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
-
This is a senior hunter sales role responsible for selling Cotiviti’s Pharmacy Claim Editing and Payment Accuracy solutions to U.S. health plans, third-party administrators, and self-funded plan sponsors. Target customers include national and regional commercial health plans, Blues plans, Medicaid Managed Care Organizations, Medicare Advantage and Medicare Part D plans, payer-owned PBMs, Third-Party Administrators (TPAs), and administrators of self-funded employer health plans.
The role requires deep experience selling complex healthcare software and...
-
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.
-
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.
-
This is a senior hunter sales role focused on selling Cotiviti’s Dental Claim Accuracy solutions to Dental Benefit Administrators (DBAs) and Health Plans that administer dental benefits. Target customers include organizations such as Delta Dental Plans, MetLife Dental, Guardian, Cigna Dental, Aetna Dental, UnitedHealthcare Dental, Blue Cross Blue Shield plans with dental lines of business, and regional dental administrators.
The role requires extensive experience selling complex healthcare software and services into dental payer organizations, with demonstrated success...
-
The Sr. Director of Payment Policy Management (PPM) Operations is responsible for overseeing the business operations within Cotiviti’s Payment business unit. This role plays a critical part in supporting sales, client engagement, business improvement, and operational processes. The Sr. Director will provide both strategic direction and team leadership, ensuring exceptional service for clients while positioning the organization for continued growth in alignment with business unit objectives. The ideal candidate will possess strong operational acumen, business transformation and people management skills.
-
This internship centers on researching and developing advanced healthcare informatics solutions with a specialization in Agentic AI—AI systems capable of autonomous reasoning, decision-making, and goal-directed behavior. The intern will explore applications of Agentic and Generative AI in healthcare, supporting improvements in treatment, payment, and operations. You will play a key role in developing, analyzing, and collaborating on
-
The Project Manager – Payment owns delivery of defined project(s) from initiation through close. Ensures plans are realistic, stakeholders are aligned, execution stays on track, and risks/issues are actively managed.
-
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 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,...
-
Cotiviti is seeking a forward-thinking Technical Architect to join the team. This is a high-impact, hands-on leadership role responsible for defining and governing the end-to-end technical architecture of a mission-critical Commercial & CMS audit platform — while simultaneously driving the platform’s AI-native transformation.
The ideal candidate brings deep enterprise architecture expertise, proven...
-
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.
-
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 post-pay Fraud Waste & Abuse team.
-
The Director of Quality is responsible for ensuring quality delivery of the Payment Integrity Solution and driving excellence across multiple payment integrity products. This role will develop and implement a quality measurement framework, align quality processes across products, and establish monitoring mechanisms to communicate performance to senior leadership. The Director is focused on continuous improvement, delivering greater quality in support of Cotiviti’s growth strategy. Success in this role requires strong foundations in testing, technology, process management, operational acumen, and collaboration. The Director will engage with clients and internal teams to ensure the delivery of...
-
Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, 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.
Our software engineers enable insurance companies to identify risk associated within their membership population, allowing insurance companies to direct resources to members most in need.
If you are looking for an opportunity to lead software...
-
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.
-
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 Payment Accuracy Specialist.
-
Cotiviti is seeking a passionate and results-driven Technical Customer Solutions Manager to join our team and play a key role in driving long-term success for our clients through the effective use of Cotiviti products. In this strategic role, you will act as a trusted advisor to our healthcare payer clients, leveraging your deep operational knowledge of data processing systems, regulatory compliance, and enterprise system integration. Your expertise will help clients maximize the value of their Cotiviti investment while expanding our impact across the healthcare payer landscape. The ideal candidate combines strong technical acumen with a deep understanding of healthcare EDI operations, encounter data...
-
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 Senior Integration Solutions Engineer Level II will play a key role in building and supporting integration solutions within the company’s software ecosystem. This role requires close collaboration with clients, business teams, developers, and infrastructure providers to design and implement scalable, high-quality integrations that meet business needs. As a senior technical contributor, you will also mentor junior engineers, develop best practices, and ensure that integration processes are efficient, reliable, and aligned with the company’s goals. Additionally, you'll have the opportunity to research emerging technologies, enhancing integration capabilities and driving innovation.
-
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...
-
The Program Manager, Operations will partner directly with the assigned Client Executive, retrieval, coding, and reporting team leads and will focus on the execution and delivery of the Cotiviti Risk Adjustment Products and Services for enterprise-level accounts. The Program Manager, Operations will directly own assigned accounts and is responsible for overseeing all aspects of our engagement for our Risk Adjustment solution set. The Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti...
-
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 AI-Native Product Lead is a team-embedded product role responsible for translating business needs into clear, testable, and technically actionable requirements and owning the product backlog for a single AI-Native team. This role serves as the product owner for the team, working closely with the AI-Native Tech Lead and engineers to ensure the team is focused on building valuable, usable, and high-quality software.
This role focuses on solution definition through requirements gathering, feature and user-story creation, backlog prioritization, and story acceptance, while operating within a small, focused team and...
-
The Sr. Technical Program Manager (R&D) is responsible for overseeing the development and execution of complex initiatives that requires coordination of teams using a variety of software delivery practices that will include SAFe. The Sr. Technical Program Managers collaborate closely with cross-functional teams to ensure projects are delivered on time, within budget, and meet the required quality standards. Programs can involve simultaneous coordination across the Executive, Finance, Operations, Sales, Marketing, Product Management, R&D, Legal, Compliance, Client Implementations and external vendors. The senior technical program manager needs strong leadership and problem-solving skills to achieve...
-
The Sr. Enterprise Process Specialist is tasked with driving large, cross-discipline, company-wide process improvement and operational projects with high executive visibility. These projects include improving operational efficiency and reducing cycle times, international operations and offshoring, deployment of new systems, and other projects as directed. As each improvement project is different, the expectation is to utilize a variety of tools, approaches, and formal methodologies to successfully complete the outlined objectives and may or may not...
-
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 and in the State 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:...
-
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 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,...
-
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.
-
The Security Engineer - IAM role plays a crucial part in IT security, by ensuring that the right individuals have appropriate access to technology resources. They manage and maintain the IAM infrastructure, monitor user access activities, and implement policies to safeguard sensitive information. The Security Engineer - IAM collaborates with other departments to design, configure, and support secure access systems, ensuring compliance with regulatory requirements. Their role involves continuously evaluating and improving security measures to protect against unauthorized access and potential data breaches.
-
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.
-
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 AI-Native Technical Architect II provides advanced architectural leadership within an assigned business area, aligning solution development with broader architecture direction while remaining closely connected to implementation.
-
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 production, data quality, and data security.
-
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 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,...
-
Working in an agile software development environment, the DevOps / CI-CD Automation Engineer is responsible for automating build-test-deploy lifecycle for wide variety of applications/services in the cloud. As part of the Advanced Solutions Group team you will focus on enhancing platform services and contributing code to multiple automation projects. You will also utilize engineering and programming skills focused on enabling a DevOps model, participating with Architecture, Operations and Engineering teams within Agile processes. The role will include systems and solution design within the existing architecture, as well as design/implementation of improvements to meet business needs. The Senior DevOps engineer will work...