We are seeking a strategic and technically adept Director of Support Engineering to lead a high-performing team supporting our healthcare applications and platforms. This role is ideal for a hands-on leader with deep knowledge of the U.S. healthcare ecosystem—particularly in areas such as PHI security, risk adjustment, and regulatory compliance—and a strong track record of delivering customer-focused technical solutions. In this position, you’ll work cross-functionally to ensure that our support engineering operations run smoothly, meet industry standards,...

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 software components for the Cotiviti Inc product suite, in compliance with predefined coding standards and technical design. This person will collaborate effectively...

Cotiviti is seeking a Risk Adjustment Coding Advisor to join our Risk Adjustment team. This role involves leveraging clinical, coding, documentation, and analytical skills to develop technology solutions for Health Plans and Providers. The ideal candidate will possess a unique combination of technical ability, clinical experience (including ICD-10 coding and clinical documentation), and problem-solving skills. This is temporary 3 month position. 

This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG and/or episode of care. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.

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.

The Investigator will work as part of a team responsible for investigating Healthcare Fraud, Waste or Abuse. This position partners with more senior investigators and will focus on both analyzing healthcare data, identifying potential FWA, and conducting interviews. This position can be done remote, from your home, in the continental United States.

We are seeking a skilled and proactive Strategic Sourcing Specialist to join our strategic sourcing team. The ideal candidate will have a background in sourcing, supplier management, or purchasing. This role requires an analytical thinker with the drive for continuous improvement in our sourcing processes.

The Client Services Manager is responsible for leading the cross-functional client team and providing the highest level of service to our clients. The role serves as both internal and external client liaison, including triaging, managing, monitoring, and support of a client-related activity, primarily related to Cotiviti Prospective Claims Accuracy products.

The Director, Audit Operations (Retail) position is responsible for providing leadership and management for Multiple accounts or significant audit projects. Oversee all audit activities for assigned accounts to maximize valid claim identification and overpayment recoveries, meet contractual commitments, and deliver customer satisfaction consistent with established operating practices and audit procedures. Additionally, the Director, Audit Operations Retail should seek opportunities to expand Cotiviti’s audit scope and deliver value-add services that are consistent with client initiatives. This will be accomplished through effective audit operations management, quality and service assurance, and...

Provides day-to-day supervision and direction to assigned Contract Compliance 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.

Cotiviti is seeking a Senior Implementation Consultant to join our ENR Services Team. This post-sales role focuses on implementing Cotivitis’ solutions for individual clients. In this position, you will be responsible for installing, configuring, and overseeing the implementation of Cotiviti products at client sites. This includes managing the installation of products on Cotivitis’ or client hardware, and developing programs, tasks, and guidelines to meet client-specific needs. As the primary technical resource for Client Services, you will interface with the client's technical...

We are seeking a highly skilled and motivated Sr. Network Cloud Engineer to design, implement, manage, and support hybrid and cloud-based network infrastructures. The ideal candidate will have a strong background in both traditional networking and cloud platforms (such as AWS, Azure, or OCI), with a focus on secure, scalable, and highly available architectures.

Join our dynamic team as a Payment Accuracy, Coordination of Benefits (COB) Specialist within the Coordination of Benefits Business Unit (BU). You will play a crucial role in ensuring accurate payment processes and uncovering valuable insights for our clients. A COB Specialist is responsible for reviewing and analyzing claims, member, and group data to identify instances of recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, this individual will be responsible for establishing the correct order of liability for our clients’ members. This individual will also be...

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.  

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.

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 a Provider Services Analyst.   This role is a...

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.

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...

The Program Director is responsible for the successful delivery of Cotiviti services to client(s). Responsible for delivery of Cotiviti services to Government client(s) in accordance with client contract requirements. Oversees routine delivery of client services, and responsible for day-to-day management of client relationship and overall contract P&L. Must have strong project management capabilities and assist in scope expansion and implementations. Must track to strategic corporate initiatives that are tied directly to individual account goals and objectives. Strong communicator and collaborator with IT leaders. Strategic thinker and innovator.

We are looking for an Recovery Resolution Specialist (Collections) 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.

The Trainer Consultant of Implementations is responsible for providing effective and relevant training to our clients through online, in person and recorded sessions. This is achieved through evaluating the Training Request, communicating with the client and the internal support team, and utilizing tools and techniques to deliver on the objectives. They will apply different forms of technology to measure the success of the training and make updates to the strategy based on the results.

We are seeking a highly skilled and experienced Staff Engineer I to join our dynamic team in Payment Integrity. The ideal candidate will play a crucial role in leading and mentoring a team of Senior Software Engineers, while working closely with the Leadership and Principal Software Engineer(s) to drive technical excellence and innovation. This position requires a deep understanding of software development, software development practices, strong leadership abilities, and a passion for solving complex technical challenges.

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...

The Medical Review Manager (MRM) is responsible for coordinating the components of Clinical Chart Validation (CCV) reviews across audit staff, content staff, and associated processes. The MR Manager shall have broad knowledge of the CCV program and working knowledge of all non-Recovery Audit (RAC) lines of business requirements and activities. The MR Manager shall be responsible for keeping abreast of regulatory, policy, and coding changes as well as clinical practice, coding rules, and technology changes that may result in improper payments.

The Fraud, Waste & Abuse (FWA) Content Solutions Analyst is a key member of the clinical operations and content team responsible for the research, development, and quality assurance, associated with new FWA conditions. In addition, this position will be responsible for review and analysis of current conditions and assisting in the research necessary to ensure conditions stay current.

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 Senior Attorney supports the VP, Associate General Counsel, advising on artificial intelligence, data rights, technology, and intellectual property issues that impact the company's operations. The position will play a vital role in the Company’s growth by providing strategic legal advice, supporting business operations, and influencing future innovation in the rapidly evolving fields of AI, technology, and data governance. The ideal candidate will possess experience with data rights and AI technology systems and an understanding of privacy rights as it applies to data analytics and technology in the healthcare industry. The candidate will be responsible for advising on solutions that help our clients improve the quality of...

The Implementation Consultant is a post-sales position focused on individual clients and the implementation of Cotiviti's solutions they have purchased. This role involves installing, configuring, and overseeing the implementation of Cotiviti's products at client sites. Responsibilities include installing products on Cotiviti or client hardware, and configuring and developing programs, tasks, and guidelines to fully implement Cotiviti 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...

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

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

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 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 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

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

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.

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...

The Corporate Strategy Associate is member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for supporting the company’s annual strategic planning process, assisting with new product market research and business cases, and performing analysis and research across a variety of strategic topics. Reporting to the Vice President of Corporate Development and Strategy and working in partnership with Product Leads, the Corporate Strategy Associate will provide support for revenue growth pursuits within and across Cotiviti product areas, supported with analytical rigor.    

This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on the following disciplines from a coding and billing perspective: Inpatient DRG/APR-DRG. This position is responsible for auditing inpatient claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, and the appropriateness of treatment setting and services delivered.

The Cotiviti Retail division are seeking an experienced Manager, Engineering to lead our engineering team and work closely with Retail operations. This individual will play a crucial role in overseeing the development of strategic perspectives regarding IT architecture and business needs. The Manager of Engineering will develop and implement architecture software strategies while exemplifying strong software development experience when working in an Agile environment. This individual will provide guidance to employees in accordance with established policies and management directives.  

 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 solution requirements.  They have deep knowledge of domain 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. 

We are seeking an experienced Business Intelligence (BI) Developer to lead the design, development, and optimization of scalable BI solutions that empower our teams and customers with data-driven insights. The BI Developer II will be responsible for developing self-service dashboards, automated reports, extracts and other highly scalable analytics that deliver data-driven insights to customers.  This role implements best practices in data visualization and user interface/user experience design to build interactive, highly consumable dashboards to embedded insights and decision-analytics into customers’ workflows. The BI Developer II also contributes to the development of data product training...

We are seeking a skilled and experienced Data Scientist II to join our growing analytics team. This role is ideal for someone with a strong foundation in data science who has demonstrated success independently executing complex analytics projects and developing production-grade machine learning solutions. As a Data Scientist II, you will take a lead role in designing analytical approaches, delivering impactful insights, mentoring junior team members, and contributing strategically to cross-functional initiatives. You will work closely with internal stakeholders and external customers to solve real-world problems, with a strong emphasis on healthcare and insurance analytics.

We are seeking an experienced Senior Data Engineer to join our multidisciplinary data product team. This role plays a critical part in architecting, developing, and optimizing scalable data pipelines, enabling advanced analytics and machine learning (ML) solutions across the organization. As a Senior Data Engineer, you will design and implement robust data infrastructure, enforce best practices in data architecture and governance, and collaborate cross-functionally to deliver reliable, high-quality data products.  

The Senior Data Product Manager drives the discovery, design, development, and implementation of highly scalable analytic tools including self-serve BI dashboards, AI/ML models, automated reports, and curated datasets.  This role owns the voice of the customer and partners with data engineers, BI developers, data analysts, and data scientists to develop analytic tools that inform decision-making and accelerate growth.  This role also drives the implementation of product management best practices / tools, leads the development of data-driven thought leadership, and mentors junior team members.

The Vice President, Business Development – Government Healthcare is responsible for devising and executing the strategy for new business opportunities and customers in the Federal Government Healthcare market.  This role will drive increased revenue through new contract awards in the Federal Government Healthcare market for the Veterans Administration, Defense Health Agency, and/or the Centers for Medicare and Medicaid Services, and as appropriate other Federal/State Agencies.  This position is responsible for activities in the full business development / sales cycle for Government procurements, to include: opportunity identification, opportunity qualification, opportunity capture...

The Senior Manager, Corporate Strategy and Pricing is a member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for running Cotiviti’s annual strategic planning process, leading various strategy initiatives to drive growth and enhance Cotiviti’s competitive position, and implementing new pricing models and market-driven pricing activities across the product portfolio. This person will collaborate with senior leaders and stakeholders across the organization to align on priorities and communicate progress and outcomes.

The Data Product Manager drives the discovery, design/development, and implementation of highly scalable analytic products including self-serve BI dashboards, AI/ML models, automated reports, and curated datasets.  This role owns the voice of the customer and partners with data engineers, BI developers, and data analysts/scientists to develop data products that inform decision-making and accelerate growth.  The Data Product Manager is passionate about harnessing the power of data to inform decision-making and developing analytic tools that drive business value. 

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 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 currently looking to add an industry leading Data Scientist I - ML, who is focused on machine learning solutions to join our Enterprise Data Science Team and build value-oriented, production level machine learning solutions.  This role is not for research-oriented data scientist, but rather should be of interest to those that want to apply their knowledge and experience to real world healthcare problems and seek to utilize machine learning and artificial intelligence to reduce the cost of healthcare and improve the management of healthcare. With access to dedicated on premise and cloud based big data solutions, this role will work with a vast amount of structured and unstructured data,...