The Implementation Manager oversees the operational execution of project plans for new and existing customers while collaborating with cross-functional teams. They are responsible for managing implementation activities, identifying process improvements, and ensuring delivery goals are met on time and within budget.
The Technical Project Manager will lead infrastructure-related projects and assist teams in managing day-to-day workloads to ensure efficient delivery. They are responsible for defining project scope, creating work plans, mitigating team conflicts, and ensuring project documentation is accurate and complete.
The Lead Cloud Security Architect will design and implement security architecture for Google Cloud Platform workloads while advising engineering teams on best practices. They are responsible for conducting threat modeling, validating configurations, and ensuring all systems meet organizational security and compliance standards.
The auditor is responsible for performing inpatient DRG validation audits by analyzing medical charts and claims for coding accuracy and clinical appropriateness. They must document audit findings, generate audit letters, and meet productivity and quality standards using proprietary auditing systems.
The Associate Integration Solutions Engineer will design, implement, and maintain scalable integration solutions while collaborating with clients and internal teams. They will also evaluate emerging technologies like AI and Machine Learning to drive innovation within the company's software ecosystem.
The Design Manager provides operational and people leadership by managing design workflows, capacity, and cross-functional collaboration across the portfolio. They are responsible for mentoring the team, driving design standards, and ensuring the organization successfully adapts to AI-native product development.
The Senior Integration Solutions Engineer will design, implement, and optimize scalable integration solutions while collaborating with clients and internal teams. They will also provide technical leadership, mentor junior engineers, and evaluate emerging technologies like AI and Machine Learning.
The Content Analyst II is responsible for researching, developing, and maintaining clinical coding edits and medical policies for the Medicaid team. This role involves performing data analysis, providing clinical expertise for inquiries, and mentoring staff to ensure policy accuracy.
The Senior Support Analyst monitors, analyzes, and resolves technical issues while serving as a liaison between data operations, development, and infrastructure teams. They are responsible for documenting production support processes, managing incident tickets, and providing status reports to business stakeholders.
The Senior Support Engineer is responsible for supporting and enhancing software applications within the Cotiviti product suite. They will analyze complex business problems, resolve technical issues, and mentor team members while ensuring project deliverables meet quality and budget standards.
The specialist is responsible for reviewing and analyzing healthcare claims data to identify recoverable overpayments and establish correct liability order. They also manage member investigations using proprietary audit tools while ensuring compliance with regulatory guidelines.
The Payment Accuracy Specialist is responsible for auditing client data to identify, validate, and document recoverable claims while ensuring compliance with healthcare regulations. They also collaborate with the audit team to share knowledge, develop new claim concepts, and improve audit processes.
The Subrogation Recovery Specialist analyzes and manages cases to recover funds related to accidents, injuries, or illnesses where another party is liable. They coordinate with attorneys, insurance adjusters, and medical providers to validate claims, negotiate settlements, and ensure compliance with HIPAA and security regulations.
The Marketing Business Operations Specialist supports the Corporate Affairs organization by maintaining operational infrastructure, including vendor and technology inventory, contract tracking, and procurement support. This role also involves creating process documentation, managing SharePoint governance, and collaborating cross-functionally to improve workflow efficiency.
Design, develop, and maintain software applications and components for the Cotiviti product suite with a focus on UI/UX and backend functionality. Collaborate with cross-functional teams and stakeholders while mentoring other developers and ensuring adherence to technology standards.
The specialist will analyze recruitment data to optimize hiring processes, reduce costs, and improve overall talent acquisition efficiency. They will also manage recruitment technologies, maintain data accuracy, and provide actionable insights to leadership and business stakeholders.
The Senior Software Engineer is responsible for supporting and enhancing software modules within the Cotiviti product suite. They will collaborate with cross-functional teams to resolve technical issues, implement performance improvements, and mentor other developers.
This role provides senior-level technical support for hybrid environments, focusing on root-cause analysis of complex defects and maintaining CI/CD pipelines. The engineer will manage containerized workloads on AWS EKS and administer legacy Windows and Linux server infrastructure while supporting migration efforts.
The Principal IAM/PAM Security Architect defines and evolves security architecture for identity and privileged access across complex multi-domain and multi-cloud environments. This role also establishes enterprise standards for Agentic Identity, secrets governance, and the implementation of the Delinea PAM platform.
The AI Governance Director provides enterprise-wide oversight and coordination for AI governance frameworks, ensuring regulatory readiness and responsible AI use across all business units. The role involves managing AI-related inquiries, chairing governance committees, and maintaining audit-ready inventories of AI use cases.
The Data Engineer will manage data implementations, production, quality, and security using ETL processes and SQL scripts. They are responsible for troubleshooting environmental issues, creating dashboards, and ensuring data integrity in compliance with industry regulations.
The Operations Engineer will proactively manage enterprise customer encounters, including installation, configuration, and troubleshooting of complex product issues. They will also collaborate with development and engineering teams to deploy hotfixes, perform performance analysis, and maintain automation scripts.
The Yield Support Specialist performs administrative tasks such as data entry, report generation, and audit support to ensure operational efficiency. They act as a point of contact for internal and external inquiries while maintaining compliance with regulatory standards and HIPAA guidelines.
The Senior Support Analyst monitors, analyzes, and resolves technical issues while serving as a liaison between operations, engineering, and management teams. They are responsible for documenting production processes, coordinating incident resolution, and providing status reports to business stakeholders.
The Senior Support Analyst monitors, analyzes, and resolves technical issues while serving as a liaison between data operations, development, and infrastructure teams. They are responsible for documenting production support processes, managing incident tickets, and providing status reports to business stakeholders.
The Senior Support Engineer is responsible for supporting and enhancing software applications within the Cotiviti product suite. They will analyze complex business problems, resolve technical issues, and mentor team members while ensuring project deliverables meet quality and budget standards.
The individual will handle daily administrative activities and data entry to support the Coordination of Benefits and Data Mining teams. They will communicate with Medicare, insurance companies, and providers to obtain eligibility details while ensuring compliance with HIPAA regulations.
Provide technical and operational support to enterprise customers by resolving product-related issues and managing cloud environments. Collaborate with development and implementation teams to perform testing, validation, and performance analysis for product releases.
Design and develop enterprise data warehouse solutions using healthcare datasets to drive system performance insights. Manage ETL processes and create analytical dashboards while collaborating with cross-functional teams in a Safe Agile environment.
The specialist is responsible for reviewing and analyzing claims, member, and group data to identify recoverable claims and establish correct order of liability. They also input accurate recovery information into proprietary software and assist with inquiries throughout the claim recovery process.
The Staff Gen AI Scientist will develop and deploy machine learning solutions to improve healthcare quality and reduce costs. They will collaborate with cross-functional teams to build data pipelines, train models, and monitor performance in production environments.
Lead the drafting, review, and negotiation of complex commercial agreements while providing legal guidance to internal business units. Develop and improve contract templates, playbooks, and workflows to ensure consistency and effective risk management across the organization.
Lead and manage cross-functional technology delivery teams while championing an AI-native approach to software development. Partner with product, data, and business stakeholders to align engineering plans with corporate strategies and healthcare compliance requirements.
The Senior Payment Accuracy Specialist develops and implements new audit concepts while training and mentoring audit team members to ensure high-quality recoverable claims. They also collaborate with business optimization teams to develop new tools and processes while managing client disputes and contract reviews.
The Data Solution Specialist will design, execute, and optimize data transformation processes while collaborating with stakeholders to integrate large healthcare datasets. They will participate in all project stages, from research and design to programming, testing, and implementation of data solutions.
The Senior Revenue Cycle Specialist manages complex recurring financial functions, including payment posting, reconciliation, and audit support. They also act as a subject matter expert, mentoring team members and collaborating with leadership to improve departmental processes.
This role is responsible for planning, developing, and delivering technical training and mentoring to the Clinical Chart Validation team to improve audit productivity and accuracy. The auditor will collaborate with subject matter experts to validate workflows, monitor performance, and ensure consistent application of clinical guidelines.
This role is responsible for planning, developing, and delivering technical training and mentoring to the Clinical Chart Validation team to improve audit productivity and performance. The auditor will collaborate with subject matter experts to validate workflows, ensure accurate clinical coding, and maintain quality standards for outpatient and specialty audits.
The VP of Engineering will lead a global organization to define and execute product engineering strategy while partnering with cross-functional teams to deliver scalable software. They are responsible for managing budgets, driving AI-driven development, and fostering a culture of engineering excellence and customer satisfaction.
The Senior Technical Product Owner drives solution definitions for pharmacy claim processing and auditing software by translating business needs into testable requirements. They collaborate with cross-functional teams to manage the product backlog, prioritize features, and ensure successful integration across enterprise initiatives.
The Product Manager leads the strategy, design, and delivery of risk adjustment solutions while partnering with cross-functional teams to improve documentation accuracy and data interoperability. They are responsible for translating regulatory changes into product requirements and driving the adoption of scalable clinical data exchange workflows.
The Revenue Cycle Specialist 2 is responsible for reconciling and posting payments, identifying discrepancies, and managing complex financial processes. They also monitor organizational functions to ensure compliance and prepare reports for management to improve departmental efficiency.
The Manager of Revenue Cycle provides leadership for audit support projects to maximize overpayment recoveries and ensure contractual commitments are met. They are responsible for managing team performance, optimizing revenue streams, and maintaining strong client relationships.
The intern will design, build, and deploy AI-powered applications and data retrieval systems to improve healthcare operations. They will collaborate with cross-functional teams to develop reliable AI agents, context layers, and governance guardrails.
The Director will lead data governance and analytics architecture initiatives to ensure scalable, standardized, and governed data foundations. They will serve as a consultative technical partner to innovation and analytics teams to drive measurable business outcomes through robust architectural standards.
The Vice President of Sales is responsible for hunting new business and executing strategic sales plans for retail payment integrity services. They will manage the full sales cycle, build relationships with C-level executives, and collaborate with internal teams to drive revenue growth.
The Senior Audit Support Assistant will handle complex administrative activities including claim status inquiries, report generation, and managing claim work queues. They will also collaborate with internal teams to investigate escalated claim questions and ensure accuracy in claim submittals.
The Product Marketing Director is responsible for developing and executing go-to-market strategies for specific solution areas, including product launches and sales enablement. They will also conduct market research, represent the company in industry forums, and coordinate across internal teams to ensure consistent messaging.
The Senior Investigator identifies, analyzes, and evaluates instances of healthcare fraud, waste, and abuse using data analytics and claims review. They also report findings, conduct training, and support legal proceedings as necessary.
The Sales VP will drive new business growth by managing a sales territory and implementing effective sales strategies within the healthcare payer market. They are responsible for building relationships with executive-level stakeholders and ensuring sales activities align with company goals and budget constraints.
The Senior Investigator identifies, evaluates, and investigates instances of healthcare fraud, waste, and abuse using data analytics and claims review. They also report findings, conduct training, and support legal proceedings as necessary.
The Data Engineer will oversee ETL processes and maintain data pipelines to ensure accurate and timely data delivery for healthcare products. They will also collaborate with stakeholders to develop scalable data ingestion techniques and troubleshoot complex database issues.
Design and implement a scalable agentic AI framework and centralized platform to support cross-functional AI initiatives. Collaborate with engineering teams to integrate AI agents into applications while ensuring platform reliability, security, and performance.
The Medical Review Auditor evaluates medical records and healthcare claims to ensure coding accuracy and policy compliance for Fraud, Waste, and Abuse clients. They also conduct research and prepare detailed reports with recommendations for process improvements.
The Senior Manager oversees complex payment-related programs while leading, coaching, and developing a team of project management professionals. They are responsible for driving program delivery, managing stakeholder relationships, and ensuring operational excellence across cross-functional teams.
The Clinical Consultant supports clinical services teams by validating quality and process consistency within the coding validation engine. They act as a liaison between internal teams and clients to provide subject matter expertise, facilitate policy understanding, and assist with appeals management.
The Director leads early-stage solution strategy and innovation for emerging healthcare opportunities by bridging technical possibilities with commercial business needs. They collaborate across cross-functional teams to shape high-value solution pathways and ensure alignment with enterprise priorities and market evolution.
The Staff Accountant is responsible for preparing journal entries, account reconciliations, and variance analysis to support the monthly general ledger close. They also assist with audit requests, payroll system administration, and the documentation of internal controls.
The Enterprise Marketing Director is responsible for owning and executing the company's enterprise narrative, category story, and executive-facing positioning across all portfolios. This role also manages analyst relations, competitive intelligence synthesis, and executive support for high-visibility board and investor communications.
The Content Solutions Analyst is responsible for researching and analyzing medical policies to develop logic and algorithms for the payment policy library. They will collaborate with clinical and technical teams to ensure accurate coding and claims processing rules are implemented.
The Client Service Analyst supports the client-facing team by managing policy maintenance presentations, generating reports, and analyzing data. They also handle client inquiries, document decisions in software applications, and ensure accurate reporting for operational activities.
The Client Policy Manager is responsible for maintaining the integrity of client medical payment policies and ensuring they are accurate and up-to-date. They act as a liaison between internal teams and clients, managing policy projects and conducting data analysis to support medical payment decisions.
This role involves performing retrospective clinical chart reviews on readmission and place of service claims using nationally accepted guidelines. The auditor will document findings, maintain production goals, and utilize proprietary systems to ensure accuracy and quality in claim identification.
The Senior Manager leads the design, delivery, and continuous improvement of training programs for audit managers and quality staff across CCV. This role partners with cross-functional teams to translate evolving audit guidelines and AI capabilities into effective, measurable training interventions.
The Medical Director serves as a subject matter expert on coding and payment policy, directing the Medical Policy Committee and supporting client growth. They act as a clinical liaison to health plan clients, providing guidance on medical policy edits and identifying value-creation opportunities.
The Senior Technical Specialist is responsible for the intake, logic development, deployment, and maintenance of business rules within the company's platform applications. They act as a liaison between operations and the BRMS Center of Excellence while conducting root cause analysis to optimize rule performance and operational scalability.
Lead the design and development of Java-based backend services and AI-enabled workflow automation solutions. Provide technical leadership through mentoring, code reviews, and driving the adoption of AI-assisted development standards.
The Principal AI Engineer will lead the architecture and development of a centralized agentic AI platform for clinical use cases. They will drive technical vision, mentor engineering teams, and ensure compliance with regulatory standards across the software development lifecycle.
The Immigration Counsel will serve as an in-house legal advisor, managing immigration operations, visa caseloads, and ensuring compliance with federal and state laws. They will partner with HR and recruiting to execute sponsorship assessments and advise leadership on immigration-related business impacts.
The Principal Insights Analyst will lead strategic data analysis and modeling to drive operational performance and revenue growth within the healthcare payment integrity sector. This role involves cross-functional collaboration, mentoring junior analysts, and translating complex data into actionable insights for senior leadership.
The Research Medical Director provides leadership in developing and maintaining medical policies while ensuring accurate interpretation of clinical and payment guidelines. They are responsible for conducting research, performing data analytics, and educating client-facing teams on policy updates.
The Lead Sales Solutions Consultant will lead technical discovery, solution design, and architecture discussions to drive growth across Cotiviti’s healthcare payer solutions. They will support end-to-end pre-sales engagements, including demos, RFP responses, and cross-functional collaboration to ensure scalable and differentiated solution delivery.
The Senior Database Engineer will design, develop, and maintain database applications within the Cotiviti product suite while focusing on performance tuning for large-volume data sets. They will collaborate with global teams to drive application design and leverage AI-assisted tools to accelerate development and testing cycles.
The Senior Manager of Quality Audit Operations is responsible for overseeing and executing quality audit programs within a healthcare environment. They will lead operational initiatives to ensure compliance with regulatory standards and internal quality benchmarks.
The Team Lead Senior Auditor oversees a team of clinical validation auditors to ensure productivity, quality standards, and accurate claims reporting. They are responsible for performance management, training, process optimization, and collaborating with management to meet client service level agreements.
The Senior AI Engineer will develop and evolve clinical NLP integration layers and golden dataset pipelines for a clinical AI platform. They will also implement agentic AI frameworks and collaborate with cross-functional teams to integrate AI solutions into customer-facing applications.
The Medical Policy Release Manager oversees the planning, scheduling, and quality assurance of medical policy content and IT system updates. This role acts as a liaison between clinical, IT, and business teams to ensure compliance and minimal disruption during production deployments.
The ISSM is responsible for overseeing and sustaining the security authorization and continuous compliance of cloud-based information systems for federal customers. This includes managing FedRAMP authorization activities, maintaining security documentation, and coordinating with stakeholders to ensure adherence to NIST and federal requirements.
The Senior Auditor performs contract compliance and cost control audits on various construction and capital projects. They are responsible for validating billed costs, identifying cost recoveries, and mentoring other auditors on audit engagements.
The Platform Systems Analyst acts as a liaison between business stakeholders and technical teams to translate requirements into actionable specifications. They are responsible for optimizing enterprise platforms, managing data flows, and ensuring system alignment with architectural and compliance standards.
The Senior Implementation Consultant will coordinate with clients to install, configure, and deploy Edifecs/Cotiviti solutions based on specific business needs. They are responsible for providing technical support, delivering product training, and mentoring internal teams throughout the implementation lifecycle.
The Senior Operations Engineer manages end-to-end operations for Edifecs application instances, including deployments, configuration, and performance monitoring. They provide L2/L3 technical support to enterprise clients and collaborate with cross-functional teams to resolve complex operational issues.
The Senior Database Engineer is responsible for designing, developing, and maintaining database applications and reusable software components within the Cotiviti product suite. They will collaborate with global teams to drive application design, resolve performance issues, and implement innovative solutions to business problems.
You will develop and deploy machine learning and generative AI solutions to identify payment integrity issues and improve healthcare outcomes. This role involves collaborating with cross-functional teams to build end-to-end data pipelines and monitor model performance in production.
The Technical Specialist designs and develops logic for business rules within a BRMS to support healthcare platform applications. They are responsible for testing, deploying rules into production, and maintaining detailed documentation and impact reports.
Drive the planning, strategy, and roadmap for AI solutions and platforms across various lines of business. Manage end-to-end AI programs by coordinating with data science and engineering teams to implement scalable ML and Generative AI techniques.
Design and implement a scalable agentic framework and centralized AI platform to support organization-wide AI initiatives. Collaborate with cross-functional teams to integrate AI agents into internal tools and customer-facing applications while ensuring security and scalability.
Develop and execute growth, renewal, and retention strategies for government customers while maintaining high-level relationships with C-suite executives. Lead a team to ensure customer satisfaction through proactive issue resolution and strategic account planning.
Design and implement scalable backend services and RESTful APIs for a centralized AI platform. Lead the development of agent lifecycle management while mentoring mid-level engineers and collaborating on technical architecture.
Perform clinical and coding audits for outpatient and specialty claims to ensure accuracy, medical necessity, and appropriateness of treatment. Document audit results and suggest process improvements to enhance recovery and client satisfaction.
Perform daily audits on client data to ensure coding accuracy and appropriateness for reimbursement. Respond to provider appeals and provide feedback to management to enhance product efficiency.
The manager will identify opportunities to optimize retail audit processes and drive revenue growth through data-driven insights. They are responsible for managing the report development lifecycle and leading a team of professionals to improve internal and external customer satisfaction.
Lead the design and delivery of end-to-end ML/AI systems to optimize payment accuracy and risk adjustment using clinical and claims data. Define technical strategy, build evaluation frameworks, and mentor senior engineers to elevate organization-wide ML standards.
Own the end-to-end product development lifecycle for healthcare enrollment initiatives, from discovery and roadmap planning to release execution. Act as the primary liaison between business stakeholders and engineering teams to translate regulatory needs into technical specifications.
Develop and execute growth, renewal, and retention strategies for top-tier healthcare customers. Act as the primary liaison and advocate for clients to ensure satisfaction and align product development with client needs.
Develop and deploy Generative AI and machine learning solutions to improve healthcare payment integrity and quality of care. Collaborate with stakeholders to assess business problems and build end-to-end data pipelines and models for production.
Perform DRG validation and clinical reviews for inpatient claims to ensure coding accuracy and appropriateness of treatment settings. Document audit results and utilize proprietary systems to generate audit determinations and letters.
Develop and deploy Generative AI solutions to improve healthcare payment integrity and quality of outcomes. Collaborate with stakeholders to assess AI use cases and integrate models into the company's machine learning platform.
Conduct research on Generative AI and AGI for healthcare treatment, payment, and operations use cases. Develop AI models, architectures, and systems while contributing to AI governance and academic collaborations.
Oversee the data engineering efforts to provision scalable, reliable data pipelines and lead a team of data engineers in delivering quality code and building data products. Establish a metrics-driven approach to measure team performance and influence the vision for the data engineering platform.
Design and evolve intelligent workflow and automation solutions using AI-native development tools and open-source engines. Establish architectural standards and lead a Center of Excellence for AI-enabled workflow development to ensure scalable and secure solutions.
Lead the architectural design and execution for a specific business area, translating product intent into implementable specifications for AI-native solutions. Orchestrate AI agents and engineering workflows to deliver scalable, secure, and maintainable applications within a regulated healthcare environment.
Design and build the backend infrastructure and scalable RESTful APIs for a centralized AI platform. Lead the development of Python/Java SDKs and manage the lifecycle of AI agents within a multi-tenant architecture.
Automate the build-test-deploy lifecycle for cloud applications and enhance platform services within an agile environment. Collaborate with cross-functional teams to implement software configuration management best practices and maintain a secure, high-availability SaaS platform.
Oversee the full lifecycle of strategic partnership and vendor contracts, including drafting and negotiating complex commercial agreements. Advise internal stakeholders on legal risks, contract interpretation, and compliance requirements.
Drive new logo acquisition by selling pharmacy claim editing and payment accuracy solutions to U.S. health plans and TPAs. Lead complex sales cycles and develop strategic account plans to expand market share within assigned territories.
The Director of Quality oversees the delivery and performance of payment integrity solutions by implementing quality measurement frameworks and driving continuous improvement. They collaborate with cross-functional teams to optimize operational processes, manage talent, and ensure service level benchmarks are consistently met or exceeded.
Define and govern the end-to-end technical architecture for a mission-critical CMS audit platform while leading its AI-native transformation. Lead, mentor, and elevate a cross-functional engineering team while ensuring robust, scalable, and secure technical solutions.
The intern will research and develop autonomous Agentic AI systems to improve healthcare treatment, payment, and operational workflows. They will also assist in establishing an Artificial Intelligence Governance Program and collaborate with cross-functional teams on AI model development.
The AI-Native Product Lead owns the single-team product backlog, translating business needs into clear, testable requirements while ensuring continuous backlog readiness for fast, iterative delivery. This role provides essential product intent and grounding context to guide both human and AI-assisted development workflows.
