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83 remote jobs found
Data & Analytics Full-time
Architecture Analytics Reporting +12 Strategic Thinking AI Machine Learning Leadership Agile Decision Making Tableau Apache Spark Automation Monitoring Cross-Functional Collaboration Microsoft Teams
  • United States
  • $75,000 – $110,000/yr
  • Jul 23, 2026

Overview The Data & Insights Analyst is responsible for leading the design, architecture, and delivery of advanced analytics, reporting, and data-driven solutions that generate measurable business value.

Auditing Monitoring Microsoft Teams +12 Communication Reporting Sales Management Planning Healthcare Microsoft Word Microsoft Excel Organization Nursing Operations Consulting
  • United States
  • $86,000 – $113,000/yr
  • Jul 23, 2026

Overview The Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth.

Audit Microsoft Teams Management +12 Accuracy Education Databases Communication Organization Insurance Audit Support Data Entry Administrative Support Microsoft Office Written communication Communication Skills
  • United States
  • $21 – $25.3/hr
  • Jul 22, 2026

Overview We are looking to add a Senior Audit Support Assistant to our Provider Services team! This role will efficiently and professionally handle more complex, broad daily administrative activities within the audit engagement.

AI Machine Learning Planning +12 Strategic Thinking Analysis Management Engineering Finance Infrastructure Operations Microsoft Teams MBA Cross-Functional Collaboration Healthcare Communications
  • United States
  • $153,000 – $194,000/yr
  • Jul 22, 2026

Overview The Sr AI Product Manager - We are seeking a passionate, talented, and enthusiastic individual to join the AI R&D team and help build industry-leading AI technologies, enabling lines of business with cutting edge and impactful solutions.

Auditing Accuracy Audit +12 ICD-10 Make Operations Management Documentation Writing Education Nursing Assurance MS-DRG Compliance CPT
  • United States
  • $95,000 – $95,000/yr
  • Jul 22, 2026

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits (DRG Validation). 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…

Sales Operations Full-time
Management Editing RFP +12 Reporting Sales Healthcare Communication Research Organization Microsoft Teams Formatting Compliance Dynamics SharePoint English
  • United States
  • $96,000 – $126,000/yr
  • Jul 21, 2026

Overview Our ideal candidate has a passion for project management, editing, and deadlines! We're looking for an adaptable team member who not only can manage the development and completion of our RFP responses, but also maintain the RFP repository, conduct the RFP reporting, and…

Diagnosis Medicare Medicaid +12 Leadership Research Communications Operations Education Accuracy Compliance Physiology Organization Management Documentation HIPAA
  • United States
  • $23 – $26.5/hr
  • Jul 21, 2026

Overview The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk‑adjustment programs across a variety of chart types.

Accuracy Compliance Auditing +12 Audit Verification Medicare Medicaid Insurance Management Microsoft Excel Analysis Assurance Documentation Contracts Healthcare
  • United States
  • $21 – $24/hr
  • Jul 21, 2026

Overview 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…

Healthcare Analytics Documentation +12 Insurance Microsoft Word Communication Accuracy Education Data Analytics Economics Accounts Receivable Medical Terminology Commercial Insurance Customer Support Claims Processing
  • United States
  • $17.5 – $19.5/hr
  • Jul 20, 2026

Overview Cotiviti, Inc. 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.

Accountant Full-time
Management Audit Communication +8 Procedures Documentation Accuracy Education Insurance Written communication Customer Support Insurance Coverage
  • United States
  • $16 – $19/hr
  • Jul 20, 2026

Overview 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.

Audit BDR Sales +12 Management Analysis Reporting Operations Marketing Dynamics CRM Solution Selling Procurement Budgeting & Forecasting Communication Microsoft Word
  • United States
  • $77,000 – $98,000/yr
  • Jul 17, 2026

Overview As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti.

Healthcare Audit Compliance +12 Operations Communication Management NPS Microsoft Teams SaaS Mapping Planning Freshdesk SQL JIRA Education
  • United States
  • $70,000 – $105,000/yr
  • Jul 16, 2026

Overview Cotiviti is seeking a passionate and results-driven Customer Program 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.

Auditing Diagnostics Accuracy +12 Audit Pharmacy Procedures Documentation Healthcare Communication Education Nursing HIPAA Compliance ICD-10 CPT
  • United States
  • $45.7 – $45.7/hr
  • Jul 16, 2026

Overview 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…

Accuracy Medicare Medicaid +12 Insurance Audit Management Investigations Compliance Healthcare Reporting Research Procedures Confidentiality HIPAA Microsoft Word
  • United States
  • $20.5 – $23.8/hr
  • Jul 16, 2026

Overview A Payment Accuracy, Coordination of Benefits (COB) 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.

Cross-Functional Collaboration Monitoring Organization +12 Communication Management Microsoft Teams Operations Logistics Documentation ROOT Analysis Make History Consistency Testing
  • United States
  • $82,000 – $111,000/yr
  • Jul 16, 2026

Overview The Client Services Manager (CSM) is responsible for coordinating the cross-functional client team and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Prospective Payment PPM and CV products.

Management Strategic Thinking Leadership +12 Monitoring Communication Reporting Operations Marketing Sales Communications Finance Analysis Webinars Coaching Culture
  • United States
  • $180,000 – $210,000/yr
  • Jul 15, 2026

Overview The focus of the AVP, Account Management - GOV is to develop and execute against growth, renewal and retention strategies on all customers within Cotiviti Government Services (CGS).

Accuracy Training Management +12 Microsoft Teams Editing Medicaid ICD-10 CPT Insurance Procedures Microsoft Word Microsoft Excel PowerPoint Product Management Flexible
  • United States
  • $34 – $38/hr
  • Jul 14, 2026

Overview 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.

Training Microsoft Teams Planning +12 Mentoring Audit Assurance Communication Procedures Teaching Accuracy Management Payments Make Testing Healthcare
  • United States
  • $105,000 – $125,000/yr
  • Jul 13, 2026

Overview 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.

Go Management Strategic Thinking +12 Optimization Valuation Editing Microsoft Teams Sales Medicare Medicaid CPT Insurance Communication Problem Solving Microsoft Word
  • United States
  • $120,000 – $145,000/yr
  • Jul 12, 2026

Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan.

Documentation Audit Quality Assurance +12 Education Nursing Management Auditing Assurance MS-DRG Compliance ICD-10 CPT Microsoft Word Microsoft Excel Communication
  • United States
  • From $101,000/yr
  • Jul 10, 2026

Overview The Senior Auditor, Appeals position is part of the Clinical Chart Validation (CCV) team and is responsible for defending Cotiviti’s recovery determinations utilizing the appropriate guidelines including but not limited to Commercial, CMS inpatient and outpatient coding…

Alignment Healthcare Analysis +12 Assurance Editing Accuracy ROOT Testing Physiology Microsoft Word Microsoft Excel SQL Problem Solving Leadership Communication
  • United States
  • $23 – $25/hr
  • Jul 9, 2026

Overview The Policy Design Specialist role is responsible for managing health plan clients and executing monthly project requests. Perform policy configuration maintenance of current medical policies along with implementing new health plan medical policies per client request.

Bitbucket Analytics Healthcare +12 Compliance Quality Assurance Management Testing Engineering Java Optimization Scalability Databases MongoDB Oracle Database Writing
  • United States
  • $91,000 – $129,000/yr
  • Jul 9, 2026

Overview 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.

AI Healthcare Computer Science +12 Operations Architecture Governance SQL Writing APIs Microsoft Azure LangChain Git Collaboration Engineering Logic
  • United States
  • $32 – $40/hr
  • Jul 9, 2026

Overview The AI Engineer Intern focuses on researching and developing advanced healthcare informatics, particularly in the realm of emerging Artificial General Intelligence. It is designed to support improvements in healthcare treatment, payment, and operations.

Science & Research Full-time
AI Healthcare Monitoring +12 Machine Learning GenAI Ethics Benchmarking Management Algorithms Metadata Engineering Statistics Operations Research Transformers
  • United States
  • $110,000 – $130,000/yr
  • Jul 8, 2026

Overview Join a recently formed team focused on Model Risk and Responsible AI. The Generative AI Scientist - 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.

Machine Learning AI Strategic Thinking +12 Cross-Functional Collaboration Alignment Accuracy Research Engineering Microsoft Teams Infrastructure Precision Architecture Documentation Compliance Fine-Tuning
  • United States
  • $250,000 – $280,000/yr
  • Jul 6, 2026

Overview We are looking for a Senior Principal Machine Learning Engineer to lead the design and delivery of end-to-end ML/AI systems that turn vast volumes of claims, clinical, and member data into measurable performance and reduced waste.

Legal & Compliance Full-time
Healthcare Contracts Negotiation +12 Management SaaS HIPAA CCPA GDPR Interpretation Compliance Databases Operations Governance Microsoft Teams Cross-Functional Collaboration
  • United States
  • $150,000 – $165,000/yr
  • Jul 6, 2026

Overview The Senior Counsel, Partnerships will be the main legal resource overseeing strategic partnership contracting. The role will also support the Director, Senior Corporate Counsel in overseeing the full life cycle of Cotiviti’s healthcare and non-healthcare vendor…

Law & Policy (AI) Full-time
Analysis Research Accuracy +12 Microsoft Teams Analytics Management Healthcare Medicaid CPT Insurance Problem Solving Communication Organization Education Content Review
  • United States
  • $75,000 – $105,000/yr
  • Jul 5, 2026

Overview The Client Policy Manager I manages client payment policies by ensuring client’s payment policy is accurate, up-to-date, and complete; executes client-specific requests with guidance from internal team and acts as the internal and external client team liaison.

Auditing Accuracy Audit +12 ICD-10 Make Operations Management Documentation Writing Education Nursing Assurance MS-DRG Compliance CPT
  • United States
  • $95,000 – $95,000/yr
  • Jul 2, 2026

Overview 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…

Management Leadership Engineering +12 Agile Scrum Planning Healthcare Reconciliation Microsoft Teams Documentation Quality Assurance Economics Mathematics Communication Cross-Functional Collaboration
  • United States
  • $115,000 – $140,000/yr
  • Jul 2, 2026

Overview The Senior Product Manager – Edifecs is the liaison between business stakeholders, product management leadership and engineering managers.

Reporting Communications Governance +12 Documentation AI PMO Operations Management PMP Cross-Functional Collaboration Communication Healthcare Agile JIRA Product Management
  • United States
  • $100,000 – $135,000/yr
  • Jul 2, 2026

Overview The Project Manager – Payment owns delivery of defined project(s) from initiation through close. Ensures plans are realistic, stakeholders are aligned, execution stays on track, and risks/issues are actively managed.

Assurance Compliance Procedures +12 Accuracy Documentation Management Audit Communication Healthcare Auditing Quality Assurance Education Nursing Microsoft Excel PowerPoint
  • United States
  • $47 – $56/hr
  • Jun 30, 2026

Overview 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.

Engineering Healthcare Java +12 Insurance Microsoft Teams History Agile Architecture Strategic Thinking Alignment Coaching Mentoring Acting HIPAA Compliance
  • United States
  • $130,000 – $165,000/yr
  • Jun 29, 2026

Overview Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, 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.

Go Management Sales +12 Analytics Strategic Thinking Editing Research Microsoft Teams Operations Medicine Multitasking Problem Solving Communication Microsoft Word Microsoft Excel
  • United States
  • $225,000 – $275,000/yr
  • Jun 29, 2026

Overview The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan.

Science & Research Full-time
AI GenAI Healthcare +12 Monitoring Machine Learning Ethics Benchmarking Management Algorithms Metadata Engineering Statistics Operations Research Transformers
  • United States
  • $145,000 – $170,000/yr
  • Jun 23, 2026

Overview 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…

Audit / Internal Audit Full-time ↘ +1 regions
Healthcare Analysis Microsoft Excel +12 Training Education Communication Observation Accuracy Multi-tasking Compliance Organization Insurance Data Analysis Written communication Communication Skills
  • United States
  • $70k–$90k/yr
  • Jun 22, 2026

Overview 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.

Science & Research Full-time
AI Healthcare Analytics +12 Sustainability Microsoft Teams GenAI Monitoring Analysis Flexible Research Operations Management Quality Assurance Machine Learning Engineering
  • United States
  • $153,000 – $180,000/yr
  • Jun 22, 2026

Overview 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…

Auditing Accuracy History +12 Product Management Audit ICD-10 Make Operations Management Documentation Writing Education Nursing Assurance MS-DRG
  • United States
  • From $45.7/hr
  • Jun 18, 2026

Overview This DRG Validation Auditor role is focused on our Cross Claim Clinical Reviews (CCCR). Auditors in this role will be doing DRG Validation for our prepay and retrospective audits and making determinations without a medical record.

Science & Research Full-time
AI Healthcare Microsoft Teams +12 GenAI Monitoring Analysis Flexible Research Operations Management Quality Assurance Engineering Statistics Transformers Fine-Tuning
  • United States
  • $130,000 – $156,000/yr
  • Jun 17, 2026

Overview The Sr Gen AI Data Scientist I - 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.

Healthcare Analysis Microsoft Excel +12 Analytics Training Education Communication Observation Accuracy Multi-tasking Compliance Organization Insurance Data Analysis Data Analytics
  • United States
  • $70,000 – $90,000/yr
  • Jun 17, 2026

Overview 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.

Operations Research Assurance +12 Logic Algorithms Writing Microsoft Teams Accuracy Procedures Authorization CPT Problem Solving Microsoft Excel Communication Organization
  • United States
  • $100,000 – $135,000/yr
  • Jun 17, 2026

Overview The Drug and Biological Policy (D&B) Content Analyst II is a key member of the clinical operations and content team and is responsible for the research, quality assurance, and maintenance of existing D&B policies.

Program Manager Full-time
Healthcare Accuracy Planning +12 Verification Management Microsoft Teams Analysis Collaboration Communication Finance Testing Cross-Functional Collaboration Alignment Go Leadership
  • United States
  • $122,000 – $155,000/yr
  • Jun 16, 2026

Overview Cotiviti works with more than 200 healthcare payers and health systems, including all of the top 25 plans in the United States, to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs.

AI Research Healthcare +12 Computer Science Operations Databases LLMs Machine Learning Organization Governance Communication Collaboration Management Microsoft Teams Leadership
  • United States
  • $32 – $40/hr
  • Jun 15, 2026

Overview The Generative AI Research Engineer Intern conducts primary and secondary research of advanced and emerging healthcare informatics technology with a focus on Generative AI and emerging Artificial General Intelligence technology for healthcare treatment, payment, and…

Data & Analytics Full-time
Operations ETL SQL +12 Management Analysis Engineering Organization Compliance Oracle Database Healthcare Pharmacy PowerPoint Microsoft Word Microsoft Excel Flexible
  • United States
  • $80,000 – $112,000/yr
  • Jun 15, 2026

Overview 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.

Engineering Organization Healthcare +12 Infrastructure Analytics AI Computer Science Leadership AWS Microsoft Azure Google Cloud Platform Apache Spark Apache Kafka dbt Culture
  • United States
  • $190,000 – $225,000/yr
  • Jun 15, 2026

Overview We are seeking a seasoned Director of Data Engineering to lead and scale a high-performing, enterprise-grade data engineering organization for a healthcare company with petabytes of data.

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