The Senior Program Manager oversees healthcare technology pilot and proof-of-concept projects by coordinating cross-functional teams and managing project lifecycles. They are responsible for tracking project outcomes against KPIs, mitigating risks, and communicating status updates to internal and external stakeholders.
The Payment Accuracy Specialist is responsible for auditing client data to identify and recover overpayments while ensuring billing compliance. They document findings, communicate audit recommendations, and maintain production goals while adhering to regulatory requirements.
The Payment Accuracy Specialist 2 is responsible for developing and executing audit concepts to identify billing compliance issues and recoverable claims. They also serve as a mentor and trainer for team members while collaborating with engineering to improve audit tools and reporting efficiency.
The Support Engineer manages production recovery efforts, communicates with clients regarding outages, and serves as a subject matter expert for troubleshooting application and system issues. They also document processes, automate tasks, and provide mentorship to junior team members while supporting 24x7 enterprise systems.
Audit healthcare claims and client data to identify, validate, document, and enter recoverable overpayments, while meeting quality and productivity standards. Review reports and contracts, share findings with the audit team, respond to claim inquiries, and help develop new audit concepts and process improvements.
Own product strategy, roadmaps, prioritization, and commercialization for Cotiviti’s retail payment accuracy solutions, including product features, packaging, and market launches. Gather customer and market insights, build business cases, guide cross-functional teams through development and releases, and champion product management practices and quality.
The Senior Training Consultant assesses client learning needs and designs effective training programs across various formats. They also serve as a subject matter expert, coaching team members and analyzing training data to improve performance outcomes.
Define and prioritize AI-enabled product capabilities, translate business needs into clear requirements and backlogs, and provide product intent and context for engineering and AI-assisted workflows. Validate epics and delivered increments against business outcomes and constraints, manage stakeholder alignment and delivery risks, and coach product practitioners on AI-native ownership practices.
Elicit and translate business needs into testable requirements, features, and user stories, and collaborate with product, business, development, and cross-functional stakeholders to deliver solutions aligned with program objectives. Maintain and prioritize team and program backlogs, support iteration acceptance and Program Increment Planning, mentor offshore product owners, and coordinate roadmaps and initiatives across release trains and value streams.
Design, develop, support, and enhance software applications for Cotiviti’s product suite, resolving enterprise software issues and improving system performance and availability. Document application specifications and operations, follow the software development lifecycle and technology standards, communicate technical issues, explore improvements, and mentor developers.
The Project Manager owns the delivery of payment projects from initiation through close, ensuring plans are realistic and stakeholders are aligned. They are responsible for maintaining project artifacts, managing risks and issues, and facilitating team meetings to ensure project success.
The Vice President of Business Development is responsible for devising and executing strategies to secure new business within the Federal and State Government healthcare markets. This role manages the full sales cycle, including opportunity identification, capture management, proposal support, and maintaining key agency relationships.
The Senior Software Engineer is responsible for designing and implementing event-driven microservices and front-end components while owning technical decisions throughout the application lifecycle. They will also troubleshoot production issues, mentor junior engineers, and ensure code quality through rigorous reviews and CI/CD automation.
The Dental Policy Manager serves as a client-facing resource responsible for maintaining dental payment policy sets and analyzing clinical standards. They coordinate with internal teams to evaluate policy impacts, resolve client inquiries, and ensure accurate policy administration.
The Technical Product Owner drives solution definitions by gathering and translating business requirements into application software solutions. They collaborate with cross-functional teams to maintain the product backlog and ensure program-level objectives are met.
The Revenue Cycle Specialist is responsible for the accurate reconciliation and posting of payments, as well as managing system alignment and data between clients and the company. They must also research payment discrepancies and ensure compliance with recovery laws and state regulations.
Design and implement scalable agentic AI solutions and a centralized platform for cross-functional team access. Collaborate with engineering teams to integrate AI agents into applications while ensuring security, compliance, and platform performance.
Perform daily audits on provider appeals to ensure completeness, accuracy, and appropriateness for reimbursement based on coding guidelines. Collaborate with quality assurance and training teams to facilitate clarification and continuous improvement of coding results.
Investigate suspected healthcare fraud, waste, and abuse by analyzing data, gathering information through interviews or correspondence, and preparing findings and recommendations. Provide investigation-related training, support legal proceedings, negotiate settlements, and maintain knowledge of relevant laws and standards.
Retrieve medical records electronically through providers’ EMR systems, then prepare and transmit records according to standard procedures. Monitor process performance and quality, troubleshoot errors, provide feedback on retrieval improvements, and participate in training with provider representatives.
The Senior Manager leads quality engineering strategy, automation architecture, and cross-functional collaboration to ensure high-quality software delivery. They are also responsible for managing, coaching, and scaling a distributed team of QA engineers while driving a zero-defect culture.
The Sales VP will drive new business growth in the healthcare payer market by managing sales territories and implementing effective sales strategies. They are responsible for building relationships with executive-level stakeholders and ensuring sales activities align with company goals and budget constraints.
The Senior Auditor performs clinical quality assurance reviews of claims to ensure accuracy, compliance, and medical necessity. They also communicate findings to auditors and provide mentorship to improve overall audit quality and performance.
This role is responsible for planning, developing, and delivering technical training and mentoring for the Clinical Chart Validation team. The auditor will collaborate with subject matter experts to improve audit productivity, performance, and accuracy across various outpatient and specialty review types.
Analyze Cotiviti's solutions, products, services, and platforms, and research the strengths, weaknesses, opportunities, and threats of targeted technologies. Write white papers and use cases, develop and configure prototype and proof-of-concept technologies, and present project findings and proposals.
Audit client data for completeness and coding accuracy, and make recommendations on clinical claims using established algorithms and written guidelines. Handle non-clinical appeals and reviews, support client and provider education, monitor acceptance rates, and provide feedback to improve editing processes and efficiency.
Develop and validate healthcare audit concepts, conduct complex claims audits, and oversee quality control to generate recoverable claims and meet client acceptance and productivity goals. Develop audit tools and processes, respond to client disputes, review contracts, and train and mentor audit staff.
The Counsel will oversee the full life cycle of vendor contracts, including drafting, reviewing, and negotiating complex commercial and technology agreements. They will also advise internal stakeholders on legal risks, contract compliance, and regulatory requirements related to healthcare and data privacy.
The Senior People Operations Compliance Analyst supports the organization's compliance priorities by analyzing regulatory requirements and coordinating cross-functional initiatives. This role partners with Legal and the People Team to design frameworks, mitigate risks, and ensure audit readiness across global jurisdictions.
The manager will oversee consolidated financial reporting, including the preparation of quarterly and annual financial statements in compliance with GAAP and PCAOB standards. They will also lead process improvement initiatives, manage external audits, and provide technical accounting guidance to the team.
