The Senior Software developer will work with core applications and database in the Payment Policy Management platform to help build and deliver features as a part of the team using SAFe practices. The developer will need to have strong healthcare background and be familiar with the domain. The developer will be focusing on one or more specific initiatives with the team. The developer will be responsible for implementing features for upcoming new initiatives while also making recommendations and improving the existing code base.   The developer should have experience designing, building, and supporting complex database applications in an enterprise environment and have proficiency in PL/SQL and Java. The developer should also be able to solution and contribute independently with little or no guidance. The ideal candidate will have prior experience leading and architecting in an enterprise environment and contribute as a developer helping deliver against challenging deadlines.

This is a hunter role selling Cotiviti’s breadth of solutions 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 with relevant health care payment accuracy, payment integrity, FWA, Quality, Performance Analytics and/or Risk Adjustment is also key. Deep industry / sales knowledge of all lines of business (Medicare, Medicaid, Commercial) for healthcare payment, quality, and risk solutions such as claim editing, clinical chart  review, coordination of benefits, data mining and/or fraud, waste and abuse market, HEDIS, Medicare and Commercial Risk Adjustment is highly desirable. The position will work remotely within the U.S.

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 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 aggressive goals and execute on them with the team. This is for an ambitious technologist, with the flexibility and personal drive to succeed in a dynamic environment where they are judged based on their direct impact to business outcomes.

The Sr. Software Engineer 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 Database Admin, you will help drive team(s) in meeting project objectives. You are expected to contribute to and foster high performing technical teams. You will also be responsible for the design and coding of complex DB systems. You will collaborate and communicate effectively with architects, engineers, QA, DBAs, and Business managers to solve complex problems spanning their respective areas and resolving technological disagreements with informed, rational debate. You will coach and mentor other engineers to facilitate their development. 

The Data Scientist II 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 aggressive goals and execute on them with the team. This is for an ambitious technologist, with the flexibility and personal drive to succeed in a dynamicenvironment where they are judged based on their direct impact to b usiness outcomes.

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.  

Cotiviti Retail audits purchases and payments related to merchandise inventories. We develop and prioritize an audit program to ensure value negotiated is value delivered, recommending actionable process improvements that help our clients improve the way they do business and mitigate financial loss from overpayments and under-deductions.    Too often, audits, contract reviews, and recovery efforts focus on one aspect of a retailer’s operations without considering how the business works as a whole. Cotiviti Retail works smarter and digs deeper, looking at a business from all angles to find sources of profit in unexpected places. Finding something new—an error in payment, deviation from an agreement, or other undiscovered bit of insight that benefits the client—is what excites us.   We are seeking innovative thinkers and creative problem solvers who are interested in contributing to improving our retail clients’ profitability and want to be part of a team that provides opportunities for career growth. If you want to make a difference and contribute to the improvement of retail payment integrity, consider an opportunity to join our global retail recovery team as an Retail Auditor II.

The End User Computing Engineer works independently to build and integrate several robust, fault-tolerant application solutions for information processing requirements to maximize audit site productivity. This includes collaboration in requirements definition, prototyping, design, coding, testing and deployment.   We will consider full-time remote, work-from-home arrangements or onsite at our Mexico City office.    Candidates must be fluent in English and Spanish in order to collaborate with team members in the US.

We are a Healthcare Data Analytics company looking for a Sr Manager Software Engineering. In this role you will lead, direct, and manage the day-to-day operations of a software engineers. You will manage all the operational aspects of the software development to ensure business and project objectives are met and delivered on time. You will provide administrative, technical, and people leadership for multiple, diverse, and geographically distributed teams. You are responsible for providing feedback to the team and individuals on their performance.

Strategic Vendor Solutions ("SVS") provides support services to the entire Cotiviti, Inc. ("Cotiviti") organization for the contracting of vendors who provide products and services to Cotiviti as well as any vendors with potential to join Cotiviti's mission through a joint venture, product development or some other form of strategic partnership.   Cotiviti is a leader in analytics driven healthcare payment accuracy and quality-based solutions with locations in the USA, Canada, and India and relies heavily on leading edge technology to deliver these products and services to our wide range of customers. SVS is tasked with driving best in class strategic sourcing starting with initial vendor engagement and contracting to vendor performance and risk management. The team’s key objectives are to manage risks while driving savings, standardization, and continual improvement, and assuring that the contractual business approach is aligned across customer and vendor segments.   Key activities include supporting SVS in strategic IT sourcing, contracting activities, the invoicing process and risk management. The Contracts Manager under the guidance of the Director, IT Sourcing within SVS, will support Cotiviti IT business leaders as they leverage third-party resources to deliver the business requirements and development for our products and services.    In addition, the Contracts Manager may support international contracts as required. The Contracts Manager will also work closely with key stakeholders within the Legal and Compliance departments. Contract review, analysis, redlining, and risk mitigation are a fundamental part of this role.  IT Vendor negotiations and contract review, analysis, and risk mitigation are a fundamental part of this role. Basic knowledge of IT contracts, and more specifically software, hardware and related IT professional services is required.

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. In addition, Cotiviti supports the retail industry with audit and recovery services in order to increase efficiency and maximize profitability. Join us as a dynamic Technical Specialist in the Content and Enablement group within the Payment Integrity team. Be at the forefront of developing cutting-edge software solutions to revolutionize healthcare data auditing.   This is a direct contributor technical role with our exclusion management product that requires strong communication skills and a working understanding of basic coding. This would include experience querying SQL or HIVE datasets in Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS). Experience with complex business rules languages such as DROOLS in RehHat Decision manager or similar products would be directly applicable to the role. Familiarity with Healthcare data and/or SAFe Agile scrum methodology is a plus.

We are 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 contributing to improving our retail clients’ profitability and want to be part of a team that provides opportunities for career growth. If you want to make a difference and contribute to the service we provide our Retail clients, consider an opportunity to join our global retail recovery team as an Auditor.   The critical function of a Contract Compliance Auditor I is to audit billings from our clients’ suppliers in order to identify and quantify areas of financial non-compliance with contract terms. The work requires assessment of transaction data in relation to relevant contract provisions, and investigation of apparent areas of non-compliance with contract provisions.  Verified instances of financial non-compliance often result in cost recoveries for our clients, as well as future savings from root cause identification and process improvement recommendations.

Cotiviti Retail audits purchases and payments related to merchandise inventories. We develop and prioritize an audit program to ensure value negotiated is value delivered, recommending actionable process improvements that help our clients improve the way they do business and mitigate financial loss from overpayments and under-deductions.    Too often, audits, contract reviews, and recovery efforts focus on one aspect of a retailer’s operations without considering how the business works as a whole. Cotiviti Retail works smarter and digs deeper, looking at a business from all angles to find sources of profit in unexpected places. Finding something new—an error in payment, deviation from an agreement, or other undiscovered bit of insight that benefits the client—is what excites us.   We are seeking innovative thinkers and creative problem solvers who are interested in contributing to improving our retail clients’ profitability and want to be part of a team that provides opportunities for career growth. If you want to make a difference and contribute to the improvement of retail payment integrity, consider an opportunity to join our global retail recovery team as an Retail Auditor II.