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 I role is primarily responsible for the support of the existing software applications and enhanced...

This senior sales leadership role is responsible for building, developing, and leading a high-performing team of field sales executives focused on selling Cotiviti’s Retail & Commercial Payment Accuracy solutions—including SaaS-based prevention platforms such as ZHA—to Retail and Commercial organizations across the U.S. The ideal candidate brings extensive experience leading sales teams, deep relationships with senior retail executives, and a track record of selling complex analytics, audit, payment integrity, and SaaS solutions to enterprise-level retailers.   Experience calling on retail C-suite leaders,...

Cotiviti is looking for a Staff Accountant to join our Tax team. Reporting to the Senior Manager Tax, you will provide support for both income and indirect tax areas. The position offers an exciting opportunity for growth within the Company.

The Solution Consultant serves as Cotiviti's subject matter expert and "voice of product" for our quality measurement and Star Ratings improvement solutions. This role partners with Sales to pursue strategic opportunities, deliver compelling demonstrations, and provide deep expertise on HEDIS, Star Ratings, and quality improvement programs.   The Solution Consultant bridges the gap between customer needs and product capabilities, ensuring Cotiviti's quality solutions address real-world health plan challenges.

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 Sr. Security Engineer - IAM is responsible for designing, implementing, and maintaining privileged access solutions to secure critical systems and accounts. This role focuses on managing privileged credentials, enforcing least privileged principles, and ensuring compliance with organizational and regulatory standards. The Sr. Security Engineer - IAM works closely with InfoSec, IT operations, and application teams to deploy and optimize the Delinea PAM solution.

As a Data Solution Specialist at Cotiviti, you will play a pivotal role in designing, executing, and optimizing data transformation processes that drive our strategic business objectives. Your focus will be on hands-on development and integration of healthcare data, collaborating with stakeholders to translate business requirements, acceptance criteria, and non-functional requirements—aligned with the SAFe (Scaled Agile Framework)—into actionable data solutions.   You will leverage your technical expertise to ensure the seamless processing and integration of large healthcare datasets. Using advanced tools such as the Hadoop...

The Medical Director (MD) is a key member of the audit, quality assurance and client team. The Medical Director is responsible for representing the team on all audit and appeals decisions. The Medical Director 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 CCV inpatient audit, documentation, and communication of results.

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,...

Technical Architect II provides advanced architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. Technical Architect II’s skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and extensive experience with relevant implementation technology, platforms, and tools. As a senior leader, a Technical Architect II is expected to influence the assigned organization and work independently with senior business and IT leaders, while acting as a mentor and role model within the development teams. Technical Architect II is...

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. 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 skepticism that enhances the work performed in order to achieve success in position.

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.

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 Senior Business Analyst serves as the data subject matter expert for a key initiative, partnering with project managers, operations, and cross-functional teams to provide strong financial guidance and rigorous tracking of financial outcomes related to the strategic transformation program. The analyst builds models, tracks targets, and collaborates on forecasts, scenario analyses, and variance reports to support business planning. This position prepares executive-ready...

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 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...

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...

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...

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 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.

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...

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...

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

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 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 4 months (possibility of extension). Day Shift: Monday-Friday.

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.  

Cotiviti is seeking a Director, Engineering - AI Architect, to work closely with our Corporate Architect/VP of Engineering to help define how to use the latest technologies and AI innovation to identify and optimize our products to scale and perform better. You will work with cutting edge Cotiviti healthcare applications and SaaS services and help define the future directions to convert all Cotiviti solutions to be AI enabled. This position is responsible for overseeing the full project management life cycle and software development life cycle for the implementation of highly complex, large-scale, strategic Product and business initiatives as they relate to AI. The...

Cotiviti is looking for VP, Corporate Software Architect who understands large-scale, high-performance product designs and principles, AI innovation to drive Agentic Automation, excellent in SaaS designs, thinks cloud natively, shown expertise in converting application to SaaS services, excellent in communicating with critical customers and hands on in solving problems.   As a VP, Corporate Software Architect, you’ll define how to use the latest technologies and AI innovation to identify and optimize the products to scale and perform better. You will work with cutting edge Cotiviti healthcare applications and SaaS...

Join a recently formed team focused on Model Risk and Responsible AI. The Senior GenAI Scientist II – Risk will apply knowledge and experience to real world problems and seek to utilize their skills to reduce the cost of healthcare and improve health quality and outcomes. As a Data Scientist on this team, you will focus on three main project areas: Model Validation, Model Metrics and Monitoring, and Responsible AI. This requires someone with depth in

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.

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. This individual will develop Strategic account plans for their assigned accounts and work closely with Operations teams to ensure execution against those plans....

We are seeking an experienced Lead Software Engineer to design and lead the development of a scalable, high-performance FHIR Repository service capable of handling hundreds of terabytes of healthcare data. This system will form the foundation of our next-generation healthcare data platform — powering interoperability, analytics, and compliance across our product ecosystem.   You will be responsible for the architecture, design, and implementation of core services that store, retrieve, and manage FHIR resources at massive scale. The ideal candidate combines deep technical expertise in database scalability, distributed systems, and...

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.

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.

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.

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,...

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. 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 skepticism that enhances the work performed in order to achieve success in position.

Technical Architect provides architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. A Technical Architect’s skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and experience with relevant implementation technology, platforms, and tools. As a leader, a Technical Architect is expected to influence the assigned organization and work independently with senior business and IT leaders, while acting as a mentor and role model within the development teams. The Technical Architect is accountable for successful implementation of...

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