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62 remote jobs found
Nursing Medicare Medicaid +12 Documentation Auditing Consistency AI Audit Procedures Accuracy Microsoft Teams Quality Assurance Healthcare Communication Research
  • United States
  • $47.75 – $57/hr
  • Oct 21, 2026

The Senior Auditor, Appeals is responsible for defending Cotiviti’s recovery determinations and appeals for skilled nursing facility (SNF), inpatient rehabilitation facility (IRF), home health, durable medical equipment (DME), and hospice claims.

Sales Engineer Full-time
Sales Cross-Functional Collaboration Microsoft Teams +12 RFP Documentation Analytics Decision Support Accuracy Medicare Management Leadership Operations CMS-HCC Training Positioning
  • United States
  • $142,000 – $177,000/yr
  • Oct 20, 2026

The Senior Solutions Consultant for Risk Adjustment serves as Cotiviti's subject matter expert and trusted advisor for payer and provider risk adjustment, with a primary focus on prospective and concurrent strategies.

Reporting Analysis Forecasting +12 Templates Translation Budgeting & Forecasting Operations Quality Assurance Leadership Agile Accounting Finance CPA Communication Microsoft Excel
  • United States
  • $86,000 – $105,000/yr
  • Oct 19, 2026

Under direction of FP&A leaders, this role will provide financial reporting, analysis, and forecasting support to Business Unit or sub-business unit leaders as assigned. Analyze consolidated actual results vs. forecast, plan, and prior year benchmarks.

Accuracy Auditing Training +12 Quality Assurance Communication Assurance Communications Operations Teaching Mentoring Education Compliance Physiology Organization Management
  • United States
  • $25 – $30/hr
  • Oct 16, 2026

Cotiviti has multiple openings for full-time coders....these roles will focus on claims audits for appeals, checking for completeness & accuracy based on coding guidelines. Experience with E&M coding & auditing is preferred.

Senior Accountant Full-time
Analysis Reconciliation Reporting +12 ROOT Verification Accuracy Alignment Finance Operations Engineering Business Intelligence Automation Reconciliations Investigations Documentation
  • United States
  • $80,000 – $95,000/yr
  • Oct 12, 2026

The Sr. Revenue Integrity Analyst owns advanced revenue analysis and key month-end controls that support accurate invoicing, revenue application, inventory reconciliation, revenue cycle processes, and financial reporting within the complex chart review business function.

Security Engineer Full-time
AI Compliance Cybersecurity +12 Confidentiality Machine Learning Modeling Microsoft Teams Procedures Testing Investigations NIST Make Cross-Functional Collaboration Architecture Governance
  • United States
  • $170,000 – $212,000/yr
  • Oct 8, 2026

An AI Security Architect is responsible for designing and implementing robust security frameworks for AI systems, ensuring their protection against adversarial attacks, data breaches, and ethical issues.

Compliance Officer Full-time ↘ +1 regions
Healthcare Analysis Microsoft Excel +12 Analytics Training Education Communication Observation Accuracy Multi-tasking Compliance Organization Insurance Data Analysis Data Analytics
  • United States
  • $70k – $90k/yr
  • Oct 7, 2026

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.

Project Manager Full-time
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
  • Oct 6, 2026

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.

Program Manager Full-time
Management Assurance Monitoring +12 Mentoring Planning Strategic Thinking Organization Accuracy Training Communications Healthcare Contracts Culture MBA PMP
  • United States
  • $154,000 – $196,000/yr
  • Oct 5, 2026

We are seeking a talented individual for a Senior Director of Government Programs (Federal and/or State) who is responsible for the overall P&L of key strategic Cotiviti Government Service (CGS) government contract/Agency Program(s), including managing financial, operational,…

Product Manager Full-time
Strategic Thinking Management Alignment +12 Operations Cross-Functional Collaboration Collaboration Leadership Communication AI Microsoft Teams Positioning Messaging Sales Marketing Microsoft Excel
  • United States
  • $103,000 – $128,000/yr
  • Oct 5, 2026

The Product Manager plays a strategic and executional role within the business, responsible for leading product development, strategy, and performance within an assigned business unit.

Operations Manager Full-time
Healthcare Accuracy Training +12 Communications Audit Leadership Reconciliations Culture Microsoft Teams Management Compliance Planning Benchmarking Procedures Education
  • United States
  • $60,000 – $80,000/yr
  • Oct 2, 2026

Join a dynamic team at Cotiviti Healthcare where innovation meets impact! We're revolutionizing healthcare payment accuracy and seeking passionate professionals who want to transform the industry.

Management Reconciliation Payments +12 Alignment Research Cross-Functional Collaboration Microsoft Teams Reconciliations Accounts Payable History Reporting Audit Communication Compliance Finance
  • United States
  • $20 – $23.50/hr
  • Oct 2, 2026

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.

Auditing Diagnostics Accuracy +12 Audit Pharmacy Procedures Documentation Healthcare Communication Education Nursing HIPAA Compliance ICD-10 CPT
  • United States
  • $45.67/hr
  • Oct 2, 2026

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…

Product Manager Full-time
Strategic Thinking Collaboration Analysis +12 Organization Healthcare Reporting FHIR Creativity Leadership Management Mechanics AI Authorization Analytics Planning
  • United States
  • $225,000 – $265,000/yr
  • Sep 30, 2026

As VP Product, Interoperability, you will own and execute Cotiviti’s market strategy, product roadmap and commercial growth for health plan interoperability — extending our leading industry position and expanding our impact into broader payer / provider collaboration.

Management Troubleshooting Collaboration +12 Engineering Microsoft Teams Analysis Leadership Mentoring Acting ROOT Infrastructure Documentation Procedures Monitoring Automation
  • United States
  • $110,000 – $148,000/yr
  • Sep 29, 2026

The Sr. Support Engineer plays a critical role in providing advanced technical and functional support for Smart Trading solutions, including Transaction Management, XES, and related trading and post-trade processing platforms.

Management Payments Training +12 Onboarding Acting Compliance Make Audit Research Accounts Payable History Reporting Reconciliation Operations Microsoft Word
  • United States
  • $23.25 – $24.75/hr
  • Sep 28, 2026

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.

Data Engineer Full-time
Engineering AI Architecture +12 Agile Management Alignment Templates Microsoft Teams Strategic Thinking Organization Coaching Mentoring HIPAA Compliance Confidentiality
  • United States
  • $145,000 – $175,000/yr
  • Sep 25, 2026

We are seeking an experienced Manager, Engineering- AI to lead our data engineering team. This individual will play a crucial role in overseeing the development of strategic perspectives regarding IT architecture and business needs.

Operations Reporting Benchmarking +12 Microsoft Azure JIRA REST API Architecture Make MATCH Authentication Authorization Segmentation Compliance Microsoft Teams Engineering
  • United States
  • $130,000 – $176,000/yr
  • Sep 21, 2026

Cotiviti is consolidating several client-facing portals into one unified Client Performance Portal — spanning executive, analyst, and operations views, and covering SLA reporting, benchmarking, case detail, enhancement requests, roadmap visibility, regulatory insights, and…

AI Research Healthcare +12 Computer Science Operations Databases LLMs Machine Learning Organization Governance Communication Collaboration Management Microsoft Teams Leadership
  • United States
  • $32 – $40/hr
  • Sep 18, 2026

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 operations…

Data Engineer Full-time
Operations ETL SQL +12 Management Analysis Engineering Organization Compliance Oracle Database Healthcare Pharmacy PowerPoint Microsoft Word Microsoft Excel Flexible
  • United States
  • $78,000 – $120,000/yr
  • Sep 17, 2026

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.

AI GenAI Healthcare +12 Monitoring Machine Learning Ethics Benchmarking Management Algorithms Metadata Engineering Statistics Operations Research Transformers
  • United States
  • $153,000 – $180,000/yr
  • Sep 16, 2026

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.

Senior Accountant Full-time
Analysis Reconciliation Reporting +12 ROOT Verification Accuracy Alignment Finance Operations Engineering Business Intelligence Automation Reconciliations Investigations Documentation
  • United States
  • $80,000 – $95,000/yr
  • Sep 16, 2026

The Sr. Revenue Integrity Analyst owns advanced revenue analysis and key month-end controls that support accurate invoicing, revenue application, inventory reconciliation, revenue cycle processes, and financial reporting within the complex chart review business function.

Project Manager Full-time
AI Machine Learning Cross-Functional Collaboration +12 Microsoft Teams Strategic Thinking Alignment Engineering Leadership Reporting Communication Operations Monitoring Optimization Organization Decision Making
  • United States
  • $100,000 – $140,000/yr
  • Sep 14, 2026

As an AI Program/Project Manager, you will play a pivotal role in driving the development and deployment of innovative AI/ML solutions.

Monitoring Infrastructure Microsoft Teams +12 Analysis Make ROOT Management Communication Documentation Operations Training Engineering Leadership Linux SQL
  • United States
  • $70,000 – $92,000/yr
  • Sep 9, 2026

The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams.

Systems Engineer Full-time
Operations Kubernetes Engineering +12 Troubleshooting Linux Infrastructure Analysis Jenkins GitLab Microsoft Azure DevOps AWS Observability Grafana Datadog
  • United States
  • $107,000 – $128,000/yr
  • Sep 4, 2026

This role provides senior-level technical engineering and troubleshooting support for enterprise clients running hybrid environments that span legacy Windows and Linux systems and Kubernetes-based infrastructure.

AI Governance Documentation +12 Compliance Monitoring Reporting Mechanical Systems Alignment Management Leadership Procedures Triage Organization Audit Testing
  • United States
  • $130,000 – $180,000/yr
  • Sep 4, 2026

The Artificial Intelligence Governance, Director provides enterprise-wide oversight, coordination, and visibility for Cotiviti’s AI governance framework, ensuring consistent documentation, responsible AI use, regulatory readiness, and ongoing post deployment compliance…

Monitoring Infrastructure Microsoft Teams +12 Analysis Make ROOT Management Communication Documentation Operations Training Engineering Leadership Linux SQL
  • United States
  • $70,000 – $92,000/yr
  • Sep 2, 2026

The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams.

Backend Engineer Full-time ↻ Reposted
Java Angular React +12 Spring Boot Analytics Healthcare Management Engineering Leadership Databases ETL Optimization SQL Oracle Database Procedures
  • United States
  • $111,000 – $150,000/yr
  • Aug 28, 2026

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.

Microsoft Teams Operations Marketing +12 Pharmacy Auditing Accuracy Architecture Modeling Prototyping Analysis Documentation Microsoft Word Microsoft Excel PowerPoint JIRA
  • United States
  • $135,000 – $153,000/yr
  • Aug 27, 2026

The Sr. Technical Product Owner (STPO) is responsible for driving solution definitions that support business ideas and product concepts that can be turned into application software solutions.

Management Reconciliation Payments +12 Compliance Onboarding Training Coaching Collaboration Accounts Payable History Reporting Audit Accuracy Operations Accounting
  • United States
  • $21.75 – $25.50/hr
  • Aug 27, 2026

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.

Data Architect Full-time
Governance Analytics Architecture +12 Organization AI Machine Learning Leadership Strategic Thinking Reporting Microsoft Teams Consistency Metadata Management Monitoring Compliance
  • United States
  • $150,000 – $200,000/yr
  • Aug 27, 2026

The Data Governance & Analytics Architecture Director is a leader within the Health Enablement Analytics organization responsible for ensuring all data, analytics, and AI initiatives are built on a scalable, standardized, and governed foundation.

Enterprise Sales Manager Full-time ↻ Reposted
Sales Healthcare Procurement +12 Management Research Procedures Communication Microsoft Teams Marketing Prospecting Segmentation Leadership Salesforce Dynamics AI
  • United States
  • $147,000 – $192,000/yr
  • Aug 25, 2026

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.

Auditing Accuracy Audit +12 ICD-10 Make Operations Management Documentation Writing Education Nursing Assurance MS-DRG Compliance CPT
  • United States
  • $45.67/hr
  • Aug 24, 2026

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…

Marketing & Growth Full-time
Marketing Positioning Leadership +12 Messaging Consistency Sales Communications Cross-Functional Collaboration Governance Research Planning Logistics MBA Storytelling Communication
  • United States
  • $125,000 – $150,000/yr
  • Aug 21, 2026

The Enterprise Marketing Director executes marketing initiatives that support Cotiviti's established enterprise narrative and brand positioning under guidance from marketing leadership - work that spans every portfolio rather than belonging to one.

Operations Research Assurance +12 Analysis Logic Algorithms Management Genetics Pharmacy Accuracy Editing Writing Go Microsoft Teams Leadership
  • United States
  • $95,000 – $115,000/yr
  • Aug 20, 2026

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.

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
  • Aug 14, 2026

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.

Engineering Healthcare Analytics +12 Cross-Functional Collaboration Leadership Microsoft Teams AI Automation Management Compliance Strategic Thinking Organization Culture Alignment Architecture
  • United States
  • $207,000 – $247,000/yr
  • Aug 12, 2026

We are a Healthcare Data Analytics company looking for Senior Director, Software Engineering within our Payment business. In this role you will lead, direct, and manage the cross-functional technology delivery team.

AI Architecture Organization +12 Natural Language Processing MLOps Engineering Microsoft Teams Governance Scalability Compliance Open Source APIs Cross-Functional Collaboration Analysis Planning
  • United States
  • $208,000 – $260,000/yr
  • Aug 12, 2026

We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives.

Sales Engineer Full-time
Sales Healthcare Architecture +12 Engineering Leadership Microsoft Teams Analytics Strategic Thinking Organization Positioning Solution Design Accuracy APIs Alignment Storytelling
  • United States
  • $165,000 – $200,000/yr
  • Aug 7, 2026

The Principal Sales Solutions Consultant is a strategic, client-facing healthcare technology advisor responsible for helping drive revenue growth through consultative discovery, enterprise solution architecture, value engineering, and technical pre-sales leadership.

Program Manager Full-time
Quality Assurance Cross-Functional Collaboration Microsoft Teams +12 Planning Compliance Medicare Medicaid Communication Operations Assurance Management Go Testing Procedures Culture
  • United States
  • $105,000 – $125,000/yr
  • Aug 5, 2026

The Medical Policy Release Manager is responsible for managing the medical policies releases, release schedule, and IT system related updates. This role oversees QA, validation, and release of medical policy content prior to production deployment.

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