careers-cotiviti

Overview The Senior Manager, Audit Manager Training leads the design, delivery, and continuous improvement of training and capability-building programs for audit managers and quality audit staff across CCV. This leader owns the curriculum that prepares auditors and audit managers to apply audit guid

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

Overview The Senior Technical Specialist will collaborate closely with the RCA - Content & Enablement Department, the Implementations Team, and the Audit Operations and R&D teams. This role is responsible for the intake, logic development, deployment, and maintenance of Business Rules that support R

Overview The Design Director is responsible for leading the visual execution of the Cotiviti brand across all channels and touchpoints. This role combines exceptional design expertise with strong creative leadership to develop compelling, strategically driven creative that elevates the brand, streng

Overview The Immigration Counsel will serve as in-house immigration legal advisor to Cotiviti. They will be responsible for partnering with leadership on company immigration operations in compliance with federal and state laws and administrative policies. This person will act as the extensive knowle

Overview We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for the Risk Adjustment (RA)

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 Cotiviti Healthcare is a leader in payment accuracy services, serving top-tier companies in healthcare and retail. We're seeking visionary tech talent ready to revolutionize healthcare systems, drive innovation at scale, and accelerate their career to the next level. Join our dynamic team o

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 A Payment Accuracy, Coordination of Benefits (COB) Specialist 2, 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. The Payment Accuracy, Coordination of Benefits

Overview The Client Services Manager services as the point of contact for clients and is focused on providing the highest level of service to our clients. Role serves as both internal and external client liaison, including triaging, managing, monitoring and support of client related activity, primar

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 d

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 d

Overview The Implementation Manager is accountable for the operational execution of the project plan for new customers or new projects specific to existing customers. They will partner with the client services organization to meet client expectations and revenue goals, as well as with any/all intern

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 Payment Insight Analyst I is a position within the CCV business unit responsible for reviewing internal and client systems, as well as contracts, to determine how healthcare claims should be paid. This role involves analyzing claim information, interpreting client requirements, and appl

Overview A Lead Solution Consultant will play a pivotal role in driving Cotiviti’s growth by combining deep technical expertise with strong pre-sales acumen across the healthcare payer landscape. This is a client-facing role requiring the ability to lead technical discovery, perform detailed assessm

Overview The Sr. Software Database Engineer is primarily responsible for designing, developing, and maintaining database applications and reusable software components deployed in the Cotiviti product suite, with a strong focus on performance tuning for large-volume data sets and leveraging AI-assist

Overview This is a Senior Auditor, Team Lead, with responsibility for supervising a team of Clinical Validation Auditors or other audit team members. Team Leaders ensure that the work of others meets productivity standards, quality guidelines and audit efforts of the client engagement. Primary respo

Overview We are seeking a highly experienced Senior AI Engineer to own the development and evolution of two foundational components of our clinical AI platform: the clinical NLP integration layer that connects existing coding infrastructure with the AI pipeline, and the golden dataset pipeline that