The Director of Product Management is responsible for developing and executing product strategy for value-based payments while leading a team of product managers. This role involves cross-functional collaboration to drive innovation, product commercialization, and revenue growth within the healthcare sector.
The VP of Sales Management will lead and motivate a team of field sales executives to achieve sales goals for healthcare payer solutions. They are responsible for developing sales strategies, managing budgets, and fostering high-level relationships with key decision-makers in the healthcare industry.
The VP of Product, Interoperability will own the market strategy, product roadmap, and commercial growth for health plan interoperability solutions. They will lead a matrixed team to deliver next-generation payer/provider collaboration tools while ensuring alignment with regulatory standards and corporate financial targets.
The Client Service Analyst supports client-facing teams by managing policy and claim-editing rules while coordinating with R&D and Content teams. They are responsible for analyzing claims data, generating reports, and ensuring all technical documentation remains accurate and current.
The role involves providing advanced technical support for trading and post-trade processing platforms while leading critical incident management efforts. You will collaborate with cross-functional teams to resolve complex production issues and drive operational excellence.
The Product Manager is responsible for defining product strategy, roadmaps, and requirements while leading cross-functional teams to ensure successful product launches. They will utilize AI tools for prototyping, manage product lifecycles, and collaborate with marketing and sales to drive market adoption and revenue growth.
The Senior Director of Product Management is responsible for defining the vision, strategy, and roadmap for the Consumer Engagement product portfolio. This role involves leading and mentoring a product management team while collaborating cross-functionally to deliver innovative, market-driven solutions.
The Medical Director serves as a subject matter expert on coding and payment policy, co-captaining the client team and directing the Medical Policy Committee. They are responsible for identifying value-creation opportunities, presenting payment policies to clients, and acting as a clinical liaison.
The Client Services Manager coordinates cross-functional teams to ensure client satisfaction, revenue retention, and successful implementation of payment policy products. They serve as the primary liaison, managing client relationships, operational projects, and performance reporting to drive program success.
Develop, test, and implement scalable machine learning solutions for healthcare applications, collaborating with data scientists and engineers. Maintain high-quality code, participate in design and code reviews, troubleshoot technical issues, document work, and share knowledge with the team.
Oversee complex revenue cycle processes, including payment and adjustment posting, claim research, bank reconciliation, reporting, and audit support, ensuring accuracy, timeliness, and compliance. Serve as a subject matter expert and team mentor, support onboarding and training, resolve client and audit issues, and identify process improvements.
The Revenue Cycle Specialist is responsible for the reconciliation and posting of payments, ensuring accurate financial history and system alignment. They also conduct research to resolve payment discrepancies and maintain compliance with recovery laws.
The Manager of Data Engineering AI will lead the data engineering team to develop and implement strategic data architectures leveraging AI innovations. They are responsible for managing staff performance, overseeing IT architecture decisions, and ensuring compliance with regulatory standards like HIPAA.
Lead high-impact digital transformation and process improvement initiatives that leverage AI and automation to drive significant financial value. Manage cross-functional stakeholder engagement, technical documentation, and organizational readiness to ensure successful adoption of strategic solutions.
Lead the administration, governance, and strategic development of the company’s management equity program, including grant planning, vendor oversight, documentation, and compliance coordination. Partner with executives, private equity sponsors, legal counsel, and vendors to model compensation scenarios and prepare clear, board-ready materials.
The Revenue Cycle Specialist is responsible for reconciling payments, managing inventory, and processing invoices to ensure accurate financial records. They also monitor organizational processes for compliance and provide reports to management to improve departmental efficiency.
The Client Services Manager acts as the primary liaison for clients, managing operational implementation and execution of Fraud, Waste, and Abuse (FWA) programs. They are responsible for identifying client needs, facilitating meetings, analyzing performance trends, and developing action plans to ensure program success.
The Senior Software Engineer will support and enhance existing software applications within the Cotiviti product suite while collaborating with cross-functional teams. Responsibilities include analyzing and resolving technical issues, documenting specifications, and mentoring other developers.
The Principal Software Engineer will architect and build a unified client performance portal by integrating existing modules and legacy systems. They will lead technical discovery, define integration patterns, and write production-level code while mentoring the engineering team.
The auditor is responsible for performing inpatient DRG claims audits to ensure coding accuracy and appropriate treatment settings. They will utilize proprietary auditing systems to document findings, generate audit letters, and identify potential recovery opportunities.
The intern will conduct research on Generative AI and AGI for healthcare applications while developing models, architectures, and databases to improve healthcare solutions. They will also collaborate with cross-functional teams to support technology projects and contribute to AI governance programs.
The Senior Revenue Integrity Analyst manages month-end revenue validation controls, investigates revenue leakage, and oversees reconciliation processes. The role also develops actionable reporting, mentors junior analysts, and collaborates across departments to resolve financial discrepancies and improve process efficiency.
The Senior GenAI Scientist II will conduct independent model validation and monitor model performance to ensure responsible AI practices. They will deliver solutions to identify payment integrity issues and improve healthcare outcomes using advanced AI/ML techniques.
The Senior Revenue Integrity Analyst manages month-end revenue validation controls, investigates revenue leakage, and oversees reconciliation processes. The role also develops actionable reporting, mentors junior analysts, and collaborates across departments to resolve financial discrepancies.
The AI Program Manager will lead the development and deployment of AI/ML solutions by collaborating with cross-functional teams to define vision, scope, and roadmaps. They are responsible for driving data-driven decision-making and ensuring the successful execution of AI initiatives from conception to production deployment.
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 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 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.
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 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 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 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.
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 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 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.
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 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 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 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 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 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 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 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.
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.
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 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 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 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.
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.
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 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.
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.
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.
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.
