The Sr 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 Sr 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 Sr Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti clients.

We are looking for a Software Development Manager to join our team. This role is responsible for designing a strategic perspective regarding IT architecture and business needs. You will also develop and implement architecture software strategy. Our ideal candidate with have strong software development experience working in an agile environment.

We are seeking a skilled and proactive Strategic Sourcing Specialist to join our strategic sourcing team. The ideal candidate will have a background in sourcing, supplier management, or purchasing. This role requires an analytical thinker with the drive for continuous improvement in our sourcing processes.

The primary focus of a Systems Engineer within IT Operations is to participate in projects that support technology growth and innovation. Systems Engineers also provide advanced technical support for all IT systems including server platforms, storage, and other cross-functional capabilities. They develop and implement new solutions, improve existing solutions, and provide a path of escalation for complex or high-risk IT requests.

The Team Lead is a member of the Revenue Cycle team within the Yield Management area of Cotiviti. This department will work directly with other members of Yield to ensure department expectations are accomplished.   This role is responsible for training, leading and daily oversight of Revenue Cycle Specialists, Specialist 2 and Seniors, as well as the knowledge share and refinement of Revenue Cycle

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 PPM polices and rules. This is a full-time role and can work remotely in the US. 

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.

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.

The Senior Insight Analyst is part of our Operational Insights team and will lead the analysis of complex data sets to provide actionable insights and strategic recommendations that drive business growth and optimize performance. This is a key role in guiding the data analysis process, mentoring junior analysts, and collaborating with stakeholders across the organization to identify opportunities and implement data-driven solutions. This position would act as a subject matter expert on the team. Analysts contribute to the organization's success by providing insights and recommendations that inform...

The Stars Analyst works across the Cotiviti clientele to define, assign, and oversee best-in-class activities and Stars performance for all assigned Medicare Advantage plans. This individual is accountable for driving greater value and success for our customers by focusing on data, next best actions and maximizing member and provider outreach. They will also support identification of enhancements or improvements in the Cotiviti solutions to better support our clients.   The Stars Analyst will directly own and manage a small number of clients and is responsible to oversee all...

The Application Architect (App Arch) (Enterprise) implements and governs technical architecture development and provides architectural leadership and guidance to align IT solutions and development organization with the needs of the Enterprise. Will span multiple architecture domains (e.g., Application/solution architecture, Technical/Infrastructure architecture, Information/Data Architecture & Business Architecture) to ensure balanced solutions.  This App Architect role is specific to the IAM (Identity and Access Management) technology area, specifically OKTA, from a development perspective.  The Role will provide standards on Development interfaces using Industry Standards approaches such...

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,...

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 Sr Software Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the...

Technical Architect provides architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. A Technical Architect’s skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and experience with relevant implementation technology, platforms, and tools. As a leader, a Technical Architect is expected to influence the assigned organization and work independently with senior business and IT leaders, while acting as a mentor and role model within the development teams. The Technical Architect is accountable for successful implementation of...

The Generative AI Developer Intern focuses on researching and developing advanced healthcare informatics, particularly in the realm of Generative AI and emerging Artificial General Intelligence. It is designed to support improvements in healthcare treatment, payment, and operations. The intern will assist and take a primary role in developing, researching, creating analytical materials, and collaborating with various teams to drive AI-related projects.   We are currently looking for interns who can start in...

As a Senior Systems Engineer you will be responsible for resolving escalated service issues, coaching other engineers to resolutions, engineering and implementing complex projects, and for maintaining and overseeing the technology of their assigned areas. This includes VMWare, Windows, and Linux environments.   A successful candidate will have the demonstrated ability to adapt to evolving requirements, devise innovative solutions in dynamic environments, work in high-pressure environments, collaborate effectively with diverse teams, and maintain focus on delivering...

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...

The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and quality levels through tracked metrics. This is an ONSITE POSITION at our Blue Bell, PA location. This is a TEMPORARY POSITION for 6 months. 

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

This role is located in Mexico and can be fully remote if the selected candidate is based outside of a commutable distance to our Mexico City office.   We are seeking an experienced Business Intelligence (BI) Developer to lead the design, development, and optimization of scalable BI solutions that empower our teams and customers with data-driven insights. The BI Developer II will be responsible for developing self-service dashboards, automated reports, extracts and other highly scalable analytics that deliver data-driven insights to customers.  This role implements best...

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...

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.

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.

As a Senior Manager of Engineering, you will oversee all operational aspects of software development, ensuring projects are completed on time and within scope. You will provide administrative, technical, and people leadership for multiple, diverse, and geographically distributed teams. Your responsibilities will include providing clear guidance, delivering constructive feedback to team members, and promoting a culture of continuous improvement and innovation.   This is an exciting opportunity to make a significant impact on our organization and contribute to the advancement of healthcare data analytics....

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...