Jobs at Cotiviti (Now Hiring) — 107 open — Page 4

Lead Software Engineer

India · Remote OK

Senior

Overview We are seeking a Lead Software Engineer to design and deliver the core backend services for our centralized AI platform. This role bridges hands-on engineering and technical leadership — owning major components …

Skills: Python, FastAPI, Django, Flask, PostgreSQL

Technical Lead

Hyderabad, Telangana, India · On-site

Senior+

Overview Cotiviti Hyderabad is looking for Data Platform Technical Lead for one of its products team. The purpose of this position is to provide technical leadership, guidance to team and work independently as well as to…

Skills: Java, Python, Airflow, Kotlin, AWS

Lead Software Engineer

India · Remote OK

Senior

Overview Cotiviti is seeking an experienced Frontend Developer (IC4) to design and build the user interface for our centralized AI platform. This role will focus on creating an intuitive, responsive frontend that enables…

Skills: React, Angular, Vue.js, TypeScript, JavaScript

Principal AI Engineer

India · Remote OK

Senior+

Overview Cotiviti is seeking an experienced AI Engineer to design, build, and maintain a cutting-edge agentic framework and centralized AI platform that will serve as the backbone of our organization's AI initiatives. Th…

Skills: Python, LangChain, LangGraph, CrewAI, AutoGen

Auditor Clinical Validation Outpatient Specialty Clinical

United States · Remote Solely

Senior

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 ba…

Skills: Clinical Chart Validation, Medical Coding, Outpatient Auditing, Medical Necessity Review, ICD-10

Customer Program Manager

United States · Remote OK

$70k–$105k/yr

Senior

Overview Cotiviti is seeking a passionate and results-driven Customer Program Manager to join our team and play a key role in driving long-term success for our clients through the effective use of Cotiviti products. In t…

Skills: Project Planning, Relationship Management, Data Processing, Revenue Recognition, Audit Compliance

Client Services Manager

United States · Remote Solely

$82k–$111k/yr

Senior

Overview The Client Services Manager (CSM) is responsible for coordinating the cross-functional client team and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth for the Pr…

Skills: Client Relationship Management, Project Management, Healthcare Operations, Claims Lifecycle Knowledge, Meeting Facilitation

AVP Account Management - Government

United States · Remote Solely

$180k–$210k/yr

Senior+

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…

Skills: Account Management, Strategic Planning, Client Relationship Management, Healthcare Analytics, Contract Management

Director Audit Operations (Content Enablement CCV)

United States · Remote OK

$142k–$173k/yr

Senior

Overview The Director, Audit Operations position is responsible for providing leadership and management for one or more accounts or significant audit projects. This role specifically focuses on growth, operationalization…

Skills: Healthcare Auditing, People Management, Account Management, Budgeting, Forecasting

Clinical Analyst I

United States · Remote Solely

$34/hr–$38/hr

Mid level

Overview This Coding Validation Analyst I position will perform daily audits on client data for completeness and accuracy of coding utilizing both coding and clinical knowledge and background to ensure appropriateness fo…

Skills: Medical Coding Audit, Clinical Knowledge, Provider Appeals, ICD-10, CPT

Medical Policy Director

United States · Remote Solely

$120k–$145k/yr

Senior+

Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with the Client Engagement Leader, Client Medical Director (CMD), the MPD co-captains the team serving the Prospective Payment Ma…

Skills: Medical Policy Development, Medical Coding, Claim Payment Adjudication, Client Relationship Management, Data Analysis

Solutions Analyst

United States · Remote Solely

$100k–$140k/yr

Mid level

Overview The Solution Analyst sits within Cotiviti’s Business Architecture organization and serves as the connective tissue between business strategy and technical delivery. Partnering with Research & Development (R&D), …

Skills: Business Analysis, Process Modeling, Requirements Elicitation, Agile Methodology, Product Management

Senior Auditor Appeals - OPSP

United States · Remote Solely

Senior

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…

Skills: Clinical Chart Validation, Medical Coding, Claims Auditing, DRG Validation, ICD-10

Policy Design Specialist I

United States · Remote Solely

$23/hr–$25/hr

Mid level

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 implement…

Skills: Policy Configuration, Medical Coding, Data Analysis, Quality Assurance, Medical Terminology

Business Analyst (Analista de Negocios)

Ciudad de México, Mexico · On-site

$29k–$34k/mo

Mid level

Overview A Business Analyst (BA) acts as a bridge between business stakeholders and technical teams to identify reporting and analytics needs, analyze operational processes, and deliver data-driven solutions. The BA ensu…

Skills: Requirements Gathering, Data Analysis, SQL, Tableau, Power BI

Auditor (Retail) - Bilingual English / Spanish

Ciudad de México, Mexico · On-site

Entry level

Overview The Auditor Retail role is an entry level position responsible for auditing client data and/or documentation on behalf of Cotiviti’s clients and generating high quality recoverable claims for the benefit of Coti…

Skills: Auditing, Data Mining, English Proficiency, Spanish Proficiency, Microsoft Excel

Team Lead Audit Retail

Ciudad de México, Mexico · On-site

$32k–$40k/mo

Senior

Overview The Team Lead will have direct supervisory responsibility for other members of the audit team. Manages the operation of a high-performance audit team, through the implementation of best practices, the developmen…

Skills: Team Leadership, Retail Audit, Project Management, Performance Metrics, Quality Control

Auditor (Retail) - Bilingual English / Spanish

Ciudad de México, Mexico · On-site

$20k–$21k/mo

Entry level

Overview The Auditor Retail role is an entry level position responsible for auditing client data and/or documentation on behalf of Cotiviti’s clients and generating high quality recoverable claims for the benefit of Coti…

Skills: Auditing, Data Mining, Financial Analysis, English Proficiency, Spanish Proficiency

Yield Support Specialist

United States · Remote Solely

$17/hr–$19/hr

Entry level

Overview The Yield Support team works to facilitate daily administrative activities efficiently and professionally within the department and business unit by assisting our Data Mining (DM) and Coordination of Benefits (C…

Skills: Data Entry, Administrative Support, Microsoft Office, HIPAA Compliance, Data Analysis

Business Process Optimization Retail Manager

United States · Remote OK

Senior+

Overview The Cotiviti Retail Business Process Optimization (BPO) Team is seeking a Manager to work closely with our operations, R&D, and client teams. We are looking for an individual who is a self-starter, interested in…

Skills: Business Process Optimization, Retail Audit Recovery, SQL Programming, Power BI, Tableau

About Cotiviti

The Healthcare Infrastructure Company™

Industry
Data Infrastructure and Analytics
Company size
5,001-10,000 employees
Headquarters
South Jordan, UT
LinkedIn followers
225,849

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. Cotiviti’s solutions increase transparency and collaboration between payers and providers while empowering them to reduce medical and administrative costs, enable better health, improve claims payment efficiency, streamline operations, drive interoperability, and advance value-based care. Its customers serve the majority of U.S. healthcare consumers, providing coverage and care for over 300 million members and patients. Additionally, Cotiviti offers data management and recovery audit services to the retail sector to improve business outcomes. For more information, visit www.cotiviti.com.

Offices: 10701 S River Front Pkwy, Unit 200, Unit 200, South Jordan, UT 84095, US

AnalyticsPayment IntegrityPayer LiabilityPayment AccuracyClinical AppropriatenessCoding ComplianceContract ComplianceProcure-to-PaySupplier AuditOverpayment Recovery
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