This position will report to the Sr. Director, Revenue Accounting.  This individual will play a key role in analyzing client revenue trends to determine appropriate accounting for revenue recognition.  This role is highly analytical and requires developing and communicating insights based on client data trends. This position is responsible for continuous improvement with standard operating procedures including the implementation and maintenance of automated solutions to drive performance excellence. This position will have primary responsibility for establishing, enhancing, and monitoring internal controls in accordance with Sarbanes-Oxley compliance standards.  The candidate should be a motivated, self-starter and display initiative in accomplishing the goals and objectives of the Finance and Accounting department and will complete all assignments in a professional manner while adhering to critical deadlines.

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 South Jordan, UT location. This is a Temporary position. Swing shift, Tues-Saturday, 10:30am - 7:00pm MST.   Starting pay is $16.50/hour.

Cotiviti is looking for a FP&A Analyst to join our Finance team. This person will support the forecasting and budgeting of one or multiple business departments for the corporation, including general ad hoc analyses.

The purpose of the MIPS (Medical Image Processing) Agent is to review and associate medical records to the appropriate requests while maintaining adequate production and quality levels through tracked metrics.   **This is a TEMPORARY position. This is a REMOTE position. Pay Rate is $13.25/HR**

The Sr. Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues.  You are expected to foster high performing technical teams.  You will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders.

This position is responsible for overseeing Payment Application, as well as Collections of all client invoices.  Requires strong interpersonal, managerial, leadership, and business office skills, including critical thinking and the ability to produce and present detailed Accounts Receivable information.

The Fraud, Waste & Abuse (FWA) Content 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.

We are seeking a Business Reporting Analyst to join our Client Performance team. You will develop and prepare recurring financial reports for client teams, complete ad hoc analyses as well as operational/financial analysis support.

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 2) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo

The Billing Specialist is responsible for overseeing the billing process in their specific areas for our Cotiviti clients.Their duties include processing invoicing and supporting reporting, maintaining organized financial records, collaborating with other departments, and resolving client questions and issues relating to invoices. Since this job will be based remotely, all interviews will be conducted virtually.

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.

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.   The Payment Accuracy Specialist 1 position is responsible for auditing client data on behalf of Cotiviti's clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients, as well as conducting or assisting in the identification, validation and documentation of moderate to more complex audit projects. This role will be primarily responsible for auditing efforts by executing more independent projects, low to mid range in scope assigned by the Audit Manager.    For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually.  In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well.  As we monitor the pandemic, these arrangements may change and we will update accordingly.

Cotiviti drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. We are currently looking for multiple Remote Risk Adjustment / HCC Coders (Coder 2) for full-time permanent positions. See what it's like to work as a Coder at Cotiviti: https://www.youtube.com/watch?v=-VgcV09cxCo

The Billing Specialist is responsible for overseeing the billing process in their specific areas for our Cotiviti clients.Their duties include processing invoicing and supporting reporting, maintaining organized financial records, collaborating with other departments, and resolving client questions and issues relating to invoices

In this role, you’ll develop and execute high-impact, integrated B2B demand generation programs to achieve revenue and pipeline goals. Partnering closely across the Marketing team to conceptualize, build, track, execute and optimize across marketing campaigns based on performance metrics. You will work at the strategic level to champion new, innovative ideas, and at the tactical level to execute, and iterate based on performance.You will come with the knowledge and insight into building and maintaining best-in-class MarTech stacks. You will be working in a fast-paced environment managing multiple projects with intertwining deadlines, which involve stakeholders across the company.  

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 preparing and submitting check request to corporate finance, processing electronic requests in multiple systems and platforms, and preparing and submitting spreadsheets to our clients.    The majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. 

The Manager, Internal Audit is responsible for planning, executing, and reporting on operational, financial, Information Technology, regulatory and SOC1 related audits/reviews.

The Recovery Operations Team under Cotiviti’s Yield Management business unit to provide maximum savings for Cotiviti’s client. The Recovery Team facilitates the recovery of funds through building and maintaining relationships with healthcare providers and partnering with Cotiviti’s Revenue Cycle Team to process payments.  The recovery team also collaborates with Cotiviti’s internal audit teams, along with healthcare payers and providers to understand health care billing concepts and help to ensure payment accuracy. As a Recovery Resolution Specialist: the ideal candidate must be equipped to identify problems in the collections and revenue cycle process for escalation to the appropriate parties both internally and externally as well as have excellent written and verbal communication skills for critical communication. Additionally, a Recovery Resolution Specialist is to adhere to all operational guidelines for calling on clients who have outstanding balances and liaisons with accounts receivable on matters of risk associated with those customers as well as may be required to de-escalate and/or report possible client abrasion. A Recovery Resolution Specialist must have a high regard for attention to detail and accuracy in recording all documentation for received payments and tracking anything outstanding within our systems. Lastly, confidentially of Cotiviti’s information and privacy must be upheld to the highest level of security when working with data and assigned reporting ques.

This is a hunter role selling Cotiviti’s breadth of solutions in the healthcare payer space.  Extensive experience calling on and selling to Health Plan “C” level executives, SVP Business Owners, procurement, VPs and directors is essential.  Experience working in a leading Health Plan software and service vendor with relevant health care payment accuracy, payment integrity, FWA, Quality, Performance Analytics and/or Risk Adjustment is also key.  Deep industry / sales knowledge of all lines of business (Medicare, Medicaid, Commercial) for healthcare payment, quality, and risk solutions such as claim editing, clinical chart review, coordination of benefits, data mining and/or fraud, waste and abuse market, HEDIS, Medicare and Commercial Risk Adjustment is highly desirable.   The position will work remotely within the U.S.

The 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 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 account. The Senior Program Manager, Operations will directly own and manage enterprise level account and is responsible to oversee all aspects of our engagement for our Risk Adjustment solution set. The Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti clients.

The Director, Business Development/ Government Sales is responsible for devising and executing the strategy for new business opportunities and customers in the Federal Government Healthcare market and driving increased revenue through new contract awards in the Federal Government Healthcare market for the Veterans Administration and/ or Defense Health Agency, and as appropriate other Federal/State Agencies.  This position is responsible for activities in the full business development / sales cycle for Government procurements, to include: opportunity identification, opportunity qualification, opportunity capture management, proposal support, pipeline management, and agency marketing support. 

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.    The Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts. The goal of the position is to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Conducts and documents more complex audit projects independently. This is the most senior skill level which may include supervisory responsibility. Assists Audit Managers in managing audit productivity, achieving expected quality and revenue goals. Considered a mentor, trainer, developer of less tenured Audit team members. 

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 architecture in their assigned organization/teams, which requires excellent communication skills, the ability to work with developers of differing skill levels, and the ability to recognize, surface, and resolve architectural issues in a collaborative manner.

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role. This position may be worked remotely from home anywhere in the US.  

Cotiviti 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.   What does it mean to be a Payment Accuracy Specialist?   Our healthcare recovery specialists 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 recover billions of dollars in incorrect payments for our clients each year. This position is a key role where you will learn from an elite team of recovery professionals, expand your skills, discover your strengths, and begin an exciting career.   What does this role offer in regards to career development?   “For someone who is looking to learn an industry quickly, and be given opportunities to advance and grow rapidly, there is no better place than Cotiviti Healthcare. This role is really is a springboard; you learn our business and are coached on how to make more impact each year, with opportunities for advancement constantly available.”   “The more dedication and passion you put into your work, the more you will be rewarded in return.”   “I really like being a part of a team that encourages collaboration, but also really gives me the room to work independently.”   “I enjoy seeing how much money I am responsible for recovering for our clients. I get to put my naturally competitive nature to the test.”

Leading a team responsible for developing, implementing, and monitoring a comprehensive information security audit program inclusive of HITRUST, SOC 2, other relevant security assessments.  They will provide the vision and leadership necessary to manage security audits, ensure business alignment, effective program governance, and developing a roadmap to achieve the goals.  This role will lead the team through the creation of an enterprise continuous audit program to satisfy HITRUST and ensure the successful delivery of HITRUST certification across all lines of business. This is a REMOTE position. 

Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. We are a fast growing and highly successful payment integrity firm with a long history of success. As we continue to grow, we are seeking experienced Payment Accuracy Specialist II  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.   The majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as well. 

The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy.

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

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