevention, and contract compliance. This portfolio includes a mix of services and software solutions. This role focuses on understanding the market landscape, competition, and buyer personas to create and successfully execute a market plan, support effective product launches, develop and maintain a portfolio of enablement materials, and drive lead generation and sales acceleration efforts.

The Senior Financial Analyst serves as the financial lead for a key initiative, partnering with project managers, operations, and cross-functional teams to provide strong financial guidance and rigorous tracking of financial outcomes. The analyst develops and maintains advanced financial models, sets and monitors measurable financial targets, and delivers detailed forecasting, scenario modeling, and variance analysis to support business cases and subsequent phases of work. This position prepares executive-ready presentations, communicates actionable insights to senior leaders and investors, and offers ongoing financial planning support while mentoring junior analysts on best practices in financial modeling and analysis.

The Principal Program Manager provides strategic oversight and coordination for a large, complex, multi-disciplinary program, partnering closely with individual program managers to ensure alignment, visibility, and execution success. This role serves as the central point for program-level tracking, risk management, and executive reporting, translating detailed inputs into clear, actionable insights for senior leaders and governance bodies. The position is responsible for synthesizing progress, risks, and mitigation plans across multiple workstreams; driving consistent program management practices; and...

The Manager Security Audit will help in leading a dynamic team responsible for developing, implementing, and monitoring a comprehensive security audit program primarily focused on SOC 2 assessments, with active involvement in HITRUST and other relevant audits. This individual will provide vision and leadership for scaling audit capabilities, ensuring business alignment, effective program governance, and assisting in developing the roadmap to achieve security audit objectives. The role will be instrumental in building and managing an innovative enterprise continuous audit strategy, meeting SOC 2 and HITRUST requirements while advancing the company’s overall security posture.

The Senior Manager, HR Business Partner, will be a member of a business unit and or functional leadership team and serve as a key business partner to provide strategic and tactical human resources leadership. This role will partner with other HR team members, such as talent acquisition, employee experience, operations, and total rewards. This role is responsible for driving HR initiatives that align with business objectives, enhance organizational performance, and foster a positive work environment. The Senior Manager, HRBP acts as a consultant on...

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.  

The Sr. Manager, Audit Operations is responsible for leading the Clinical Chart Validation (CCV) audit operation, managing the audit team’s performance and productivity, ensuring client SLA’s and budget commitments are achieved, claim workflow is uninterrupted, and talent management is prioritized. This particular Sr. Manager role has expanded process improvement responsibilities across the CCV Audit including vendor management, NLP program oversight and serves as the lead on other process improvement initiatives designed to optimize team efficiency through automation and other means. This role will have 4-6 direct reports and up to 90 indirect reports.

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.

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.

As an AI Program/Project Manager, you will play a pivotal role in driving the development and deployment of innovative AI/ML solutions. You will collaborate closely with cross-functional teams, including engineers, data scientists, and business stakeholders, to identify, prioritize, and deliver high-impact AI/ML products. You are data driven and influence our business strategy and technical priorities with that vision. This role will drive alignment between data

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.

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 Payment Accuracy, Coordination of Benefits (COB) Specialist 1 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.   This role is responsible for reviewing and analyzing the multi-client impact, complex member selection, and query or filter construction of data to identify instances of recoverable Coordination of Benefit claims for the benefit of Cotiviti and our clients. This individual works under limited supervision and is responsible for establishing...

The Research Medical Director is a key member of the Clinical and Policy research development area at Cotiviti. The Research Medical Director is responsible for providing leadership guidance to the clinical teams and ensuring the Rules and policies are accurately interpreted and developed. This role is also responsible for analyzing, interpreting, and developing additional policies that will allow us to enhance our medical policy library. The Medical Director will guide both internal and external processes as related to Payment Policy Management polices and rules.   This is a...

The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and quality levels through tracked metrics. This is an ONSITE POSITION at our Blue Bell, PA location. This is a TEMPORARY POSITION for 6 months. 

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.  

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.   

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 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...

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.

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 in...

The Sr Data Scientist - Generative AI II will apply knowledge and expertise to real world problems to enable healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. 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...

The Sr Staff AI Scientist- 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,...

The Staff Gen AI Scientist will apply knowledge and experience to real world problems and seek to improve health quality outcomes and reduce the cost of healthcare. 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 Director of Engineering AI will drive our AI Platform design across all lines of business. The Director will be responsible for the development and execution of the AI platform and machine learning applications that will empower Cotiviti's Product Groups to deliver innovative AI-powered experiences to our customers.

The Manager Leave Programs leads the strategy, operations, compliance, and continuous improvement of the company’s leave and accommodation programs, including ADA, FMLA, Short-Term Disability (STD), Long-Term Disability (LTD), Paid Time Off (PTO), and applicable state and local leave regulations. This role owns vendor/TPA relationships and partners cross-functionally with HR, Employee Relations, Legal, Payroll, and Benefits to deliver a seamless employee experience, ensure regulatory compliance, and drive data-informed decisions. The Manager will

As a Senior Systems Engineer you will be responsible for resolving escalated service issues, coaching other engineers to resolutions, engineering and implementing complex projects, and for maintaining and overseeing the technology of their assigned areas. This includes VMWare, Windows, and Linux environments.   We are seeking a highly skilled Senior F5 Engineer with a proven track record in enterprise-scale application delivery, load balancing, and secure traffic management. This role requires deep expertise in F5 BIG-IP LTM, iRules...

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.  

The Integration Business Analyst will play a key role in supporting the successful development and implementation of integrated health enablement technology solutions. This position will be responsible for requirements gathering, cross-team coordination, and ensuring seamless integration between multiple technology platforms and services. Together with the project lead and multiple workstream teams, you will be responsible for ensuring a smooth design, build and implement process for our risk adjustment solution initiatives.

Cotiviti is a leading solutions and analytics company that leverages financial datasets to deliver deep insight into the performance of retail system. These insights uncover new opportunities for retail organizations to collaborate to improve their financial performance and accuracy along with reducing inefficiencies.   The Principal Software Engineer is primarily responsible for the design, development and support of the existing software applications and...

The Generative AI Research Engineer Intern conducts primary and secondary research of advanced and emerging healthcare informatics technology with a focus on Generative AI and emerging Artificial General Intelligence technology for healthcare treatment, payment, and operations use cases. Creates research papers, analytical reports, proposals, and educational material. Maintains a deep understanding of technology trends and hands-on experience with relevant technologies. Develops generative AI models, architectures, databases, and systems to improve healthcare solutions.   We are currently looking for interns...

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

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 a Product Manager.   This is a key role within that is...

Cotiviti Healthcare is a leader in payment accuracy services, serving top-tier companies in healthcare and retail. We're actively seeking exceptional tech talents who are passionate about driving innovation, transforming healthcare systems, and accelerating their professional growth. Join our dynamic team of problem solvers and make a meaningful impact in 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...

Cotiviti, Inc. drives better healthcare outcomes through data analytics. This means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality.   Learn more at www.Cotiviti.com.

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...

The focus of the VP, Senior Client Engagement Lead is to develop and execute against broad relationship, growth, renewal and retention strategies on their customers within the top customer tier. The VP, Senior Client Engagement Lead 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 VP, Senior Client Engagement Lead is accountable for cross-product strategy coordination as well as development and execution against a broad relationship map to drive deep...

The focus of the VP, Senior Client Engagement Lead is to develop and execute against broad relationship, growth, renewal and retention strategies on their customers within the top customer tier. The VP, Senior Client Engagement Lead 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 VP, Senior Client Engagement Lead is accountable for cross-product strategy coordination as well as development and execution against a broad relationship map to drive deep...

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.  

The Director of Competitive and Market Intelligence will lead the research and analysis of Cotiviti's competitors, their products, strategies, strengths, weaknesses, opportunities, and threats. The Director of Competitive and Market Intelligence will also lead programs to monitor and report on micro and macro healthcare trends and coordinate with industry analysts, especially those related to payment integrity, quality and performance, risk adjustment, and consumer engagement. This role will provide actionable insights and recommendations to Cotiviti's senior

The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and quality levels through tracked metrics. This is an ONSITE POSITION at our South Jordan, Utah location. This is a TEMPORARY POSITION for 6 months.