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Cotiviti is seeking a lead program manager to lead go-to-market programs that drive the client experience, value attainment, growth, retention, and renewals. This individual contributor role sits at an intersection of client experience and revenue operations, leading programs that prioritize the client experience and help our go-to-market teams deliver measurable, durable value. You will bring structure, data, and cross-functional coordination to renewal cycles and client health, partnering closely with sales, client success, marketing, and finance.
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The temporary Events Coordinator supports the planning, coordination, and execution of internal and external events that create meaningful, well-organized experiences for clients, prospective clients, employees, and key stakeholders. Reporting to the Sr. Director, Marketing Events, this role works closely with the marketing team and cross-functional partners, particularly Go-to-Market teams, to help deliver events that align with business goals, brand standards, timelines, and budgets.
This temporary position is responsible for supporting the day-to-day administrative, operational, and logistical activities required to execute...
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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.
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The Senior Events Manager is responsible for the strategic planning, execution, and oversight of company events and experiences. This role involves end-to-end event management of events that range in size and complexity, from small meetings to large conferences and trade shows. The Senior Events Manager will leverage their expertise to ensure events are aligned with business objectives, delivered within budget, and meet the highest standards of quality and impact. The ideal candidate is a highly organized, proactive leader with strong project and time management skills and a proven ability to balance strategic planning with seamless execution.
Reporting to the Sr. Director, Events, this role helps translate the enterprise event strategy set by the Vice President,...
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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.
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The Software Engineer role 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 and work with Senior Developers, QA, Product Owners, Project Management, and other stakeholders. Cotiviti develops highly innovative applications in healthcare analytics to generate performance improvement opportunities and value for our clients.
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The Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth. This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti as a partner. The CSM’s goals are to ensure that existing clients recognize the value of Cotiviti’s solutions and to sustain/grow the client relationship.
This position is focused on our Clinical Chart...
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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...
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The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types. This role applies ICD‑10‑CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client‑specific requirements to ensure high‑quality coding outcomes. The Coder I utilizes established dispute‑resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities.
We are currently looking for multiple Remote Risk...
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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.
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The Sr. Software Database Engineer is primarily responsible for designing, developing, and maintaining database applications and reusable software components deployed in the Cotiviti product suite. 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.
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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...
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Our ideal candidate has a passion for project management, editing, and deadlines! We're looking for an adaptable team member who not only can manage the development and completion of our RFP responses, but also maintain the RFP repository, conduct the RFP reporting, and provide other functions that support our Sales team.
Cotiviti works with some of the healthcare industry's biggest players, so an understanding of technical jargon and industry trends is a plus. Our team is small and collaborative. Solid communication (both written and verbal) and project management skills are a must. As healthcare is constantly evolving, the desire to...
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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)....
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The Client Services Manager (CSM) is responsible for coordinating the cross-functional client team and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Prospective Payment PPM and CV products. The CSM serves as both internal and external client liaison accountable for triaging, managing, monitoring and support of client related activity. The CSM builds and sustains client relationships, achieves the client’s recognition of Cotiviti as a...
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The Counsel, Government & Regulatory supports the Legal Department by providing legal counsel on government and commercial contracting matters, with a primary focus on federal and state government healthcare programs and associated regulatory frameworks. This role will partner closely with business, compliance, and operational teams to draft, review, and negotiate complex agreements, advise on legal and regulatory risks, and support the Company’s government contracting activities.
The position also supports regulatory initiatives by...
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The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The MPDs role is to serve as a coding and medical payment policy subject matter expert (SME), with the assistance of a CMD. The MPD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The MPD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back-end support for...
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Cotiviti is seeking a passionate and results-driven Customer Program 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, revenue recognition, audit compliance, and risk adjustment. Your expertise will help clients maximize the value of their Cotiviti investment while expanding Cotiviti’s impact across the healthcare payer landscape.The ideal candidate combines strong technical acumen with a deep understanding...
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Cotiviti is a leading provider of data-driven solutions that help healthcare organizations, retailers, and payers improve financial performance and operational efficiency. Our mission is to deliver actionable insights through advanced analytics, innovative technology, and deep domain expertise. As part of our engineering team, you will contribute to building scalable, secure, and high-performing systems that power critical business processes and enable better outcomes for our clients.
The Senior Software Engineer II is a senior technical engineer responsible for...
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This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). 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...
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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.
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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...
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The Policy Design Specialist role is responsible for managing health plan clients and executing monthly project requests. Perform policy configuration maintenance of current medical policies along with implementing new health plan medical policies per client request. Adhere to and remain in alignment with the most up to date healthcare industry medical coding guidelines. Perform data analysis to determine how to accurately apply coding updates and client requested customizations. Execute quality assurance checks to ensure appropriate claim editing recommendations are applied based on client request.
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The Sr AI Product Manager - We are seeking a passionate, talented, and enthusiastic individual to join the AI R&D team and help build industry-leading AI technologies, enabling lines of business with cutting edge and impactful solutions. Not only would you accelerate the adoption of AI but also push the boundaries of advanced ML and Generative AI techniques at scale.
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The Senior Product Manager – Edifecs is the liaison between business stakeholders, product management leadership and engineering managers. This role works with these stakeholders to understand current and future needs related to one or more products and/or modules and iteratively develop product features to evolve products based on product roadmap. Senior Product Manager – Edifecs is well versed with working in agile / scrum framework, software development lifecycle and uses this expertise to bridge gap between customer facing product management and engineering /...
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The focus of the AVP, Account Management - GOV is to develop and execute against growth, renewal and retention strategies on all customers within Cotiviti Government Services (CGS). The VP, Account Management 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.
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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 II role is primarily responsible for the support of the existing software applications and enhanced software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior developers,...
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As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti. The BDR frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations. You will support the management of sales territories by establishing relationships, conducting introductory conversations, and gathering intelligence that enables Cotiviti to favorably compete for the prospects’ business. BDRs support analysis and reporting needs of sales operations by developing business profiles of targeted accounts, also referred to as “New Logos.” BDRs also support marketing program development by...
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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.
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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.
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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
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Join a recently formed team focused on Model Risk and Responsible AI. The Generative AI Scientist - 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 AI/ML/GenAI from a data...
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The Technical Specialist will collaborate closely with the RCA - Content & Enablement Department, the Implementations Team, and the Audit Operations and R&D teams. This role involves the initial reception and generation of Business Rules, which are crucial for the functioning of RCA’s new platform applications. The Technical Specialist will be tasked with creating the logic for these business rules, ensuring their deployment for operational use, and maintaining comprehensive documentation and impact analysis for each rule. Additionally, the Specialist will act as a key liaison between the operations team and our BRMS Center of Excellence, facilitating effective communication and...
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The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back end support for the client’s Medical Director. The CMD will evolve as the trusted advisor for the Health Plan...
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We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced waste. You will define technical strategy, drive cross-functional alignment, and own systems that directly shape payment accuracy, risk adjustment, and quality outcomes for the payers we serve. This role sits at the intersection of applied research and production engineering, translating ambiguous, high-stakes problems into...
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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...
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This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record. The ideal candidate for this position needs to have both a strong inpatient HIM/coding background and an understanding of clinical validation. 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...
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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...
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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...
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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.
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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.
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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.
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The Senior Auditor Contract Compliance (Construction) performs contract compliance and cost control audits on construction and capital projects, with a focus on distribution center, data center, corporate office, and retail construction, remodel, and build-out programs. This role applies working knowledge of construction audit practices, including AIA billing formats, job-cost reconciliation, GMP and CMAR contract structures, subcontract reviews, insurance cost validation, and lease and developer cost audits.
The Senior Auditor executes audit testing independently,...
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Technical Architect II designs and evolves intelligent workflow and automation solutions in an AI-native development environment. This role combines expertise in application architecture, workflow orchestration, and enterprise platforms with AI-assisted engineering tools (e.g., Claude, Copilot) to accelerate solution design, code generation, and SDLC execution.
The architect will support the Payment BU Workflow Intelligence & Orchestration Initiative, collaborating on client inquiry and payment workflows, while contributing to a Center of Excellence (CoE) for...
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We are seeking a Senior GCP Cloud Engineer to join our Platform Engineering team. This senior-level role is responsible for the operational stability, reliability, and continuous improvement of Cotiviti's cloud infrastructure on Google Cloud Platform. The Senior GCP
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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.
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Cotiviti is seeking a Director of Engineering to lead multiple software engineering teams within our Payment Integrity business. In this role, you will provide strategic and technical leadership across one or more product domains, leading through engineering managers and team leads to deliver high-quality, reliable software solutions.
You will champion an AI-native approach to software delivery by integrating AI...
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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.
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The Strategic Pricing, Director is a member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for leading Cotiviti’s pricing strategy, including maintaining the company’s existing pricing and creating pricing models for new solutions. This person will...
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The Software Engineer role 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 and work with Senior Developers, QA, Product Owners, Project Management, and other stakeholders. Cotiviti develops highly innovative applications in healthcare analytics to generate performance improvement opportunities and value for our clients.