careers-cotiviti

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

Overview 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. This role partners with Sales and cross-functional teams to understand cl

Overview 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. Create templates and processes for dat

Overview 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. These are full-time remote positions and can be done anywhere with

Overview The Sr Sales Solution Consultant – Healthcare is a client-facing presales professional who helps healthcare payer organizations modernize and optimize data exchange across administrative and clinical workflows. The role combines practical expertise in healthcare EDI/X12 and FHIR-based inter

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 Data & Insight Analyst is a mid-level position responsible for developing and supporting scalable analytics and reporting solutions that drive business decision-making. This role involves hands-on work with data integration, report development, and performance optimization across variou

Overview 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. This role investiga

Overview The Senior Manager, Revenue Cycle Operations leads a team of Business Operations Analysts and Revenue Cycle Specialists supporting Cotiviti’s Clinical Chart Validation (CCV) operations and client delivery. This leader oversees revenue cycle management, month-end close activities, inventory

Overview 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. This role involves developing secure deployment strategies for AI models, particularly

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 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. This includes but is not limited to managing data implementations, data production, data quality, and data securi

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 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, project manage

Overview The Sr. Enterprise Process Specialist is tasked with driving large, cross-discipline, company-wide process improvement and operational projects with high executive visibility. These projects include improving operational efficiency and reducing cycle times, international operations and offs

Overview 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. This role ensures the successful launch and ongoing management of a product or product line by aligning bu

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 coding and billing p

Overview 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. If you're a creative problem-solver ready to drive meaningful change and accelerate your caree

Overview 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. Other responsibilities include managing

Overview Director, Product Management for value-based payments is a senior leadership role responsible for overseeing, developing, and executing the product strategy for the business. This role typically involves a combination of strategic thinking, team leadership, and hands-on involvement in produ