The Regional Vice President, Client Engagement is responsible for developing and driving execution of growth, retention, and relationship strategies for their clients. The RVP, Client Engagement is responsible for all aspects of client’s success and growth with Cotiviti solutions.  The RVP, Client Engagement will lead a team in the coordination and transparency needed to drive a successful, multi-pronged growth and retention strategy as well as a multi-level relationship engagement across the client’s leadership team. The RVP, Client Engagement is accountable for cross-product strategy coordination as well as development and execution against a broad relationship map to...

The focus of the VP, Senior Client Engagement Lead is to develop and execute against broad relationship, growth, renewal and retention strategies on their customers within the top customer tier. The VP, Senior Client Engagement Lead is accountable for the coordination and transparency needed to drive a successful, multi-pronged growth and retention strategy as well as a multi-level relationship engagement across the customer leadership team. The VP, Senior Client Engagement Lead is accountable for cross-product strategy coordination as well as development and execution against a broad relationship map to drive deep...

The Director of Competitive and Market Intelligence will lead the research and analysis of Cotiviti's competitors, their products, strategies, strengths, weaknesses, opportunities, and threats. The Director of Competitive and Market Intelligence will also lead programs to monitor and report on micro and macro healthcare trends and coordinate with industry analysts, especially those related to payment integrity, quality and performance, risk adjustment, and consumer engagement. This role will provide actionable insights and recommendations to Cotiviti's senior

A Sales support and selling role dedicated to supporting Sales VPs in the sale of our [Payment Accuracy or Health Enablement] products. This role requires product expertise in the [Payment Accuracy or Health Enablement] suite of solutions.   Candidate should have at least eight 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 quota, expansion of account intelligence, qualification of leads, preparing the sales materials and drive revenue...

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.  

Cotiviti is a leading provider of data-driven solutions that help healthcare organizations, retailers, and payers improve financial performance and operational efficiency. Our mission is to deliver actionable insights through advanced analytics, innovative technology, and deep domain expertise. As part of our engineering team, you will contribute to building scalable, secure, and high-performing systems that power critical business processes and enable better outcomes for our clients.   The Staff Engineer II is a senior technical leader responsible for designing and delivering complex software solutions across hybrid environments (on-premise and public cloud). This role combines deep technical expertise...

Edifecs is currently seeking a Regional Vice President (RVP) for Account Management to cultivate enduring and trustful relationships with our clientele. The primary responsibility of the RVP, Account Management is to oversee a portfolio of designated top-tier clients, foster new business within the existing client base, and actively pursue fresh sales prospects. Key responsibilities encompass establishing robust connections with clients, engaging with crucial business executives and stakeholders, and formulating strategic account plans. The role also involves addressing client inquiries and pinpointing new business prospects among current customers. In this capacity, you...

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.

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...

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.

The Audit Quality Specialist (AQS) is a member of the greater Data Mining and Coordination of Benefits business unit where Cotiviti employees are responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, the AQS is responsible for post-audit internally and externally for the quality and compliance of audit engagements, ensuring expectations are met as well as established standards and requirements. This team works closely with internal audit teams to provide guidance, support, and oversight throughout the audit process. This is an entry-level position supporting client requests, overpayment quality review, system reconciliation, and claim audit requests. Documentation...

The Manager, Audit Operations (Construction Contract Compliance) provides day-to-day supervision and direction to a construction audit team focused on contract compliance and cost control for large capital projects. This role ensures that all audit activities are executed consistently and accurately, with strong adherence to Cotiviti methodology, client expectations, and construction industry standards.   The ideal candidate is an accomplished,...

The Associate Trainer is a support role responsible for aiding the senior trainer in the development, implementation, and maintenance of training programs for the risk adjustment department. This role has responsibility for the creation of written and visual training materials used in training sessions, tracking and analysis of learning data, and managing training administrative tasks with manager oversite. The associate trainer is expected to co-train classes with leads as needed and develop independent material as assigned.

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 and/or episode of care. 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.  

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.

As a Principal Investigator, you will investigate suspected incidents of fraud, waste or abuse.    Information on our Solution: Detect FWA Patterns | Cotiviti

Cotiviti is seeking a Director, Engineering Delivery, to work closely with our SVP of Engineering to enforce safe agile processes across the Cotiviti organization at a corporate level for all engineering. This position is responsible for overseeing the full project management life cycle and software development life cycle for the implementation of highly complex, large-scale, strategic Product and business initiatives. The Engineering Delivery Director will be responsible for managing and coordinating a number of key product commercialization, cross functional initiatives, and risk mitigation efforts undertaken by Cotiviti.

The Team Lead is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team Lead role are passionate about leading a team to accomplish the identified goals for the success of the team, Cotiviti, and client partnerships. This role is responsible for leading a team of individuals to meet established goals and deliver on both internal and external client requirements. This individual will have responsibilities including but not limited to performance management, interviewing, forecast, and...

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 for the client. 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...

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...

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...

Cotiviti is a leading provider of payment integrity services to some of the most recognized Canadian retailers. 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 retail recovery team. What does it mean? Our retail recovery auditors are passionate about what they do. They are experts at reviewing, discovering, validating large amounts of data and delivering results and insights for our clients. Our audit teams...

A Payment Accuracy, Coordination of Benefits (COB) Specialist 2, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. The Payment Accuracy, Coordination of Benefits (COB) Specialist 2 position is essentially a subject matter expert (SME), provides innovation to introduce new ideas, research as well as creative thinking. This individual will have the opportunity to demonstrate multi-client...

Cotiviti is looking for VP, Corporate Software Architect who understands large-scale, high-performance product designs and principles, AI innovation to drive Agentic Automation, excellent in SaaS designs, thinks cloud natively, shown expertise in converting application to SaaS services, excellent in communicating with critical customers and hands on in solving problems.   As a VP, Corporate Software Architect, you’ll define how to use the latest technologies and AI innovation to identify and optimize the products to scale and perform better. You will work with cutting edge Cotiviti healthcare applications and SaaS services and help...

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

The Sr. Support Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the Cotiviti product suite.  The successful candidate will be required to collaborate effectively with other developers, offshore development team members, business owners, project management, and other internal stakeholders.

The Sr. Technical Product Owner is responsible for driving solution design and definition that support business ideas and product concepts at a team, program, and enterprise level through ideating, gathering, refining and translating product vision and requirements into application software solutions. The Sr. Technical Product Owner has deep domain knowledge, and strong experience in collaborating with a diverse cross-functional team including Product Managers, Solution and Enterprise Architects, User Experience Designers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing. Sr. Technical Product Owner’s are accountable to facilitate and drive Design Driven...

We are looking for a UX Designer that has a proven track record of leveraging design thinking and user feedback to design experiences that are delightful and motivating. The ideal candidate will be motivated about user-centered design and be able to thrive with minimal process and direction while driving efficiency, consistency and results with cross-functional teams. If you also have a portfolio of professional design projects that includes work with web/mobile applications, we’d like to visit with you.

Join a recently formed team focused on Model Risk and Responsible AI. The Senior GenAI Scientist II – Risk will apply knowledge and experience to real world problems and seek to utilize their skills to reduce the cost of healthcare and improve health quality and outcomes. As a Data Scientist on this team, you will focus on three main project areas: Model Validation, Model Metrics and Monitoring, and Responsible AI. This requires someone with depth in

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....

This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on one of the following disciplines from a coding and billing perspective: SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. This position is responsible for auditing outpatient/specialty claims and documenting the results of those audits. with a focus on clinical review, coding accuracy, medical necessity, and the appropriateness...

This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focused on one of the following disciplines from a coding and billing perspective: SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. This position is responsible for auditing outpatient/specialty claims and documenting the results of those audits. with a focus on clinical review, coding accuracy, medical necessity, and the appropriateness of treatment setting, and services delivered.

This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual will work collaboratively with subject matter experts in the Commercial & Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.

Technical Product Owner (TPO) will serve as a critical bridge between product management, stakeholders, and agile development teams. The TPO will ensure technical implementation aligns with overall business vision and strategy, guiding product development, managing technical aspects, and ensuring product features meet user needs and technical feasibility. This role requires a strong technical background, particularly in Enterprise Data Warehousing and Business Intelligence, and the ability to translate technical requirements into actionable development plans. The ideal candidate will act as a technical resource, address technical debt, and drive technical solutions that support business...

The focus of the VP Client Engagement is to develop and execute against growth, renewal and retention strategies on their customers within the top customer tier. The VP Client Engagement is accountable for the coordination and transparency needed to drive a successful, multi-pronged growth and retention strategy as well as a multi-level relationship engagement across the customer leadership team. This individual will develop Strategic account plans for their assigned accounts and work closely with Operations teams to ensure execution against those plans....

A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position is responsible for complex levels of recurring and/or daily functions and processes that are necessary for business execution; including but not limited to, ensuring the quality of various functions within the department (check application, offsets, invoicing,...

We are seeking an experienced Lead Software Engineer to design and lead the development of a scalable, high-performance FHIR Repository service capable of handling hundreds of terabytes of healthcare data. This system will form the foundation of our next-generation healthcare data platform — powering interoperability, analytics, and compliance across our product ecosystem.   You will be responsible for the architecture, design, and implementation of core services that store, retrieve, and manage FHIR resources at massive scale. The ideal candidate combines deep technical expertise in database scalability, distributed systems, and...

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.  

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 Payment Accuracy Specialist.   

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 role will primarily support provider escalations related to Cotiviti's prepayment FWA services.  This is not a physical investigator role.

Cotiviti, Inc. (formerly Verscend Technologies) drives better healthcare outcomes through data analytics. 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. Learn more at www.Cotiviti.com.

Provide architecture and design for integrating Edifecs solutions into customer environment to meet customer business needs and technical needs for performance, scalability, maintainability and availability. Mentor implementation consultants and review work products/designs delivered by implementation consultants to ensure that they meet prescribed architecture. Provide software code and other artifacts for complex scenarios. Interface with Edifecs engineering team to understand product reference architecture and convert it into implementation architecture templates. Provide guidance to partners who are implementing Edifecs solution from time to time. Troubleshoot critical and complex issues in production that are escalated by support...

The Lead Implementation Consultant is a post-sales position that focuses on individual clients and implementing Cotiviti solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Cotiviti products with the client. This includes installation of products on Cotiviti or client hardware; configuration and development of programs, tasks and guidelines, to fully implement a Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivery of product training to new...

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.

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...

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.  

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...

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.   

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.

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.