Jobs at COTIVITI

OverviewThe Business Analyst will be responsible for driving results by supporting the product team in their efforts to deliver new products, enhancing existing products, and implementing medium to large scale projects. Liaise with technical delivery team professionals and subject matter experts ...

• Conduct interviews and requirement workshops with a cross-discipline team to elicit understanding of business needs
• Collaborate with key stakeholders, and development team to drive a solution that meets the program level objectives and vision

• Performs business development and capture activities to advance opportunities from identification phase through close phase, to include developing the strategy for sales and executing sales plans for the VA, DHA, CMS and/or State Government Agencies.
• Achieves assigned individual sales revenue targets (quota) for assigned Federal/State Agency fo...

• Develop and maintain project plans, milestones, RAID logs, and status reporting.
• Facilitate team meetings, decisions, issue resolution, and stakeholder follow-up.

• Design and implement event-driven microservices and the Angular/React front ends that consume them
• Own technical design decisions across the full application life cycle, from requirements through production support.

• Author Feature Briefs and shape upcoming features in partnership with the Product Owner and Tech Lead.
• Co-author Story Specs with the Tech Lead and ensure stories are ready for fast, iterative delivery.

• Remotely retrieve records through providers’ medical record systems electronically.
• Prepare and transmit records through standard processing procedures.

OverviewThe Associate Quality Analyst supports production system quality and integrity through backend database testing, automated test development, and production incident triage. Working within Agile/Scrum environments, this role focuses on healthcare claims processing (headers, state variation...

• Support and enhance high-quality software modules for the Cotiviti product suite
• Analyze and resolve software related issues originated from internal or external customers.

• Develop immediate and practical experience in securing new sales and vetting new approaches in a growing but developed market.
• Manage a sales territory and corresponding quota.

OverviewThe Client Services Manager (CSM) serves as the main point of contact for clients and is focused on achieving plans with clients, revenue retention, and client satisfaction and growth. This role builds and sustains customer relationships and achieves the client’s recognition of Cotiviti a...

• Bachelor’s degree in computer science, Cybersecurity, Data Science, or a related field.
• Minimum of 12 years of experience in Cybersecurity domains including application security, security architecture, network security, and data protection.

• Product Strategy: Developing and articulating a clear product strategy aligned with the overall business goals. This involves understanding market trends, customer needs, and competitive landscapes. Working with corporate marketing to assess competition and lead product roadmaps and launch to provid3differentiated value in the market.

• Will quickly possess an understanding of Cotiviti and is adept at working across organizational boundaries partnering with Business Leads and Functional Product Managers while maintaining a strategic perspective regarding IT architecture and business needs.
• Drive, develop, and implement a data engineering architecture leveraging AI to ensure alignment...

• Assess the existing Support/ticketing module (Blazor, Azure PaaS, Okta, Jira) and make — and defend — the call on whether it's absorbed as-is, wrapped behind an API, or re-platformed to match the unified portal's target stack.
• Lead technical discovery: inventory the systems behind each legacy client portal and assesswhat...

• Demonstrates a strong understanding of technology trends, research, and emerging technologies relevant to the healthcare industry, particularly in Generative AI.
• Assists in developing and improving LLMs and ML tools used across the organization.

• As a Senior GenAI Scientist II within Cotiviti you will be responsible for delivering solutions that help our clients identify payment integrity issues, reduce the cost of healthcare processes, or improve the quality of healthcare outcomes. You will work as part of a team and will be individually responsible for the delivery of value associated with your projects.

• Collaborate with cross-functional teams to define the AI/ML solution vision, scope, dependencies and risks.
• Partner with Engineering to develop and maintain the solution roadmap, prioritized backlog, and clear deliverables aligned with project objectives and key results.

• Work with key stakeholders within Research and Development as well as Operations, along with product management to assess the potential value and risks associated with business problems that have the potential to be solved using machine learning and Artificial Intelligence techniques.
• Develop an exploratory data analysis approach to verify the initial hypothesis associated with ...

• Leadership & Strategy: Build and lead a multi-team engineering organization with clear goals, outcome-based metrics, and a culture of continuous improvement.
• AI-Driven Development: Advance AI-enabled engineering practices by integrating AI tools and automation into workflows with human oversight and clear guardrails.