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The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause...
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The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause...
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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...
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The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the CPE editing engine.
Provides support and subject matter expertise on Coding Validation (CV) to both clients and internal stakeholders during the planning, implementation, go-live, transition to operational team, and through the duration of the contract. Clearly understands and articulates CV concepts and policies. Collaborates with internal teams to provide meaningful input on CV...
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Cotiviti is consolidating several client-facing portals into one unified Client Performance Portal — spanning executive, analyst, and operations views, and covering SLA reporting, benchmarking, case detail, enhancement requests, roadmap visibility, regulatory insights, and billing self-service. One module already exists in production (Support/ticketing, built on Blazor/.NET, Azure PaaS, Okta, and Jira) and will be folded in rather than rebuilt from scratch.
We're...
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The Enterprise Marketing Director executes marketing initiatives that support Cotiviti's established enterprise narrative and brand positioning under guidance from marketing leadership - work that spans every portfolio rather than belonging to one. This role supports development and deployment of enterprise messaging assets and campaign materials aligned with approved messaging frameworks, supports Cotiviti presenters in analyst relationships and executive briefings, and synthesizes competitive and market signal into the corporate story. Unlike a portfolio-aligned Director Product Marketing role, this position has no assigned solution area: its scope is the company's story as a whole.
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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 Risk Adjustment and Quality 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.
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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,...
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This role provides senior-level technical engineering and troubleshooting support for enterprise clients running hybrid environments that span legacy Windows and Linux systems and Kubernetes-based infrastructure. Responsibilities center on root-cause analysis of complex, multi-tier defects - reproducing issues in controlled environments, engineering fixes, and validating them through automated test suites.
The role also carries direct ownership of delivery infrastructure: building and maintaining CI/CD pipelines (Jenkins, GitLab CI, or Azure DevOps),...
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The Data Governance & Analytics Architecture Director is a leader within the Health Enablement Analytics organization responsible for ensuring all data, analytics, and AI initiatives are built on a scalable, standardized, and governed foundation. This role serves as a subject matter expert for data governance, analytics architecture, and AI/ML best practices across Health Enablement. This role provides advisory leadership, technical guidance, and architecture standards to ensure analytics and innovation efforts are aligned to enterprise data strategy and built in a scalable, sustainable manner.
This position operates as a...
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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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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.
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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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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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We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for the Risk Adjustment (RA) Coding Agent, you will own the end-to-end technical architecture—from clinical NLP integration and production routing to core AI platform components that enable...
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We are a Healthcare Data Analytics company looking for Senior Director, Software Engineering within our Payment business. In this role you will lead, direct, and manage the cross-functional technology delivery team. You will manage all the operational aspects of the software development to ensure business and project objectives are met. You will provide technical, administrative, and people leadership for multiple, diverse, and geographically distributed teams.
You will champion an AI-native approach to software delivery by integrating AI tools, automation, and intelligent engineering workflows across the software...
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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 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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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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This role is responsible for leading the end-to-end administration, governance, and strategic evolution of the company’s Management Equity Program (MEP). The Lead Equity Program Manager serves as the central owner of equity compensation operations, partnering with senior leadership, private equity sponsors, and external vendors to ensure accuracy, compliance, and clear communication of equity value. The role operates with a high degree of autonomy and is critical to scaling equity programs in a private equity environment.
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We are seeking an Intern-AI Engineer to help design, build, and deploy AI-powered applications that leverage large language models (LLMs) and enterprise data systems. This role focuses on developing practical AI solutions that improve healthcare treatment, payment, and operations through intelligent systems and natural language interfaces. You will work closely with Data Scientists, Data Engineers, and business stakeholders to build the underlying architecture for AI agents - including context layers, data retrieval systems, and governance guardrails - that operate reliably in regulated, data-intensive healthcare environments. This is an excellent...
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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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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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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.
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The Cotiviti Retail Business Process Optimization (BPO) Team is seeking a Manager to work closely with our operations, R&D, and client teams. We are looking for an individual who is a self-starter, interested in developing their own skills and experiences as well as being a trusted go-to resource for other BPO team members. We are looking for an individual who is technically sound but also curious and interested in learning our unique and results oriented business. This individual must possess a complete understanding of retail audit recovery work, best practices for managing audit teams, great interpersonal skills and be comfortable with conducting...
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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
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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...