cotiviti

Cotiviti is seeking a licensed MD/DO to join the Go To Market team as Client Medical Director for the Prospective Payment Management client. The CMD will act as a medical payment policy SME, partner with the Engagement Leader, review client data, and present policy options to advance value and trust.Responsibilities include advising on medical policy edits,...

Overview Opening available for Senior Software Engineer - .NET at Cotiviti, Inc. in South Jordan, UT:  Responsibilities Design, develop, support, and enhance software applications and reusable software components for the Cotiviti product suite, with a focus on UI/UX and backend functionality. Perform ongoing maintenance of existing...

## Overview The Technical Project Manager will be responsible for leading Infrastructure-related projects as well as assisting teams to complete day-to-day workloads. They will partner with various other teams at Cotiviti, including Research & Development and Client Implementations to deliver client centric projects. The IT Project Manager will also...

Overview The Vice President, Sales is responsible for the development and strategic execution of annual sales plans to support the acquisition of new clients and sale of new solutions for the Cotiviti Retail division. This is a hunter role focused on hunting new business for Cotiviti’s Retail Payment Integrity Services and Solutions to the...

Overview 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. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for...

Job Description The Sr Software Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior developers, US and India based development team members, business owners, project...

Cotiviti is seeking a Senior Software Engineer to support and enhance software modules within the Cotiviti product suite. You will collaborate with senior developers, offshore teams, business owners, and project management to deliver reliable software solutions. The role requires strong expertise in Java or Python, Spark/PySpark, SQL, and cloud experience....

Overview A Payment Accuracy, Data Mining (DM) Specialist, is a member of the greater Data Mining Business Unit (BU). Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types. A Payment Accuracy Data...

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 do and are experts at reviewing, discovering, and...

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 part of a team that is expanding rapidly and...

Cotiviti is seeking a Principal Insights Analyst to translate complex data into strategic insights for revenue growth and operational excellence. The role partners with marketing, sales, product, finance, and technology to deliver scalable analytics and actionable narratives at the executive level. You will mentor analysts, develop training materials, and...

Overview The Content Analyst II 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. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define...

## Overview The Content Analyst II 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. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research necessary to define...

Cotiviti is looking for a Senior Product Manager to oversee the product development lifecycle for healthcare enrollment. The role involves working closely with stakeholders to gather requirements and ensure product quality. Ideal candidates will have 5-8+ years of product management experience and a deep understanding of healthcare processes. The...

Cotiviti is hiring an AI-Native Product Lead who will be responsible for managing the product backlog, ensuring that business needs are translated into clear requirements, and facilitating effective communication between stakeholders and the AI-Native team. The ideal candidate will have over 6 years of experience in product ownership and strong skills in...

**Lead Senior Software Engineer – Cloudera Hadoop Stack** **Client: Cotiviti USA** **Location: Pennsylvania – Remote** **Long Term Contract** **Rate: $70/h on 1099** **Important:** All candidates selected for an interview must complete the mandatory identity verification process. **Job Description** **Overview** Cotiviti is a leading solutions...

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 meet and exceed client expectations. This role...

Cotiviti in Idaho is seeking an auditing professional focused on Coding & Clinical Chart Validation for Outpatient and Specialty audits. The ideal candidate combines a nursing background with coding/auditing expertise across SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. The role audits outpatient/specialty claims, documents results,...

Overview 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. In addition, this position will be responsible for review and analysis of current medical policies and assisting in the research...

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 part of a team that is expanding rapidly and...