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.
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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.
The Coordination of Benefits (COB) & Data Mining (DM) Audit Support is a member of the greater Coordination of Benefits and Data Mining teams.
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.
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.
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.
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.
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.
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.
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.
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,…
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.
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.
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.
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…
Director, Product Management for value-based payments is a senior leadership role responsible for overseeing, developing, and executing the product strategy for the business.
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.
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.
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.
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.
This role is responsible for leading the end-to-end administration, governance, and strategic evolution of the company’s Management Equity Program (MEP).
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…
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…
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.
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.
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.
As an AI Program/Project Manager, you will play a pivotal role in driving the development and deployment of innovative AI/ML solutions.
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.
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.
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…
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.
Provide technical and operational support to enterprise customers by resolving product-related issues and delivering high-quality customer experience.
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.
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.
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.
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.
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.
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.
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…
The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the CPE editing engine.
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.
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.
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.
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.
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.
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.
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.
The Platform Systems Analyst is responsible for analyzing, optimizing, and supporting enterprise platforms to ensure alignment between business needs and technical delivery.
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