careers-cotiviti

Overview The Principal Recruiter is a true strategic business partner to our hiring teams, with the ability to utilize recruitment expertise to effectively partner with managers across assigned departments in proactively sourcing, attracting and hiring the best qualified talent. This role may have s

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. The ideal candidate for this position needs to have both a s

Overview The Coding Manager leads a team of coders, directly or indirectly, to deliver key components to the Cotiviti coding program. This role works with the Director of Coding, the Client team and other areas related to production, QA, and analytics for oversight of ongoing production and quality

Overview 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

Overview As a Medical Reviewer, you will be auditing medical records to evaluate the accuracy of medical coding and health plan policies for our Fraud, Waste & Abuse clients. Responsibilities Conducts audit of medical records and healthcare claims assessing the accuracy of medical coding and determi

Overview This new and evolving position includes diverse responsibilities such as assisting with the alignment in the Outpatient Specialty (OPSP) policies across Commercial and Government and assisting with project work by leveraging skills in Excel, Visio, and PowerPoint, and coordinating with othe

Overview The Team Lead is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team Lead role are passionate about leading a team to accomplish the identified goals for the success of t

Overview We are seeking a Business Analytics Intern to join our healthcare data processing and AI team. This internship focuses on analyzing Risk Adjustment healthcare data, performing Precision Recall (PR) calculations, and supporting AI/NLP innovation projects. You'll apply SQL and analytical skil

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. This role aligns with our post-pay Fraud Waste & Abuse team. Responsi

Overview A Payment Accuracy, Coordination of Benefits (COB) Specialist 1 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. This role is responsible for reviewing and anal

OverviewCotiviti 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. We take in billions of clinical and financial

Overview This auditing role will be responsible for performing retrospective clinical chart reviews on Readmission and Place of Service Claims by utilizing nationally accepted guidelines, clinical review judgment and review methodologies specific to the contract for which services are being provided

Overview Opening available for Solution Consultant at Cotiviti, Inc. in South Jordan, UT. Responsibilities Serve as the technical and functional pre-sales expert for Edifecs solutions. Collaborate closely with the Sales and Account Management teams throughout the entire sales cycle. Translate new pr

Overview 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 financ

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. This role is responsible for architecting and governing the data infrastructure and drive the technical

Overview This internship centers on researching and developing advanced healthcare informatics solutions with a specialization in Agentic AI—AI systems capable of autonomous reasoning, decision-making, and goal-directed behavior. The intern will explore applications of Agentic and Generative AI in h

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 operations use cases. Cr

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. Our specialists are passionate about what they d

Overview The Public Relations Director leads Cotiviti’s external communications strategy, driving brand visibility, executive thought leadership, and market positioning across the healthcare ecosystem. This role owns Cotiviti’s public relations (PR) program, including media relations, earned media o

Overview 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