The Implementation Manager is accountable for the operational execution of the project plan for new customers or new projects specific to existing customers. They will partner with the client services organization to meet client expectations and revenue goals, as well as with any/all internal departments in support of the plan execution to include IT, product, product development, operations, finance, and training. They will define and lead the creation of project implementation project plans, identify process improvement opportunities, coordinate and manage the client implementation effort with cross-functional groups, monitor complex operational reporting, and facilitate resolution of delivery issues as needed.

The CIR Manager works with subject matter experts (SMEs) across the enterprise to provide written responses to client information requests (CIRs) and questionnaires. The CIR Manager is responsible for managing the prioritization of CIR requests, negotiating due dates with submitters, escalating issues to senior leadership where appropriate, fostering cross functional communication, and coordinating cross-departmental responses to ensure timely and professional responses to CIR submitters. The CIR Manager reviews completed requests to ensure responses are reasonable, complete, professionally written, and consistently applied throughout the request; ensuring all...

The Data Solution Specialist role is aligned to our Implementation team and will partner will various divisions and levels of leadership within the whole organization. They will be accountable to internal stakeholders for the successful implementation of both new and recurring projects. They will manage milestone tracking and task execution for assigned projects and internal process improvement initiatives. This role involves close collaboration with Product Managers and cross-functional teams to ensure the timely and high-quality delivery of project outputs, such as documentation, data analysis,...

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 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.

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.  

Cotiviti is looking to add a Senior QA Engineer to one of our product teams. A successful candidate should drive the testing efforts during both development phase and implementation phases of Software Development Life Cycle (SDLC). Plan and execute functional, performance, and stress testing on client-facing environments during the customer implementation cycle. The ideal candidate should also have experience in testing software applications that process a large volume of data.

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,...

Provide technical and operational support to enterprise clients for product-related issues. Mentor and guide Product Support and Product Operations teams on tasks and best practices. Collaborate with Product Implementation and Development teams as needed. Assist with performance analysis, functional testing, and validation during release cycles, including service packs and hotfixes. Respond promptly to customer inquiries via email and phone. Work collaboratively with Product Operations staff in virtual environments. Conduct online troubleshooting and investigation

A Revenue Cycle Specialist 2 is a member of the Revenue Cycle team within the Yield Management Division. The Specialist 2 is responsible for moderate to complex levels of recurring and/or daily functions and processes that are necessary for business execution. This would include the reconciliation and posting of all payments received, identification of discrepancies, and analyzed issues to ensure payments are posted timely. Other responsibilities will include processing invoices, managing large sets of inventories and the ability to process electronic requests in multiple systems and platforms.  

The Policy Configuration Analyst role is responsible for developing and processing Rule Maintenance Requests (RMRs) and configuring the rules associated with them for each release by the configuration cutoff date reflected on the Release Schedule.

This internship offers a unique opportunity to work with cutting-edge machine learning algorithms and their integration into software applications. Under the guidance of experienced professionals, you will contribute to real-world projects, gain hands-on experience, and expand your knowledge in the exciting field of artificial intelligence and machine learning.

As a Summer Intern in our Quality Engineering team, you will have the opportunity to gain hands-on experience in developing web-based applications and contributing to various stages of the software development lifecycle. Under the guidance of experienced mentors, you will work on real-world projects, collaborate with cross-functional teams, and expand your skillset in a dynamic and innovative environment.

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.

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.  

At Cotiviti, we are custodians of data for our clients. Senior Data Engineers, using their technical experience in ETL processes, are vital to ensuring operational functions are occurring as expected. In their role, Senior Data Engineers will ensure the efficient execution of processes to manage data implementations, data production, data quality, and data security. They will serve as a senior resource in the support of all data management functions.

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 II provides advanced architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. Technical Architect II’s skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and extensive experience with relevant implementation technology, platforms, and tools. As a senior leader, a Technical Architect II 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. Technical Architect II is...

As a Data Scientist Intern, you will contribute to the development and application of advanced analytics and machine learning methods to solve healthcare informatics challenges, with a particular emphasis on Generative AI and Artificial General Intelligence. You will collaborate with cross-disciplinary teams to build, evaluate, and deploy data-driven solutions that enhance healthcare treatment, operations, and payment systems. This internship offers hands-on experience in statistical modeling, data engineering, and AI model development in a mission-driven environment.

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....

A GTM role dedicated to the development of enterprise and client-specific sales renewal strategies and contract execution to ensure favorable contract terms and conditions and capture growth.

A Payment Accuracy, Coordination of Benefits (COB) Senior Specialist, 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. Individuals in the Senior Specialist role are passionate about what they do and are subject matter experts (SMEs) at identifying opportunities for strategic growth, reviewing, discovering, and validating substantial amounts of data, to deliver results and insights for our clients.

The QA I, Clinical Ops position works with the Coding & Clinical Validation Audit team focused on risk coding. The QA position monitors & reports on the accuracy of all code captures on a % of all images of their assigned coders. This position also answers all questions for their coders through the Questions Queue or via email. QA is also responsible for assisting in the remediation for their coders which include full image review of all images coded prior to release to ensure accuracy of image, for any coder below project benchmark.   Experience in HCC/Risk Adjustment coding is required along with an active coding certification...

The Program Manager for Pilots & Proof of Concepts (POCs) is responsible for the end-to-end management and successful execution of all pilot programs and proof-of-concept initiatives within Cotiviti's Product organization. The Program Manager ensures pilots are delivered on time, demonstrate measureable value, and convert successfully into full production engagements.

A Payment Accuracy, Data Mining (DM) Specialist, is a member of the greater Data Mining Business Unit (BU). Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types.   A Payment Accuracy Data Mining (DM) Specialist is responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, identifies and inputs recovery claims, voids, or other over-underpayment types. Documents relevant facts,...

The Content Marketing Manager is responsible for working with writing, editing, and overseeing the development of a wide variety of marketing content, including website and email copy, blogs, white papers, eBooks, case studies, product collateral, infographics, and checklists. This role involves collaborating heavily with product marketing managers, operations, creative, and SMEs throughout the organization to generate high-quality, rigorously edited content that drives growth.

The Technical Product Owner is responsible for driving solution definitions that support business ideas and product concepts at a team and program level through gathering and translating testable requirements into application software solutions. The Business Analyst has deep domain knowledge, and strong experience in collaborating with a diverse team including product managers, software developers, testers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing.

The Product Marketing Director for the Retail Business Unit is responsible for developing and managing the strategic marketing objectives for Cotiviti’s business and financial solutions portfolio, including but not limited to, merchandise recovery audits, AP audits for commercial market, error prevention, and contract compliance. This portfolio includes a mix of services and software solutions. This role focuses on understanding the market landscape, competition, and buyer personas to create and successfully execute a market plan, support effective product launches, develop and maintain a portfolio of enablement materials, and drive lead generation and sales acceleration efforts.

The Senior Financial Analyst serves as the financial lead for a key initiative, partnering with project managers, operations, and cross-functional teams to provide strong financial guidance and rigorous tracking of financial outcomes. The analyst develops and maintains advanced financial models, sets and monitors measurable financial targets, and delivers detailed forecasting, scenario modeling, and variance analysis to support business cases and subsequent phases of work. This position prepares executive-ready presentations, communicates actionable insights to senior leaders and investors, and offers ongoing financial planning support while mentoring junior analysts on best practices in financial modeling and analysis.

The Principal Program Manager provides strategic oversight and coordination for a large, complex, multi-disciplinary program, partnering closely with individual program managers to ensure alignment, visibility, and execution success. This role serves as the central point for program-level tracking, risk management, and executive reporting, translating detailed inputs into clear, actionable insights for senior leaders and governance bodies. The position is responsible for synthesizing progress, risks, and mitigation plans across multiple workstreams; driving consistent program management practices; and...

The Manager Security Audit will help in leading a dynamic team responsible for developing, implementing, and monitoring a comprehensive security audit program primarily focused on SOC 2 assessments, with active involvement in HITRUST and other relevant audits. This individual will provide vision and leadership for scaling audit capabilities, ensuring business alignment, effective program governance, and assisting in developing the roadmap to achieve security audit objectives. The role will be instrumental in building and managing an innovative enterprise continuous audit strategy, meeting SOC 2 and HITRUST requirements while advancing the company’s overall security posture.

The Senior Manager, HR Business Partner, will be a member of a business unit and or functional leadership team and serve as a key business partner to provide strategic and tactical human resources leadership. This role will partner with other HR team members, such as talent acquisition, employee experience, operations, and total rewards. This role is responsible for driving HR initiatives that align with business objectives, enhance organizational performance, and foster a positive work environment. The Senior Manager, HRBP acts as a consultant on...

The Intern Technology Solutions Analyst is responsible for researching technologies and use cases for Cotiviti solutions. This internship role will report to the Director of Platform Strategy & Innovation and work on Portfolio Prospecting within the Innovation & Portfolio Management Center of Excellence (IPM). IPM Portfolio Prospecting reduces investment risk and improves speed to value through early exploratory validation, development, and delivery of solutions. Portfolio Prospecting is tasked with maintaining transparency into the strategic environment and positioning Cotiviti with validated long-term pathways to competitive advantage.  

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...

The Sr. Manager, Audit Operations is responsible for leading the Clinical Chart Validation (CCV) audit operation, managing the audit team’s performance and productivity, ensuring client SLA’s and budget commitments are achieved, claim workflow is uninterrupted, and talent management is prioritized. This particular Sr. Manager role has expanded process improvement responsibilities across the CCV Audit including vendor management, NLP program oversight and serves as the lead on other process improvement initiatives designed to optimize team efficiency through automation and other means. This role will have 4-6 direct reports and up to 90 indirect reports.

The Content Analyst is a key member of the Content Center of Excellence, responsible for the research and implementation of new and existing medical policies. In addition, the Analyst is responsible for review and analysis of Clinical Content metadata from national sources (CMS, CPT, ICD, etc..) that support the current medical policies in the Cotiviti payment policy library.

As an AI Program/Project Manager, you will play a pivotal role in driving the development and deployment of innovative AI/ML solutions. You will collaborate closely with cross-functional teams, including engineers, data scientists, and business stakeholders, to identify, prioritize, and deliver high-impact AI/ML products. You are data driven and influence our business strategy and technical priorities with that vision. This role will drive alignment between data

This Coding Validation Analyst I position will perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical knowledge and background to ensure appropriateness for reimbursement and will also respond to provider appeals. This position requires strong organizational skills and the ability to meet strict key performance indicators in a fast-paced work environment. Daily, substantive contact with internal staff.    This is a closely monitored productivity-driven role and can be done anywhere in the continental US (this is shift work and hours need to be flexible...this team runs 24 x 7)....

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 Payment Policy Management polices and rules.   This is a...

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. 

Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. As we continue to grow, we are seeking experienced Payment Accuracy Specialists to join our team. This is a great opportunity to join a well-established company with competitive pay, opportunities to develop professionally and excellent benefits.  

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.

The Vice President, Sales is responsible for the development and strategic execution of annual sales plans to support the acquisition of new clients and sale of new solutions for the Cotiviti Retail division. This is a hunter role focused on hunting new business for Cotiviti’s Retail Payment Integrity Services and Solutions to the world’s largest retailers, e-commerce, and commercial enterprises. Demonstrated experience calling on and selling to “C” level executives, SVP Business Owners, CFO’s, Procurement, VPs, and Directors is essential.  Experience working in a disruptive software and services sector selling Data Analytics, Payment Integrity / Recovery Auditing services and...

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 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...

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...

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,...

The Staff Gen AI Scientist will apply knowledge and experience to real world problems and seek to improve health quality outcomes and reduce the cost of healthcare. 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...

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.

The Manager Leave Programs leads the strategy, operations, compliance, and continuous improvement of the company’s leave and accommodation programs, including ADA, FMLA, Short-Term Disability (STD), Long-Term Disability (LTD), Paid Time Off (PTO), and applicable state and local leave regulations. This role owns vendor/TPA relationships and partners cross-functionally with HR, Employee Relations, Legal, Payroll, and Benefits to deliver a seamless employee experience, ensure regulatory compliance, and drive data-informed decisions. The Manager will