Cotiviti

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Job Locations US-Remote
ID 2025-16908
The role of the Director of Production Operations entails supervising diverse teams, projects, and initiatives within the IT department. This position involves contributing to strategic decisions at a senior level, aligning IT strategies with business objectives, and exerting a significant impact across the organization. The director will assume responsibility for managing the maintenance and functionality of Cotiviti's enterprise- evel applications. This includes leading a team of Production Support professionals specialized in sustaining revenue-generating production applications, as well as implementing and onboarding new Cotiviti clients.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16894
The VP of Business Transformation role’s singular objective is to improve Prospective Payment’s business process improvement, technology support and organizational design by leading 3 components of our organization.   The VP of Business Transformation leads the Cotiviti Prepayment organization through business improvement of our existing operations (people, process and technology) by building and managing our Business Architecture team, Operating Solutions (Product and Process) and PMO through the change process. The role will drive consistency,...
Category
Payment Policy Management
Job Locations US-Remote
ID 2025-16891
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.   
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16874
We are seeking a highly experienced Principal Data Architect to lead the design and implementation of our next-generation cloud data platform, enabling advanced analytics and AI/ML solutions in the healthcare domain. This role will be responsible for end-to-end data architecture, including infrastructure, pipelines, and consumption layers, and will collaborate closely with product management and data science teams. The ideal candidate will have deep
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16873
The Staff Engineer is a senior-level technical architect who drives architectural decisions, mentors engineers, and ensures alignment of technology solutions with business goals. This role combines hands-on expertise with strategic vision, enabling teams to deliver scalable, high-quality, and efficient systems.  
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16856
The Senior Compensation Analyst plays a pivotal role in shaping Cotiviti’s compensation programs through job evaluations, market benchmarking, and pay analyses. Partnering with HR Business Partners and Talent Acquisition, this role ensures compensation programs remain competitive, equitable, and aligned with business objectives. The position also manages compensation reporting, ensures data accuracy, and contributes to the development of innovative total rewards programs that attract, engage, and retain top talent.
Category
Human Resources
Job Locations US-Remote
ID 2025-16852
The GTM Operations Technical Project Manager & Business Analyst is a multi-faceted role spanning across data management, project management, process improvement, and deal audits.  This role will collaborate across teams to provide analysis, propose changes, develop processes, project manage, and positively impact the GTM organization as a whole. This role is responsible for leading and managing projects from initiation to completion, ensuring that project goals are met on time and within budget. This role involves coordinating with cross-functional teams, managing resources, and maintaining effective communication with stakeholders.
Category
Program Management
Job Locations US-Remote
ID 2025-16849
The Staff Engineer is a senior-level technical architect who drives architectural decisions, mentors engineers, and ensures alignment of technology solutions with business goals. This role combines hands-on expertise with strategic vision, enabling teams to deliver scalable, high-quality, and efficient systems.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16848
The Implementation Consultant is a post-sales position focused on individual clients and the implementation of Edifecs solutions they have purchased. This role involves installing, configuring, and overseeing the implementation of Edifecs products at client sites. Responsibilities include installing products on Edifecs or client hardware, and configuring and developing programs, tasks, and guidelines to fully implement Edifecs solutions based on the client's specific needs. The Implementation Consultant will serve as the primary technical resource for Client Services, interfacing with the client's technical resources. Duties range from delivering product training to developing and deploying new client-specific requirements. This role...
Category
Reporting and Analytics
Job Locations US-Remote
ID 2025-16837
The Director of Engineering AI will drive our AI Platform design across all lines of business. The Director will be responsible for the development and execution of the AI platform and machine learning applications that will empower Cotiviti's Product Groups to deliver innovative AI-powered experiences to our customers.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16833
The Project Manager will be responsible for managing and coordinating multiple implementation projects within Edifecs. This role will serve as the primary liaison between the Customer teams and the Edifecs teams including implementation/delivery, Product and other relevant teams as necessary, ensuring that products/solutions delivered align with agreed upon Customer requirements and scope. The successful candidate will also be responsible for capturing Customer feedback, understanding the reasons behind any gaps, and managing the process to triage and resolve these gaps. The candidate will also lead or support the internal delivery teams from program coordination, communication, execution,...
Category
Program Management
Job Locations US-Remote
ID 2025-16832
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.
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16831
The Implementation Program Manager will be responsible for managing and coordinating multiple implementation projects across various product lines within Edifecs. This role will serve as the primary liaison between the Customer teams and the Edifecs teams including implementation/delivery, Product and other relevant teams as necessary, ensuring that products/solutions delivered align with agreed upon Customer requirements and the intended...
Category
Program Management
Job Locations US-Remote
ID 2025-16823
The Trainer Consultant of Implementations is responsible for providing effective and relevant training to our clients through online, in person and recorded sessions. This is achieved through evaluating the Training Request, communicating with the client and the internal support team, and utilizing tools and techniques to deliver on the objectives. They will apply different forms of technology to measure the success of the training and make updates to the strategy based on the results.
Category
Client Services
Job Locations US-Remote
ID 2025-16818
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.  
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16811
We lead the industry in the breadth and depth of how we support our customers—by becoming an extension of their internal team. Helping our customers deliver world-class care and service is the Professional Services Team. The Professional Services team is seeking Business and Data Analyst – Healthcare Interoperability with strong expertise in healthcare interoperability to support large volume data-driven initiatives that improve healthcare data exchange and integration. This role will focus on understanding complex data sets — including member, claims, provider, clinical, and enrollment data — extracted from multiple source systems and spread across multiple data...
Category
Reporting and Analytics
Job Locations US-Remote
ID 2025-16795
We are seeking a Senior Marketing Operations Manager to drive the execution, optimization, and innovation of our marketing operations and demand generation programs. In this role, you will develop and execute high-impact, integrated B2B demand generation campaigns that support revenue and pipeline goals. Partnering closely across the Marketing and GTM teams, you’ll act at both the strategic and tactical levels to conceptualize, build, track, execute, and optimize campaigns based on performance metrics.  
Category
Marketing
Job Locations US-Remote
ID 2025-16790
In the role of Concept Development Analyst within our Clinical Chart Validation organization, you will lead in the identification, creation, and implementation of innovative concepts within the healthcare billing and coding field. Drawing from your industry experience and knowledge of clinical practices and regulations, you will assist in the development of novel strategies to enhance our claim selection processes. Your proficiency in data analysis,...
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16787
We are looking for an Recovery Resolution Specialist (Collections) to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations. Works closely with audit team, payers and providers to understand claims and or concepts to facilitate effective communication and collection. Engages in verbal and written communication involving the provider, audit staff and client. Identifies problems in the collection process for escalation to the appropriate parties.
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16780
We are seeking a Principal Interoperability Engineer with deep expertise in FHIR and Clinical Quality Language (CQL), combined with strong software engineering skills in .NET. The ideal candidate will design, implement, and optimize advanced healthcare interoperability solutions, translating complex clinical and quality measure logic into efficient, maintainable, high-performance code. This role requires both strategic technical leadership in interoperability standards and hands-on software engineering excellence. You will work closely with product managers, architects, and engineering teams to ensure compliance with healthcare regulations, data privacy requirements, and...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16779
A Sales support, selling and development role dedicated to supporting Sales VPs in the sale of our PQR products.  This role requires product expertise in Quality Intelligence.   Candidate should have at least two years of experience with inside sales, sales development or a similar customer-facing role within the healthcare industry.  They should possess the skill and experience to work as a member of a collaborative sales team and to be responsible for sales...
Category
Sales
Job Locations US-Remote
ID 2025-16771
The DevOps Engineer is the primary owner of the build, test, and release (CI/CD) pipeline process in development and production infrastructures. They are responsible for automating software build plans, deploying software to all application environments, and continuously improving release processes using an array of tools.   
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16760
We are a Healthcare Data Analytics company looking for the Sr Manger of Engineering. In this role you will lead, direct, and manage the day-to-day operations of a software engineers and TPO’s. You will work closely with the enterprise data management teams, IT, engineering, Client Services teams, and Clinical operations teams. 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.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16733
Cotiviti is seeking a Sr Director of Product Marketing to join our Edifecs Product Marketing Team. The Sr Product Marketing Director will play a critical role in several areas of product marketing, including annual and strategic planning, market and competitive research and analysis, product positioning and messaging, sales enablement, including content creation and client presentation support, campaign development and execution, marketing project management, and event support. This associate will be collaborative, strategic, and have the ability to own and
Category
Marketing
Job Locations US-Remote
ID 2025-16730
Cotiviti is seeking a Senior Data Scientist to lead the development of advanced classification and predictive systems for healthcare data quality and error correction. This role will focus on building intelligent systems that identify, classify, and resolve data anomalies through sophisticated pattern recognition and machine learning techniques.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16718
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
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16717
We are seeking a highly experienced Principal AI Engineer to design, build, and maintain a cutting-edge agentic framework and centralized AI platform that will serve as the backbone of our organization's AI initiatives. This role will be responsible for creating a unified interface that enables teams across the company to securely deploy, manage, and access AI agents while ensuring seamless data integration and platform reliability. The role will work closely with Data Scientists, MLOps engineers, Data Engineers, and Product Engineering teams.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16716
We are seeking a motivated Senior AI Engineer to contribute to the design and development of our agentic framework and centralized AI platform. This role will focus on implementing and integrating AI agents, experimenting with open-source AI tools, and supporting the delivery of customer-facing and internal AI-powered applications. You will work closely with senior AI engineers, backend developers, and product engineers to bring agentic solutions to life, gaining hands-on experience with cutting-edge AI frameworks and infrastructure.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16715
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.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16713
We are seeking an experienced Lead Frontend Engineer to design and build the user interface for our centralized AI platform. This role will focus on creating an intuitive, responsive frontend that enables teams across the company to build, deploy, and manage AI agents through a seamless web application. You'll also develop reusable chatbot modules that can be integrated into various SaaS products within our ecosystem.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16712
We are seeking a Senior Software Engineer to join our team in building the core backend services for our centralized AI platform. This role will focus on implementing backend APIs and services that power our agentic framework, helping teams across the company securely deploy and use AI agents through unified interfaces. The ideal candidate has strong Python skills, eagerness to learn, and interest in working with cutting-edge AI technologies.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16699
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.   We are seeking a highly skilled Senior F5 Engineer with a proven track record in enterprise-scale application delivery, load balancing, and secure traffic management. This role requires deep expertise in F5 BIG-IP LTM, iRules...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16673
Cotiviti is seeking a passionate and results-driven Technical Customer Solutions 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, regulatory compliance, and enterprise system integration. The ideal candidate will leverage their operational knowledge and subject matter expertise on processing data through various systems, recognizing revenue and audit regulations, and technical expertise in all areas related to Payer Gateway solutions (EDI, FHIR, API)...
Category
Product Management
Job Locations US-Remote
ID 2025-16672
We are seeking an experienced Manager, Engineering to lead our team. This individual will play a crucial role in overseeing the development of strategic perspectives regarding IT architecture and business needs. The Manager of Engineering will develop and implement architecture software strategies while exemplifying strong software development experience when working in an Agile environment. This individual will provide guidance to employees in accordance with established policies and management directives.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16670
Working in an agile software development environment, the DevOps / CI-CD Automation Engineer is responsible for automating build-test-deploy lifecycle for wide variety of applications/services in the cloud. As part of the Advanced Solutions Group team you will focus on enhancing platform services and contributing code to multiple automation projects. You will also utilize engineering and programming skills focused on enabling a DevOps model, participating with Architecture, Operations and Engineering teams within Agile processes. The role will include systems and solution design within the existing architecture, as well as design/implementation of improvements to meet business needs. The Senior DevOps engineer will work...
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16655
We are looking for a Revenue Cycle Specialist to join our Yield Management team! This role is responsible for the reconciliation and posting of all payments received, identify discrepancies and analyze issues to ensure all payments are posted timely. Other responsibilities include managing inventory and system alignment between Cotiviti and our clients, reconciling data between different sources, research, and the ability to work with cross-functional teams.
Category
Accounting/Finance
Job Locations US-Remote
ID 2025-16650
The Project Manager is a role within the Product Organization that works across departments, Centers of Excellence/functional areas and Business Units to successfully manage the launch of new and enhanced products or other projects as needed. The role is responsible for managing the project, process and success and overseeing the product design, development, distribution training and market launch, implementation and operational readiness. In this role you will partner with a cross functional team, including Marketing, Go-to-Market Effectiveness, Product, R&D, Operations, Implementations, Finance and other organizations to plan, organize and execute project plans for product launches.  
Category
Product Management
Job Locations US-Remote
ID 2025-16641
We are seeking an experienced Manager, Engineering to lead our team. This individual will play a crucial role in overseeing the development of strategic perspectives regarding IT architecture and business needs. The Manager of Engineering will develop and implement architecture software strategies while exemplifying strong software development experience when working in an Agile environment. This individual will provide guidance to employees in accordance with established policies and management directives.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16604
The Client Services Manager is responsible for leading the cross-functional client team and providing the highest level of service to our clients. The role serves as both internal and external client liaison, including triaging, managing, monitoring, and support of a client-related activity, primarily related to Cotiviti Prospective Claims Accuracy products.
Category
Client Services
Job Locations US-Remote
ID 2025-16598
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...
Category
Client Services
Job Locations US-Remote
ID 2025-16560
We lead the industry in the breadth and depth of how we support our customers—by becoming an extension of their internal team. Helping our customers deliver world-class care and service is the Professional Services Team. The Professional Services team is seeking Business and Data Analyst–Healthcare Interoperability with strong expertise in healthcare interoperability to support large volume data-driven initiatives that improve healthcare data exchange and integration. This role will focus on...
Category
Reporting and Analytics
Job Locations US-PA-Blue Bell | US-UT-South Jordan | US-WA-Bellevue
ID 2025-16537
THIS IS AN ONSITE POSITION at one of the three offices: South Jordan UT, Blue Bell, PA or Bellevue WA. The internship is expected to be 3 months in length.    The role focuses on supporting the IT Desk Side team with end-user technology services, primarily involving laptop migrations from legacy systems to Windows 11. The position requires hands-on assistance in software installations, troubleshooting, and ensuring smooth rollout processes. The individual will serve as a critical point of support for employees, addressing hardware and software issues while maintaining compliance with company policies and security standards.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16536
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...
Category
Sales
Job Locations US-Remote
ID 2025-16531
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 Senior Technical Specialist.   This role...
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16522
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.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16451
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.
Category
Audit - Healthcare
Job Locations US-Remote
ID 2025-16438
The Fraud, Waste & Abuse (FWA) Content Solutions Analyst is a key member of the clinical operations and content team responsible for the research, development, and quality assurance, associated with new FWA conditions. In addition, this position will be responsible for review and analysis of current conditions and assisting in the research necessary to ensure conditions stay current.
Category
Clinical
Job Locations US-Remote
ID 2025-16330
The Senior Application Security Engineer is responsible for ensuring the security of the organization’s business applications including business logic testing, code scanning and web application firewall. The individual will work closely with application development and production support teams to coordinate risk assessment, vulnerability analysis and remediation for business. This individual will also need to educate and assist application teams to adopt secure development best practices. The Senior Application Security Engineer will help define and drive the implementation of these capabilities and work to integrate application security processes within the SDLC and CI/CD processes.
Category
Engineering/IT
Job Locations US-Remote
ID 2025-16325
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.
Category
Program Management
Job Locations US-Remote
ID 2025-16300
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.
Category
Engineering/IT