United States · Remote Solely
$91k–$129k/yr
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…
Skills: Java, Drools, Bitbucket, Spring Boot, SQL
Ciudad de México, Mexico · On-site
$20k–$20k/mo
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
United States · Remote Solely
$110k–$130k/yr
Overview Join a recently formed team focused on Model Risk and Responsible AI. The Generative AI Scientist - Risk will apply knowledge and experience to real world problems and seek to utilize their skills to reduce the …
Skills: Generative AI, Model Validation, Responsible AI, Natural Language Processing, LLM Fine-tuning
United States · Remote Solely
$16/hr–$19/hr
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…
Skills: Collections, Customer Service, Medical Billing, Medical Coding, Written Communication
United States · Remote Solely
$110k–$150k/yr
Overview The Sr. Technical Program Manager (R&D) is responsible for overseeing the development and execution of complex initiatives that requires coordination of teams using a variety of software delivery practices that …
Skills: Technical Program Management, SAFe, Agile, Scrum, Kanban
United States · Remote Solely
$250k–$280k/yr
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…
Skills: Machine Learning, LLM Evaluation, Retrieval-Augmented Generation, PyTorch, SQL
United States · Remote Solely
Overview This auditing role will focus on Coding & Clinical Chart Validation for our Inpatient audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding / auditing background focuse…
Skills: Clinical Chart Validation, Inpatient DRG Auditing, ICD-10 Coding, Medical Audit, Clinical Review
United States · Remote OK
$100k–$135k/yr
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 man…
Skills: Project Planning, Schedule Management, Issue Resolution, Meeting Facilitation, Stakeholder Communication
United States · Remote Solely
$115k–$140k/yr
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…
Skills: Product Management, Agile/Scrum, Healthcare Enrollment, Requirements Gathering, Backlog Prioritization
Ciudad de México, Mexico · On-site
$32k–$40k/mo
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, Contract Compliance, Project Management, Performance Metrics
United States · Remote OK
$95k–$115k/yr
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 addi…
Skills: Claims Payment Analysis, Medical Policy Research, Clinical Coding, Business Logic Writing, Data Synthesis
United States · Remote OK
$140k–$175k/yr
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 …
Skills: Client Engagement, Strategic Planning, Relationship Management, Healthcare Analytics, Problem Diagnostics
United States · Remote Solely
$47/hr–$56/hr
Overview The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our cl…
Skills: Clinical Quality Assurance, Claims Auditing, Medical Necessity Review, Healthcare Auditing, Clinical Validation
United States · Remote Solely
$130k–$165k/yr
Overview Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our client…
Skills: Java Springboot, Python, Kafka, Object-Oriented Development, ETL
United States · Remote OK
$225k–$275k/yr
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 t…
Skills: Medical Policy, Medical Coding, Payment Integrity, Claims Adjudication, Clinical Liaison
United States · Remote Solely
$145k–$170k/yr
Overview Join a recently formed team focused on Model Risk and Responsible AI. The Senior GenAI Scientist II – Risk will apply knowledge and experience to real world problems and seek to utilize their skills to reduce th…
Skills: Generative AI, Model Validation, Responsible AI, Large Language Models, Natural Language Processing
United States · Remote Solely
$153k–$180k/yr
Overview The Sr Data Scientist - Generative AI II will apply knowledge and expertise to real world problems to enable healthcare organizations to deliver better care at lower cost through advanced technology and data ana…
Skills: Generative AI, Natural Language Processing, Large Language Models, PyTorch, TensorFlow
United States · Remote Solely
$70k–$90k/yr
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 investig…
Skills: Data Analysis, Excel, Healthcare Fraud Investigation, Interviewing, Report Writing
United States · Remote Solely
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 withou…
Skills: DRG Validation, ICD-10 Coding, Clinical Validation, Claims Auditing, Medical Necessity Review
United States · Remote Solely
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
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Design and develop high-quality software modules and reusable components for the Cotiviti product suite. Collaborate with cross-functional teams to analyze requirements, resolve software issues, and mentor team members in engineering best practices.
Requires a Bachelor's degree in Computer Science or a related field with 2-3 years of experience in Java or Python and database optimization. Must have 3+ years of experience with Java platform design patterns, Drools rule authoring, and platform tools like Bitbucket.
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 financial performance, reduce inefficiency, and improve healthcare quality.
The Software Engineer is responsible for the design and development of software applications and reusable software components for the Cotiviti Inc product suite, in compliance with predefined coding standards and technical design. This person will collaborate effectively and work with Senior Developers, QA, Product Owners, Project Management, and other stake holders. Cotiviti develops highly innovative applications in healthcare analytics to generate performance, improvement opportunities and value for our clients.
This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.
Base compensation ranges from $91,000 to $129,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.
Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.
Since this job will be based remotely, all interviews will be conducted virtually.
Date of posting: 06/19/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 08/19/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.
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The Healthcare Infrastructure Company™
Cotiviti’s infrastructure platform 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. For more information, visit www.cotiviti.com.
Offices: 10701 S River Front Pkwy, Unit 200, Unit 200, South Jordan, UT 84095, US
The Healthcare Infrastructure Company™
Cotiviti’s infrastructure platform 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. For more information, visit www.cotiviti.com.
Offices: 10701 S River Front Pkwy, Unit 200, Unit 200, South Jordan, UT 84095, US
