The Senior Data Scientist will join a highly skilled data science team and work directly with a talented team of software engineers, auditors, product managers and customer experience managers to analyse healthcare data and deliver value for our clients.

The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining Business Units (BUs.) 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.

As a Technical Specialist at Cotiviti, you will engage in tasks typically associated with Data Integration Specialists/Analysts and ETL Developers. Your focus will be on supporting the design and implementation of data transformation processes that are critical to achieving our strategic business objectives. While you will collaborate with stakeholders to understand business requirements, acceptance criteria, and non-functional requirements in alignment with the SAFe (Scaled Agile Framework), your primary responsibility will be the hands-on execution of these requirements. This places you directly in the flow of transforming insights into action, ensuring that our data processes align with and support our overarching business...

Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Technical Specialist. This role is aligned to our Content and Enablement team supporting the COB...

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...

The Senior Database Developer - Oracle is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues.  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.

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.

The Software Engineer is primarily responsible for the support and modernization of the existing proprietary designed IVR (automated cloud-native) software, and enhancement of other software components deployed in the Cotiviti product suite.

The Senior Auditor position is responsible for auditing client data on behalf of Cotiviti's clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for conducting or assisting in the identification, validation, and documentation of moderate to more complex audit projects. Primarily responsible for mid to high auditing efforts by executing more independent projects assigned by the Audit Manager.

Accountable to both internal and external customers in the pursuit of implementing new and recurring projects.  Manages milestone and task execution predominantly with client-facing projects as well as some internal process improvement efforts.  Works directly with clients, implementation managers, and cross-functional counterparts to ensure timely and quality output of project deliverables, and acts as a mentor to junior analysts to elevate their productivity.  Project management rigor and best practices application of process excellence, as well as questioning previously established processes and providing creative solutions to achieve time/cost savings, will be of paramount importance in...

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare.   We are currently looking for multiple Remote Risk Adjustment / HCC Coders for full-time seasonal positions.   **Details** This role is seasonal, estimated to last 6 months, starting at the end of May 2024 through January...

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, Analytics or Population Health industry is also key. We are looking for candidates across the US.

The Data Scientist I is focused on machine learning solutions in Healthcare Technology and builds value-oriented, production level machine learning solutions. This is not a research oriented data scientist; instead you will apply your knowledge and experience to real world problems, and seek to utilize Artificial Intelligence and Machine Learning to 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...

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 position may be worked remotely from home anywhere in the US.