careers-cotiviti

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 guidelines, coding c

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 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. Adhere to and remain in

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. These insights uncover new opportunities for healthcare organizations to collaborate to improve their fina

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. The intern will support multiple proj

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

Overview Opening available for Lead Support Engineer at Cotiviti, Inc. in South Jordan, UT. Responsibilities Provide technical and product support to enterprise clients related to technical and operational aspects of the products. Provide mentorship and task guidance to Product Engineering staff. Pa

Overview Opening available for Software Engineer - Dev Retrieval Platform at Cotiviti, Inc. in South Jordan, UT. Responsibilities Design, develop, and maintain software applications and reusable components for Cotiviti’s product suite, adhering to SDLC phases and coding standards. Build front-end we

Overview Opening available for Senior Manager, Analytics at Cotiviti, Inc. in South Jordan, UT. Responsibilities Lead the development of analytics and Opportunity Analysis (OA) that drive optimization and grow company revenue. Maintain and operate multiple-rule engines for the optimization process a

Overview Opening available for Implementation Engineer at Cotiviti, Inc. in South Jordan, UT. Responsibilities Responsible for post-sales implementation of Cotiviti healthcare data management platform solutions. Coordinate with the sales team to understand customer requirements and communicate with

Overview The Product Owner serves as the key bridge between business stakeholders, Operations, Business Architecture, PMO, Training/Change Enablement, and R&D. This role is responsible for translating business priorities into clear, prioritized, delivery-ready requirements that enable faster executi

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. Works closely with audit team, payers and providers to understand claims and o

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. You will define technical strategy, drive cross-functional a

Overview As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti. The BDR frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations. You

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. Responsibilities This position

Overview The Senior Product Manager – Edifecs is the liaison between business stakeholders, product management leadership and engineering managers. This role works with these stakeholders to understand current and future needs related to one or more products and/or modules and iteratively develop pr

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). The VP, Account Management is accountable for the coordination and transparency needed to drive a successful,

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. Responsibilities Develop and maintain project plans, milestones, RAID logs

Overview The focus of the VP, Client Engagement is to develop and execute against growth, renewal and retention strategies on their customers within the top customer tier. The VP Client Engagement is accountable for the coordination and transparency needed to drive a successful, multi-pronged growth

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. The individual will work collaboratively