Cotiviti

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Job Locations US-Remote
ID 2025-15343
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...
Category
Sales
Job Locations US-Remote
ID 2025-15342
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.
Category
Procurement/Vendor Management
Job Locations US-Remote
ID 2025-15315
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.
Category
Procurement/Vendor Management
Job Locations US-Remote
ID 2025-15261
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...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-15257
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,...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-15252
Cotiviti is looking for a candidate to join our team as a Regional Vice President, Healthcare Payer Sales. This is a direct sales position with quota responsibility. The ideal candidate will be an articulate, high-energy, self-motivated sales professional with a minimum of 10 years’ experience selling enterprise software solutions to the health insurance industry. If a candidate has experience selling B2B, middleware, data transformation solutions, business intelligence software, or Risk Adjustment that’s a plus. The Regional Vice President, Payer Sales will be responsible for managing all Health Care sales activity for key accounts—growing Cotiviti's revenues and client...
Category
Sales
Job Locations US-Remote
ID 2025-15199
The Vice President of Audit Operations (Contract Compliance Recovery Audit) will lead and grow our global contract compliance practice within both the retail and commercial sectors. This role involves not only managing the current business unit but also collaborating with the sales department to identify and secure new clients and service opportunities. The ideal candidate will be adept at managing a contract compliance recovery audit business unit with a focus on profitable growth, resource optimization, talent development, market trend analysis, and industry engagement.   The Vice President will provide leadership and management for our...
Category
Audit - Retail
Job Locations US-Remote
ID 2025-15196
The Data Scientist II - AI/ML 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, auditors and innovators to set...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-15120
The 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...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-15085
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.
Category
Sales
Job Locations US-Remote
ID 2025-14955
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...
Category
Clinical Operations
Job Locations US-Remote
ID 2025-14947
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
Category
Product Management
Job Locations US-Remote
ID 2025-14939
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.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-14898
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...
Category
Program Management
Job Locations US-Remote
ID 2025-14289
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...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-14226
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.
Category
Sales
Job Locations US-Remote
ID 2025-14148
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.
Category
Sales
Job Locations US-Remote
ID 2024-14038
The Principal 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
Category
Engineering/IT
Job Locations US-Remote
ID 2024-14034
The Director of AI - Risk - 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. The opportunity includes to work directly with a team of healthcare professionals including analysts, clinicians, coding specialists, auditors and innovators to set aggressive goals and...
Category
Engineering/IT
Job Locations US-Remote
ID 2024-13995
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...
Category
Engineering/IT
Job Locations US-Remote
ID 2024-13993
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...
Category
Engineering/IT
Job Locations US-Remote
ID 2024-13565
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...
Category
Sales