Cotiviti jobs

We lead the industry in the breadth and depth of how we support our customers-by becoming an extension of their internal team. Helping our customers deliver world-class care and service is the Professional Services Team. The Professional Services team is seeking Business and Data Analyst - Healthcare Interoperability with strong expertise in healthcare interoperability to support large volume data-driven initiatives that improve healthcare data exchange and integration. This role will focus on understanding complex data sets - including member, claims, provider, clinical, and enrollment data - extracted from multiple source systems and spread across multiple data files. The analyst will assess data integrity, identify bad or incomplete data, map relationships between data elements, uncover patterns for process automation, and simplify integration between disparate healthcare platforms. Roles and Responsibilities include acting as a liaison between business stakeholders, technical teams, and application users to analyze workflows, translate data requirements, and ensure compliance with healthcare standards such as HL7, FHIR, CCD, and X12. Responsibilities Analyze business needs related to healthcare data exchange and interoperability workflows. Interpret and document healthcare data (HL7, FHIR, CDA, CCD, X12, etc.) specifications for development and integration teams. Interpret and document data integrity issues, bad data patterns, missing values, and duplication. Map and transform healthcare data into standardized formats (HL7 v2, HL7 FHIR, X12 EDI, CCD/C-CDA, proprietary formats). Collaborate with internal and external stakeholders to gather data requirements and define technical specifications. Work with teams to design streamlined, automated processes for exchanging data between payer, provider, and third-party systems. Ensure solutions comply with HIPAA, CMS interoperability rules, ONC guidelines, and other regulatory requirements. Partner with product managers, architects, and developers to ensure interoperability solutions meet business needs. Develop and execute test cases for data transformations and integrations. Validate that data outputs align with both business rules and technical specifications. Validate data accuracy and integrity across systems using SQL and data profiling tools. Assist in root cause analysis and resolution of integration or data quality issues. Support UAT (User Acceptance Testing) for interoperability solutions and work with QA teams on test planning and validation. Assist development team with performance analysis and testing during release cycles for service packs, hot fixes etc. Deliver a consistent, responsive and satisfying customer experience with each project. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's degree in health informatics, Computer Science, Data Science, Public Health, Information Systems, or a related field. 3-6 years of experience as a Business/Data Analyst in healthcare, with a focus on interoperability or health data engineering. Deep understanding of healthcare interoperability standards (HL7 v2, HL7 FHIR, X12 EDI, NCPDP, C-CDA). Deep understanding of FHIR R4 structure, resource types, profiles, and terminology (LOINC, SNOMED, ICD). Experience working with data ingestion and ETL pipelines in healthcare environments. Proficiency in writing SQL queries for data validation and profiling. Familiarity with data formats: JSON, XML, HL7v2 messages, X12, flat files (CSV, pipe-delimited, etc.). Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus. Knowledge of API-based data exchange (FHIR RESTful APIs) and SMART on FHIR concepts. Experience with HIE systems and clinical data repositories. Demonstrated experience analyzing large datasets (millions of rows) and complex multi-file healthcare data structures. Expertise with healthcare data domains: member, claims, provider, enrollment, and clinical data. Strong analytical and problem-solving skills. Clear communication, with ability to document and explain complex technical concepts to stakeholders. Detail-oriented and highly organized, with a strong focus on data quality and compliance. Collaborative team player who can work across services, product, engineering, and business teams. Experience working with payer-provider interoperability use cases (e.g., Patient Access API, Provider Directory API). Familiarity with TEFCA, QHIN, HIE, CARIN, USCDI, and other national health data initiatives. Background in clinical workflows, health IT systems (e.g., Epic, Cerner), claims data or UM systems (guiding care, MCG, InterQual). Exposure to cloud platforms (e.g., AWS, Azure) and healthcare data storage frameworks. Experience with cloud-based data platforms (AWS, Azure, GCP) and data integration tools (MuleSoft, Boomi, Informatica, Talend). Familiarity with big data frameworks (Spark, Databricks) or advanced ETL/ELT processes. Base compensation ranges from $76,000 to $94,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/12/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/12/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-AK1 #LI-Remote #senior

As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role. Responsibilities Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse. Conduct interviews or correspond with patients, providers, witnesses or other relevant parties to determine settlement, denial or review. Analyze information gathered by investigation and report findings and recommendations as a written summary and/or presentation. Conducts investigation-related training. Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions. Negotiates settlement agreements to resolve disputes. Maintain current knowledge of relevant laws, regulations and standards. Participates in special projects as required. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's Degree in related discipline, or the equivalent combination of education, professional training and work experience. 5-8 years of related investigative experience. Advanced level skills in Excel. Excellent verbal and written communication skills. Strong listening and observation skills. Attention to detail and high level of accuracy. Effective organizational and prioritization skills with multi-tasking ability. Preferred certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI), or Certified in Healthcare Compliance (CHC). Job Demands: This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided). Must be able to sit and use a computer keyboard for extended periods of time. Travel up to 15%. Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. After hours and/or weekend work is required where necessary for major deliverables/deadlines (not consistent). Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $70,000 to $90,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/5/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/5/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #senior #LI-JB1 #LI-Remote

Join a recently formed team focused on Model Risk and Responsible AI. The Senior GenAI Scientist II - Risk will apply knowledge and experience to real world problems and seek to utilize their skills to reduce the cost of healthcare and improve health quality and outcomes. As a Data Scientist on this team, you will focus on three main project areas: Model Validation, Model Metrics and Monitoring, and Responsible AI. This requires someone with depth in AI/ML/GenAI from a data science perspective, versatility to think in terms of technology systems, and some understanding of emerging areas of Responsible AI and AI Ethics. This is for an ambitious technologist, with the flexibility and personal drive to succeed in a dynamic environment where they are judged based on their direct impact to business outcomes. Responsibilities 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. Conduct independent model validation of existing models for benchmarking, assessment, and gauging effectiveness. Determine aspects of model drift and related data drift for the purpose of model risk management (MRM) to both reduce risk and also find opportunities to drive new revenue growth and innovation. Apply deep expertise with AI/ML/GenAI model development, including hands-on experience with model building and model evaluation. Benchmark and potentially rebuild existing models as needed using updated data, and potentially newer, more modern and effective algorithms. Actively drive improvements in model monitoring activities, including methods for model registration, model metadata management, and conceptualizing approaches for related tools and techniques. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Graduate Degree in a quantitative discipline such as Computer Science/Engineering, Statistics, Operations Research covering Advanced Statistics, Machine learning and AI. Experience with the latest techniques in natural language processing including transformers, fine-tuning LLMs, measuring/benchmarking and deploying LLMs with tools such as HuggingFace, Langchain, LLAMA/Mistral and OpenAI, vector databases. 5+ years of hands-on data science/AI experience, using typical machine learning and data science tools including pandas, scikit-learn, keras, nltk, and TensorFlow/PyTorch, GPU. General understanding of Responsible AI (RAI), including explainability (XAI), AI NIST RMF, and related AI risk management frameworks. Experience and understanding evaluating models for bias and fairness, with aptitude for detecting bias in the model design and data, as well as using metrics such as SHAP and LIME. Understanding appropriate model metrics and techniques for managing, evaluating and monitoring GenAI models and LLMs · Experience building production-grade machine learning deployments on AWS, Azure, or GCP. Experience working with Apache Spark™ and large-scale distributed datasets. Experience communicating technical concepts to non-technical and technical audiences is a plus. Passion for collaboration, learn it all mindset and driving value with AI. Preferred Qualifications: Familiarity with healthcare payor ecosystem and related data. Understanding and familiarity with model governance and data governance best practices. Strong understanding of technology systems for model development (e.g., Python, DataRobot, AWS Sagemaker), model deployments (AWS, Azure, DataRobot, DataBricks), model monitoring (AWS Model Monitor, MLFlow, NannyML, FiddlerAI, Arize) and related tools for model management and metadata management. Cognitive / Mental Requirements: Ability to work independently as well as collaborate as a team with a sense of urgency. Professional with ability to properly handle confidential information. Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort. Ability to handle multiple tasks, prioritize and meet deadlines. Ability to work within a matrixed organization. Proficiency in all required skills and competencies above. Communicating with others and teamwork. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Flexibility to work with global teams as well geographically dispersed US based teams. Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $145,000 to $170,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 11/24/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/24/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-remote #senior

Cotiviti, Inc. (formerly Verscend Technologies) drives better healthcare outcomes through data analytics. This means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. Learn more at ***************** Responsibilities Remotely retrieve records through providers' medical record systems electronically. Prepare and transmit records through standard processing procedures. Ensure that job processes are working appropriately and troubleshoot errors when required, providing steady feedback to EMR Coordinator and Retrieval leadership on potential improvements to the EMR retrieval process; while maintaining adequate production and quality levels through tracked metrics. Participates in training sessions with Provider representatives. Completes all responsibilities as outlined on annual Performance Plan. Completes all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. Qualifications High school diploma, GED, or equivalent work experience. Ability to communicate clearly through verbal and written communication, using proper spelling and grammar. Demonstrated ability to give close attention to detail, including planning, executing, and follow up procedures. Demonstrated ability to learn new EMR systems by participating in training sessions with Provider representatives. Must be able to work well in a team environment. Strong understanding of HIPAA regulations. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation is $15.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: MM/DD/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on MM/DD/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-MV1 #entrylevel

The Associate Trainer is a support role responsible for aiding the senior trainer in the development, implementation, and maintenance of training programs for the risk adjustment department. This role has responsibility for the creation of written and visual training materials used in training sessions, tracking and analysis of learning data, and managing training administrative tasks with manager oversite. The associate trainer is expected to co-train classes with leads as needed and develop independent material as assigned. Responsibilities Assist Manager in Administrative tasks. Assist Trainers with research of coding questions using CMS, ICD, HHS and AHA Coding Clinic resources as needed. Maintain Coding Advisory Committee (CAG) meeting minutes cataloging and assigning tasks to members. Familiarize self with CMS/HHS/Medicaid Hierarchical Condition Category file updates to assist Training Mgr. with information dissemination to impacted team members within Risk Adjustment department. Update training reference materials annually or as new information is available. Assist in the creation reference documents and RISE 360 interactive training modules for risk adjustment client teams. Utilize MS Office Suite products, Articulate 360 Suite, Saba LMS. Develop and document process improvements with available metric measures. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's degree, or an equivalent combination of education and related experience, required. RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (Nationally certified medical coder as certified by either AAPC or AHIMA) in good standing. Computer and technological skills, specifically advanced experience utilizing MS Office Suite products, Articulate 360 Suite, Saba LMS a plus. Experience with databases and data manipulation; ability to sort and analyze data. Demonstrated highly developed project management. Effective at managing timelines and multiple priorities. Ability to work well both independently and collaboratively, in a fast-paced and demanding environment. Excellent interpersonal, verbal, and written communication skills. Collaborative, flexible, and responsive to internal / external team needs for client projects. Amending / revising coding training materials as necessary, to adapt to industry / client updates that occur in ICD-10-CM coding guidelines and HCC payment methodology. Must abide by all HIPAA and associated patient confidentiality requirements. Adherence to official coding guidelines, coding clinic determinations and regulatory compliance guidelines and mandates. Assist with the engagement of a group of people in training through varied learning processes. Desire to develop public speaking and presentation skills with goal to lead independent training sessions. Mental Requirements: Learning new tasks and completing tasks in situations that have a speed or productivity quota. Prioritization of tasks during variable deadlines. Completing tasks independently. Assessing the accuracy, neatness and thoroughness of the completed work assigned. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Interpreting data. Problem-solving and thinking critically. Development of creative solutions to engage with learners. Communicating with others to exchange information. Making timely decisions in the context of a workflow. Maintaining focus. Physical Requirements: Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Remaining in a stationary position, often standing, or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Base compensation ranges from $25.00 to $30.00 per hour Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/09/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/30/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-SL1 #LI-Remote #senior

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 part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist. The Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts. The goal of the position is to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Conducts and documents more complex audit projects independently. This is the most senior skill level which may include supervisory responsibility. Assists Audit Managers in managing audit productivity, achieving expected quality and revenue goals. Considered a mentor, trainer, developer of less tenured Audit team members. Responsibilities Generates and Develops New Audit Concepts. Utilizes healthcare and auditing experience to perform audit procedures that include identifying and defining issues, developing criteria, reviewing and analyzing evidence with the intent to audit standard medium and complex reports. Leader in concept development across multiple audit verticals. This includes specifying the concept, interact with client to test and gain acceptance. Will execute on the expansion of the concept based on customer requirements. Focused on growing concept approval. Develops New Tools and Processes. Collaborates with Business Optimization and audit team in developing new reports. Fosters and implements new ideas, approaches, and technological improvements to support and enhance audit production, communication and client satisfaction. Directs ownership for Quality Control. Reviews all level auditor claims prior to and after client submission. Set by the audit: for the auditing concept, audit against the expected level of quality and quantity (i.e.; hit rate, # claims written, ID per hour). Prepares Responses to Client Disputes. Provides oversight to audit team for verification of claims validation, insurance or employer validation in concise written or oral manner. Makes determinations based on advanced experience of client knowledge of contract terms, likelihood of acceptance recovery. Reviews provider Contracts. Subject matter expert in contracts and research requirements. Implements recommendations on contracts to fit projects within standard reports such as medical policies, state and federal statutes. Validates New Claim Types. With proficiency, utilizes audit tools to evaluate, document and validate to audit and client new claims and concept effectiveness. Ensures that any new and existing concepts are achieving desired goals in terms of recoveries, collectability and client acceptance. Auditor Development. Key participants in the development of audit staff. Actively trains audit team to execute basic, intermediate and complex audit projects with focus on new and existing audit concepts. May participate in auditor assessment, progression process, staffing functions. QA Claim Association/Concepts. Responsible for performing quality control process. Makes determinations based on advanced expertise and comprehension (knowledge) of claim categories, claim types. Ensures submission and execution of quality work, proper use of available proprietary software, reports and IT resources to conduct audits. Qualifications Bachelor's degree preferred Three (3) years of Cotiviti direct audit experience OR four (4) years related experience (healthcare billing, healthcare/medical claims, reimbursement, analytics) required. Experience using Datameer and SQL preferred, as well as Medicaid knowledge. Computer proficiency in Microsoft Excel, Access and system databases are required. Ability to mentor staff and enhance performance as it relates to the quality and productivity of their auditors. Prior Healthcare Billing and/or claims experience desired. Requires working knowledge of and applicable industry based standards. Excellent verbal and written communication skills. Ability to work well in an individual and team environment. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $36.50 to $39.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/23/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/23/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1#senior

Job title: Middle Market Business Development Rep Reports to: Manager, Payable Sales Department: PlastiQ Sales Grade: 22 About Priority: Priority Technology Holdings, Inc. is a leading financial technology company on a mission to deliver a personalized, easy-to-adopt financial toolset that accelerates cash flow and optimizes working capital for businesses. Our vision is to eliminate the barriers to unlocking revenue - empowering businesses to grow faster and operate smarter. We achieve this through the Priority Commerce Engine, an innovative platform that combines payables, acquiring, and banking and treasury solutions. This unified approach allows businesses to streamline financial operations, reduce unnecessary costs, and uncover new revenue opportunities. At Priority, we're driven by results. We expect our people to be known for results - bringing expertise, momentum, and relentless focus to every challenge, helping our clients and each other thrive. About the Role: As a Middle Market Business Development Rep, you will be in a key sales position that will play an important part in the growth of Priority's payables division. You will be tasked with growing your own book of business across the middle market segment ($20m-$1b revenue), sourcing new business from initial discovery through to deal closing. You will become a product expert and be able to communicate our competitive advantages in the market in a clear, concise and compelling manner. Responsibilities: Market Analysis and Strategy: Conduct market research to identify opportunities and trends in commercial payables and lending. Develop and implement effective sales strategies to penetrate and expand market share. Collaborate with cross-functional teams to align sales efforts with overall business objectives. Sales Reporting and Analysis: Prepare regular sales reports and performance analysis to track key metrics and KPIs. Utilize CRM tools to manage customer interactions, document sales activities, and forecast future sales. Client Acquisition and Relationship Management: Identify and target potential middle market/large market clients across all industries. Build and maintain strong relationships with key decision-makers and influencers. Understand client needs and collaborate with internal teams to tailor solutions that meet or exceed client expectations. Manage and develop relationships with strategic banking and industry partners. Sales Growth and Revenue Generation: Meet and exceed sales targets through effective prospecting, negotiation, and closing of deals. Develop and manage a robust sales pipeline to ensure consistent revenue generation. Continuously monitor market dynamics and adjust sales strategies accordingly. What Success Looks Like: Success in this role is creating sustainable growth opportunities for the business. You are exceeding sales targets and revenue growth goals. Securing profitable new business deals. Working with your manager to increase the number and quality of leads or opportunities in the sales or partnership pipeline. Helping improve client lifetime value through upselling or cross-selling campaigns. Become a product expert across our suite of solutions. Closing deals that contribute to long-term growth. Candidate Requirements: 5-7 years of sales experience. 3-5 years of Middle Market experience. 3-5 years of coverage in fintech and/or commercial banking. Minimum BA/BS degree. Proven track record of consistently meeting or exceeding sales quotas. Work Environment & Culture: We believe that performance and experience go hand in hand - an exceptional employee experience is earned through contribution. We are a results-driven team, grounded in our core values: ownership, authenticity, service, trust, innovation, and camaraderie. Our culture is built for those who want to make an impact. We challenge each other to grow, celebrate progress, and support one another through shared goals and real connection. Whether you're building technology, serving clients, or supporting internal teams, you'll be part of a company that empowers you to perform at your best and be known for results. Compensation and Benefits: Compensation range: $139,300 - $161,560 We invest in the whole employee - personally and professionally. Our benefits package is designed to support your well-being, growth, and success - both inside and outside of work. Financial Wellness Bonus programs 401(k) match Employee Stock Purchase Program (ESPP) HSA and FSA options Financial wellness resources and employee discount programs Health & Well-being Medical, dental, and vision coverage Mental health support for employees and dependents through Lyra Health Family planning and women's health benefits through Carrot Gym membership reimbursement and virtual wellness programs (including yoga) Time Off 3 weeks PTO to start, with unlimited PTO after year one Growth & Development Education expense reimbursement Leadership development programs Certified Payments Professional (CPP) certification support We believe great performance starts with feeling supported - and we've built our benefits with that in mind. Traditional Physical Requirements: Requires prolonged sitting, standing, bending, stooping and stretching. Requires the ability to lift 10 pounds. Requires eye-hand coordination, manual dexterity and a normal range of hearing and vision (with or without correction). Join our team at Priority Technology Holdings, Inc. and be part of a dynamic and innovative company that is transforming the financial technology landscape. Together, we can shape the future of payments and banking solutions while providing unmatched value to our clients.

We are seeking a highly experienced Principal Software Engineer to design and build the backend infrastructure for our centralized AI platform. This role will focus on developing robust, scalable backend services that power our agentic framework and enable teams across the company to securely deploy, manage, and access AI agents through unified APIs and user interfaces. Responsibilities Design and implement scalable RESTful APIs endpoints for the AI platform. Design and develop Python/Java SDKs that provide intuitive interfaces for teams to interact with the AI platform. Build robust backend services using Python (FastAPI, Django, or Flask) to handle agent lifecycle management, deployment, and monitoring. Develop secure authentication and authorization systems supporting multi-tenant architecture. Understand how an agentic solution works and create efficient data access layers and database schemas that enable AI agents to interact with various internal data sources. Implement asynchronous task processing systems for handling long-running AI agent operations. Lead technical discussions, mentor junior engineers, and help set the technical vision for the AI platform roadmap. Ensure compliance with security, privacy, and regulatory requirements across the software development lifecycle. Provide technical guidance on backend architecture, Python development, and SDK design best practices. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's or Master's degree in Computer Science, Engineering, or a related field. 12+ years of backend development experience with 5+ years building scalable Python applications and APIs. Experience in building large-scale distributed systems and microservices. Strong programming skills in Python; proficiency in Java a plus. Expert-level proficiency in Python and modern frameworks (FastAPI, Django REST Framework, Flask). Strong experience with database technologies (PostgreSQL, MySQL) and ORM frameworks (SQLAlchemy, Django ORM). Hands-on experience with agentic AI frameworks such as LangChain, LangGraph, CrewAI, AutoGen, or similar. Proven experience developing and maintaining SDKs or client libraries for internal or external usage. Strong experience with version control (Git), CI/CD pipelines (GitHub Actions, GitLab CI, Jenkins), and automated testing. Experience with containerization and orchestration (e.g., Docker, Kubernetes). Cloud platform experience (AWS, GCP, or Azure). Cognitive / Mental Requirements: Ability to navigate complex and fast-changing technologies and requirements. Ability to work independently as well as collaborate as a team with a sense of urgency. Professional with the ability to properly handle confidential information. Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort. Ability to handle multiple tasks, prioritize, and meet deadlines. Physical Requirements and Working Conditions: Flexibility to work with global teams as well geographically dispersed US based teams. Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $210,000 to $250,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 09/26/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/26/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-Remote #senior

The Generative AI Developer Intern focuses on researching and developing advanced healthcare informatics, particularly in the realm of Generative AI and emerging Artificial General Intelligence. It is designed to support improvements in healthcare treatment, payment, and operations. The intern will assist and take a primary role in developing, researching, creating analytical materials, and collaborating with various teams to drive AI-related projects. We are currently looking for interns who can start in January 2026. If you are looking for a Summer start date, please keep an eye on our website for openings early next year. Responsibilities NOTE: There are multiple open intern positions. Hours and length of assignment will be at the intern's choice from 20 - 40 hours per week with a minimum of one semester up to one year. Technical Expertise 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. Assists in establishing and maintaining an Artificial Intelligence Governance Program. Gain hands-on experience in generative AI model development, architecture design, and database management. Communication & Collaboration Communicates technology-related updates and requirements to other departments and contributes to presentations for senior management. Collaborates with research and development teams, product management, and strategic analysts to support ongoing projects. Leadership & Management Partners with Business Units to provide reliable intelligence, validated technology options, and insights on enterprise and industry trends. Supports technology project teams by coordinating specific tasks, assisting with day-to-day operations, and contributing to the successful delivery of solutions. Assists in collaborative efforts with academic research teams, practicums, internships, and vendor POCs. External Relationships & Partnerships Supports vendor evaluations and contributes to collaborations with vendors. Assists as a liaison between academic institutions, professional organizations, and research groups as needed. Other Support the Academic Corporate Engagement efforts to develop research and educational talent, with a focus on enhancing health tech knowledge and skills. Complete all responsibilities and goals outlined in the internship program. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed in this internship. It is not an exhaustive list of responsibilities, duties, and skills required and does not constitute an employment agreement. This job description is subject to change as Cotiviti's needs and requirements of the internship evolve. Qualifications Currently pursuing or recently completed an advanced degree in healthcare, technology, or a related field (e.g., Biomedical Informatics, Computer Science) with preference of a PhD. Demonstrated interest or experience in AI, healthcare technology, or informatics research. Strong foundational knowledge in generative AI model development, architectures, and vector databases. Hands-on experience with working with Machine Learning and Deep Learning models. Experience with LLM/RAG models and LLM fine-tuning is a plus. Hands-on experience working with cloud services (AWS/Azure), large data sets, and building data pipelines for ML solutions. Experience with vector embeddings and databases is a plus. Ability to work collaboratively and communicate effectively with cross-functional teams. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions are expected. Base compensation ranges from $32.00 to $40.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Date of posting: 09/05/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/05/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-DNP #LI-LL1 #LI-remote #intern

The Audit Quality Specialist (AQS) is a member of the greater Data Mining and Coordination of Benefits business unit where Cotiviti employees are responsible for auditing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, the AQS is responsible for post-audit internally and externally for the quality and compliance of audit engagements, ensuring expectations are met as well as established standards and requirements. This team works closely with internal audit teams to provide guidance, support, and oversight throughout the audit process. This is an entry-level position supporting client requests, overpayment quality review, system reconciliation, and claim audit requests. Documentation of relevant facts, information, and conclusions drawn to support the work performed for leadership to review and provide feedback is an essential function of the role. Responsibilities Provides Specialized Audit Quality Support: Conduct quality reviews of audit documentation, work papers, and reports to ensure accuracy, completeness, and compliance with auditing standards and regulations. Supports team leaders in reliably completing client requests, data management needs, and overpayment record review. Reviews and analyzes claim data and documentation to revalidate claims to ensure accuracy according to established policies and procedures, which may at times also include contacting the client directly at the claim level. Responsible for updating internal and external client systems with appropriate details to resolve claims. Ensures individual access to systems by the client as upheld for integrity, accuracy, and reliability as well as completing assigned compliance training as requested. Generates and Analyzes Quality Audit Reports: Provides support to leaders to review and complete supplier quality audit reports initiated by the client. Documents system and process deficiencies identified through supplier quality audit work and communicates these deficiencies to the leader. Communicates with client contacts and providers where necessary while following an established set of processes and procedures. Review audit findings, conclusions, and recommendations to verify their validity and appropriateness based on the evidence gathered. Meets or exceeds standards for quality set by the audit for the auditing concept, for valid claim identification and documentation. Supports Process Improvement: Continuously analyzes processes and systems used during work to identify internal areas of improvement and proactively communicates feedback to leaders. Identify areas for improvement in audit processes, procedures, and documentation, and collaborate with audit teams to implement. Governance Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is safe, complying with industry standards. Has a basic understanding of the healthcare industry, as well as a proven track record of delivering results. Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications High School or GED (Required). Bachelor's degree in healthcare, accounting, finance, or related field (preferred) and/or a minimum of at least 1-2 year/s related experience in health care. At least 1- 2 year/s Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: Recovery Resolution, Audit Support, etc.). Ability to work effectively both independently and as part of a team. Proficiency in Microsoft Office suite (Word, Excel, PowerPoint). Strong interest in quality review and root cause identification/resolution. Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally. Mental Requirements: Analytical Skills: Need strong analytical abilities to review and interpret complex financial data, identify patterns or discrepancies, and draw meaningful conclusions. Must be able to analyze information logically and critically to assess audit findings accurately. Attention to Detail: Attention to detail is crucial in auditing to ensure accuracy and precision in reviewing documentation, performing testing procedures, and documenting findings. Audit Quality Specialists must have a keen eye for identifying errors or inconsistencies and the ability to meticulously review large volumes of information. Problem-Solving Skills: Encounter various challenges and issues during audit engagements that require effective problem-solving skills. Must be able to identify problems, evaluate alternative solutions, and implement appropriate resolutions to ensure audit quality and compliance with standards. Critical Thinking: Must be able to analyze complex situations, consider multiple perspectives, and make sound judgments based on evidence and reasoning. Communication Skills: Must be able to articulate concepts clearly and concisely, both verbally and in writing and exercise discretion on confidential matters. Time Management: Audit Quality Specialists must be able to prioritize tasks, manage their time efficiently, and meet deadlines while maintaining high-quality work. Ethical Judgment: Integrity and ethical judgment are paramount in auditing to ensure compliance with professional standards and regulations. Audit Quality Specialists must adhere to ethical principles, maintain independence and objectivity, and uphold the highest standards of integrity and professionalism in their work. Base compensation ranges from $17.00 to $22.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/16/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/9/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KK1#junior

As a Senior Manager of Engineering, you will oversee all operational aspects of software development, ensuring projects are completed on time and within scope. You will provide administrative, technical, and people leadership for multiple, diverse, and geographically distributed teams. Your responsibilities will include providing clear guidance, delivering constructive feedback to team members, and promoting a culture of continuous improvement and innovation. This is an exciting opportunity to make a significant impact on our organization and contribute to the advancement of healthcare data analytics. If you are passionate about leading teams, driving excellence, and making a difference, we would love to hear from you. Responsibilities Recruit, train, coach, lead, and retain top-tier talent, with an emphasis on developing a team and workplace culture that employs best-in-class methods to support and drive high levels of internal and external customer satisfaction. Ensure engineering teams adhere to established internal development standards, consistently delivering high-quality solutions. Proven leadership skills, demonstrated ability to mentor, influence, and deliver scalable and robust data solutions. Engage with teams, architects, and stakeholders to collect requirements and specify solutions. Collaborate with DevOps, IT, and Database Administrators to ensure the needs and requests of your team members are met efficiently. Identify opportunities for process improvement and optimization, considering overall organizational goals and strategy to help reduce delivery time and operational costs. Collaborate with internal teams to find opportunities for automation and quality improvement. Participate in root cause analysis for issues encountered and ensure that permanent solutions are implemented. Communicate project status updates with management and peers on a regular basis. Complete all responsibilities as assigned as well as special projects and other duties as assigned. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor's degree in computer science, information technology, or equivalent. 8+ years of hands-on experience in software development. Minimum of 4+ years of management experience with increasing level of responsibility and oversight. Experience estimating and planning software development projects including risk management and integration plans. Experience in Java development. Experience in Oracle SQL development and data architecture. Experience working in an agile environment. Mental Requirements: Demonstrated ability to handle multiple assignments and tasks simultaneously. An extremely motivated, results-oriented individual that is very self-directed and comfortable thinking and reacting quickly. Excellent written and verbal communication skills and ability to influence at all levels of the organization. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $140,000 to $175,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 09/25/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/24/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-RA1 #manager

The Clinical Consultant support Clinical Services teams in the validation of quality and processes consistency on the CPE editing engine. Provides support and subject matter expertise on Coding Validation (CV) to both clients and internal stakeholders during the planning, implementation, go-live, transition to operational team, and through the duration of the contract. Clearly understands and articulates CV concepts and policies. Collaborates with internal teams to provide meaningful input on CV processes, improvements, and support to maximize value and service for clients. Supports internal teams with preparation of new policy presentations and appeals management process. Supports validation of quality and process consistency including customization requests, payment policies, pre and post testing, and UAT testing. Responsibilities Client facing Coding Validation support: Act as a liaison for clinical information between internal partners and external customers. Provide resources to facilitate client understanding of Coding Validation policies and concepts. Respond to client inquiries in a timely manner in compliance with policy and procedures. Review and analyze CV related client inquiries and Change Requests for clarity of intent, assessing impact of decisions for affected policies, and communicating effectively with the client to address questions or clarify information. Provide support and resources to clients for provider abrasion issues. Review and provide written and/or verbal explanation of CV coding concepts. Resource to client for CV related quality issues. Appropriately and effectively communicate quality review results and revisions (if applicable) to clients when they occur. Provide action plans to mitigate future issues as needed with Quality Team in close internal collaboration. Add Value to Internal Teams: Proactively offer benefit of CV knowledge and experience. Work collaboratively with Client Teams to develop and maintain excellent client relationships. Collaborate and provide input from a client-based perspective on changes in edit configuration, updates to existing rules, and development of new editing. Assist the Clinical Content Team with feedback from a client perspective on new trends and application of new rules. Work with Quality, Training, and Operations Teams as needed to facilitate any updates in CV review guidelines, effectively communicate changes in client specific review, and address other CV client issues in an accurate and timely manner. Support resource for the Clinical Services team on Coding Validation implementations, including reviewing test claims, and internal go-live support. Act as a support liaison for appeals management process. Quality: Support CPE Clinical Services quality assurance processes including pre and post release testing and other areas of need as identified. Assist the Clinical Content Teams with validation and review of client payment policies. Maintain Client Information Workbooks with updated information as needed to maintain accuracy in CV review. Provide support during user acceptance testing in Nucleus. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Education (required) Associate or Bachelor's degree in Nursing (active/unrestricted license). License & Certification- Registered Nursing license (RN) - active and unrestricted in state of residence. Professional coder certification (CPC, CPC-H, CPC-P, or CCS-P), RHIT or RHIA certification required. Experience 2+ years of clinical experience as a Registered Nurse. 1+ years of experience in Coding Validation. 1+ years of experience in coding including professional and outpatient facilities. 1+ years of experience in claims adjudication, medical/payment policy, or utilization review working for a managed care or healthcare insurance company, or related experience. 1+ years of experience in customer service or client management with a strong focus on healthcare setting. Skills and Other Requirements: Ability to analyze complex data and synthesize it for customer and internal consumption. Strong research capabilities and knowledge of CMS guidelines and other regulatory compliance guidelines and mandates, and medical payment policy. Proficient with Microsoft Office Suite (Word, Excel, Power Point). Working knowledge of Cotiviti systems preferred. Demonstrates basic working knowledge of the following applications within 90 days of hire: Nucleus, JIRA, Mantis, MicroStrategy, Tableau. Knowledge of medical terminology. Detail oriented. Ability to handle multiple tasks, prioritize and meet deadlines. Effective analytic and problem-solving skills. Professional with ability to properly handle confidential information. Ability to work well independently and a track record of successful outcomes within a collaborative team environment. Ability to work in a fast-paced environment, effectively organize, prioritize and meet deadlines. Strong written and verbal communication and interpersonal skills. Ability to work with remote cross-functional product teams. Computer and technology literate. Must have ability to positively handle/manage stress, such as high work volume and frequent change. Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. After hours and/or weekend work may be required where necessary for major deliverables/deadlines (not consistent). Travel requirement up to 10%. Cognitive / Mental Requirements: Ability to analyze complex data and synthesize it for customer and internal consumption. Detail oriented. Effective analytic and problem-solving skills. Professional with ability to properly handle confidential information. Ability to work well independently and a track record of successful outcomes within a collaborative team environment. Ability to work in a fast-paced environment, effectively organize, handle multiple tasks, prioritize and meet deadlines. Ability to work with remote cross-functional product teams. Must have ability to positively handle/manage stress, such as high work volume and frequent change. Physical Requirements and Working Conditions: This remote role can be located anywhere in the continental US. Repeating motions that may include the wrists, hands, and/or fingers. (This needed to be added.) Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to sit and use a computer keyboard for extended periods of time. No adverse environmental conditions expected. Base compensation ranges from $75,000 to $92,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/11/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/11/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LIJB1 #senior

Provide architecture and design for integrating Edifecs solutions into customer environment to meet customer business needs and technical needs for performance, scalability, maintainability and availability. Mentor implementation consultants and review work products/designs delivered by implementation consultants to ensure that they meet prescribed architecture. Provide software code and other artifacts for complex scenarios. Interface with Edifecs engineering team to understand product reference architecture and convert it into implementation architecture templates. Provide guidance to partners who are implementing Edifecs solution from time to time. Troubleshoot critical and complex issues in production that are escalated by support and implementation teams. Create reusable assets such as configuration templates, code templates and other extensions to product that can be leveraged across multiple implementations. Responsibilities Solution & System Architecture Architect robust, scalable, and secure solutions across payer systems such as: Claims Adjudication Engines (e.g., HealthRules Payor, QNXT, Facets). Member Enrollment & Eligibility. Provider Data Management. Billing & Remittance Systems. Define logical, physical, and integration architectures for service orchestration, and data flows. Develop architecture artifacts: solution blueprints, API/interface specifications, sequence diagrams and deployment models (cloud/hybrid). Integration Design Design real-time and batch integrations using: EDI (X12: 834, 837, 835, 270/271, 276/277, 278). FHIR (CMS Interoperability APIs). HL7 v2/v3. Implement service-based integrations via RESTful APIs, SOAP Web Services, ESBs, and iPaaS platforms. Lead canonical data modeling and interface definition for intra-platform communication. Cloud & Infrastructure Collaborate with DevOps and Infrastructure teams to deploy scalable solutions on: AWS (EC2, Lambda, S3, RDS, API Gateway). Azure (App Services, Logic Apps, Functions, Event Grid). Define containerization and orchestration strategies using Docker, Kubernetes, Helm for microservices deployment. Data Strategy & Migration Develop data migration strategies for legacy-to-modern system transformations, ensuring data integrity, lineage, and auditability. Design ETL/ELT processes for payer data domains using Edifecs tools. Conduct performance tuning for high-volume transactional systems (claims and eligibility processing pipelines). Governance, Compliance & Security Ensure solutions are HIPAA-compliant. Implement role-based access controls (RBAC), encryption at rest and in transit, and OAuth2/OpenID protocols for FHIR APIs. Document architectural decisions using enterprise architecture tools (Sparx EA, ArchiMate, Visio). Collaboration & Delivery Partner with business analysts, SMEs, and delivery leads to align technical design with payer business requirements. Serve as a hands-on technical lead during implementation, reviewing code, guiding developers, and conducting design reviews. Support Agile ceremonies (PI Planning, Sprint Reviews) and contribute to technical backlog grooming. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Education and Experience: Bachelor's degree or foreign equivalent degree in Computer Science, Engineering, or IT related field. 8 years of progressive, post-baccalaureate experience (within the past 8 years) in the healthcare industry as an Implementation Architect, Software Engineer, or related occupation. Hands-on experience with core payer platforms such as Facets, QNXT, HealthEdge, Epic Tapestry, or equivalent. Deep understanding of healthcare interoperability standards (HL7 v2, HL7 FHIR, X12 EDI, NCPDP, C-CDA). Technical Skills: Deep understanding of FHIR R4 structure, resource types, profiles, and terminology (LOINC, SNOMED, ICD). Familiarity with data formats: JSON, XML, HL7v2 messages, X12, flat files (CSV, pipe-delimited, etc.). Strong knowledge of Edifecs Applications. Strong knowledge of healthcare EDI transactions (834, 837, 835, 270/271, 278). Experience working with data ingestion and ETL pipelines in healthcare environments. Advanced proficiency with: X12 EDI standards (834, 837, 835, 270/271, 278). API design & integration (OpenAPI/Swagger, JSON, XML, REST). FHIR, HL7, CDA, and modern healthcare interoperability standards Solid understanding of data modeling (logical & physical), relational databases (SQL Server, Oracle), and NoSQL (MongoDB, DynamoDB). Experience implementing solutions on AWS, Azure using CI/CD pipelines (GitLab, Jenkins, Terraform, CloudFormation). Experience with data integration platforms (MuleSoft, Mirth, Dell Boomi) and service-oriented architecture (SOA). Experience working in Agile or SAFe environments. Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus. Demonstrated experience analyzing large datasets (millions of rows) and complex multi-file healthcare data structures. Expertise with healthcare data domains: member, claims, provider, enrollment, and clinical data. Soft Skills: Strong analytical and problem-solving skills. Clear communication, with ability to document and explain complex technical concepts to stakeholders. Detail-oriented and highly organized, with a strong focus on data quality and compliance. Collaborative team player who can work across services, product, engineering, and business teams. Preferred Qualifications: Experience working with payer-provider interoperability use cases (e.g., Patient Access API, Provider Directory API). TOGAF, SAFe Architect, or similar architecture certification. AWS Certified Solutions Architect or equivalent cloud certification. Prior consulting or vendor-side implementation experience with health plans. Experience with cloud-based data platforms (AWS, Azure, GCP) and data integration tools (MuleSoft, Boomi, Informatica, Talend). Familiarity with big data frameworks (Spark, Databricks) or advanced ETL/ELT processes. Experience automating data validation and transformation processes. Cognitive/Mental Requirements: Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $120,000 to $156,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 11/7/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-Senior #LI-MJ1

The Team Lead is a member of the Revenue Cycle team within the Yield Management area of Cotiviti. This department will work directly with other members of Yield to ensure department expectations are accomplished. This role is responsible for training, leading and daily oversight of Revenue Cycle Specialists, Specialist 2 and Seniors, as well as the knowledge share and refinement of Revenue Cycle processes. This includes daily communications with the client and Claim Audit personnel, as well as fielding projects assigned by the Manager and/or Senior Leadership. This individual ensures operational controls and day to-day processes related to Revenue Cycle are in place (cash application, invoicing, reconciliations, and audit controls), monitors distribution of work across the team and adherence to all internal/external Service Letter Agreements. The Team Lead responds to all internal/external client inquiries in a timely, accurate and professional manner. Responsibilities Hire, develop, coach, lead and retain top-tier talent with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Delegates work to other members of the teams and works with the Senior on new hire material and training guides for the department. Analyzes the organization's revenue streams to identify opportunities to maximize revenue or margins. Collects, analyzes, and interprets revenue-related data across multiple revenue streams. Uses findings to recommend changes to product/service pricing based on availability and expected demand, with the goal of driving incremental revenue and increasing profitability. Modifies revenue management strategies to reach targeted markets. Monitors team or department efficiency and ensures that output meets expectations. Implements and administers organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations. Works with Manager, Revenue Cycle to assist with strategically planning, scheduling, and coordinating the work of the Revenue Cycle Team to achieve stated goals. Utilizes metrics to monitor and ensure all departmental activities are performed consistently within established client and company guidelines. Efficiently and effectively supervises assigned personnel, client requests, and Revenue Cycle workflows/systems. Serves as a Team Leader and/or escalation path for internal and external business constituents by providing leadership and direction in responding to complex inquiries and problem resolution. Consistent with good people management practices and company values, provides supervisory leadership and works with Manager, Revenue Cycle to direct the selection, supervision, evaluation, and development of team. Sets objectives and conducts performance reviews for the direct reports with assistance from the Manager, Revenue Cycle. Works collaboratively with Manager, Revenue Cycle-in consultation with Human Resources to recommend and implement performance management, progression, and compensation actions as warranted. Resolves employee concerns and other sensitive people issues consistent with Human Resources policies and guidelines. Follows established processes for training and career progression to enable revenue growth and staff development/engagement. Promotes & participates in knowledge sharing activities such as best practices, benchmarking, whitepapers, and tool enhancement. Works with manager, Revenue Cycle to ensure that all levels of staff are properly trained on policies, procedures and best practices and that proper training, education and required certifications are maintained. Actively recommends system/process improvements or enhancements that will increase productivity and cost containment to audit and client leadership. Complete all responsibilities as outlined on annual Performance Plan. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. Qualifications 2 -4 years prior work experience in accounting or business operations; preferably healthcare experience with financial systems. Associates or Bachelor's Degree in Accounting/Finance/Business required. 1-3 years of People Management and related experience strongly preferred. Ability to lead, influence, manage, and motivate others. Exceptional problem-solving, lateral thinking, communications, project management, planning organizational and interpersonal skills. Computer proficiency in Microsoft Office (Word, Excel, Outlook) required; Microsoft Access experience preferred. Demonstrated knowledge of revenue cycle practices. Ability to deal with personnel at all levels, exercise discretion on confidential matters. Excellent verbal and written communications skills. Ability to work well in an individual and team environment. Excellent organizational ability required to handle multiple priorities. Knowledge of revenue cycle practices. Healthcare experience a plus. Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions are expected. Base compensation ranges from $55,000 to $65,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 08/01/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/01/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-KK1 #LI-Remote #senior

A Senior Revenue Cycle Specialist is a member of the Revenue Cycle team within the Yield Management Division. This department may work directly with other members of Yield to ensure department expectations are accomplished. The Sr. Specialist, Revenue Cycle position is responsible for complex levels of recurring and/or daily functions and processes that are necessary for business execution; including but not limited to, ensuring the quality of various functions within the department (check application, offsets, invoicing, etc.). Other responsibilities will include solving complex issues that have been identified and being a point person for other Revenue Cycle Specialists within the department. A Senior Specialist will identify discrepancies, analyze issues to ensure payments are posted timely and process electronic requests in multiple systems and platforms. Additionally, a Senior is a subject matter expertise and works directly with the Team Lead to ensure the success of the team in creating and identifying training materials and assisting with new hire onboarding and orientation, acting as a mentor for others on the team. Responsibilities A Senior Specialist is identified as a subject matter expert on all knowledge within the Revenue Cycle space. Collaborate with the Team Lead to develop and oversee new hire onboarding materials, ensuring the effective training of Specialists and Specialist 2's. Completes or monitors organizational functions or processes, ensuring that they are completed accurately, on time, and in compliance with established policies and regulations. Tracks processes, preparing reports for management detailing quality or quality of departmental actions. Analyzes, identifies, and implements procedural change opportunities to improve performance and efficiency, and maximize revenue or margins. Ability to resolve errors and handles exceptions of limited risk and complexity. Identifies opportunities to improve revenue cycle processes and proposes solutions to capitalize on opportunities. Works with manager to establish an implementation plan and can work independently or with support of Specialists to implement plan. Thinks critically through implementation of plans to identify gaps and make necessary adjustments. Serves as a key point of contact for other departments on the audit and the client. Resolves client and audit issues to completion with attention to detail and the highest level of professionalism. Conducts research and resolution on outstanding claims. Posts adjustment transactions to collection system as well as client's system. Posts payments to collection accounts, reconciles with posted bank transactions, works with AP department to have refund issued when needed, reconciles monthly bank statements with cash posting database. Posts adjustment transactions to collection system as well as client's system. Access and understand necessary information from the various online systems, understanding the systems process in determining how a claim has been paid to accurately apply payments and adjustments and assists in determining the adjudication of funds. Has a detailed understanding of client systems and processes. Can serve as a subject matter expert on client processes. Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures monthly reporting for audit purposes. Prepares and records financial transactions for assigned accounts to accumulate and record accurate and timely financial history. Ensures daily deposit reconciliation; maintains daily, monthly reporting for audit purposes. Researches and accurately distributes payments with no apparent invoice number, or date-of-service. Researches and determines the correct claim for the payment if there is a valid patient/date of services and accurately applying payment to correct claim. Maintains thorough and detailed knowledge of compliance and recovery laws regarding processing and recoupment to ensure compliance with state laws regarding all cash processes as evident through the collection cycle. Maintains productivity goals and standards set by the department. Ensures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity. Quickly grasps a working understanding of basic elements and concepts of audit operations. Demonstrates enthusiasm for learning and applying knowledge to the completion of tasks. Successfully integrates and executes new assignments with moderate guidance and direction. Demonstrates adeptness in gathering data, analyzing problems, evaluating options, and developing/implementing creative solutions to job challenges. Makes logical, well-reasoned and timely decisions, seeking guidance and support as appropriate. Demonstrates competency with tools of the job including but not limited to filing systems, computers, word processing & spreadsheet applications, web systems, Cotiviti and Client systems, data file structures and Power Point. Can efficiently download and format common file types. Demonstrates ability to plan, organize, and prioritize multiple tasks and ensure timely completion. Uses a structured and dependable approach to accomplishing assigned work. Shows initiative and a willingness to engage in all audit support activities. Reaches beyond current tasks to add value to broader team. Goes the extra step to solve problems instead of waiting for someone else to solve them. Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Assures confidentiality and security of all data, adhering to all HIPAA laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. Works with clients, customers, and partners to accurately assess their needs, provide information or assistance, resolve problems, or satisfy requirements. Can be counted on to consistently meet or exceed goals and perform at expected levels of quality and productivity. Demonstrates willingness and readiness to take on more responsibility in support of the audit. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications 2 to 4 years of related experience or an Associate's or Bachelor's degree are preferred. Bachelor's Degree in Accounting/Finance/Business or five (5) years relevant experience preferred. Minimum of two years of financial and/or business-related experience. Proficiency in MS Excel required; Access strongly preferred. Ability to work both in a team and independently. Knowledge of revenue cycle practices. Healthcare experience a plus. Strong organizational skills are required to manage multiple priorities effectively. Demonstrates an understanding of Cotiviti's Core Values, Strategic Pillars, and Operations Disciplines to successfully perform assigned responsibilities and engage with the organization internally and externally. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $22.50 to $24.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/23/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/9/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-KK1 #LI-Remote #entrylevel

The Sr Program Manager, Operations will partner directly with the assigned Client Executive, retrieval, coding, and reporting team leads, and will focus on the execution and delivery of the Cotiviti Risk Adjustment Products and Services for enterprise-level accounts. The Sr Program Manager, Operations will directly own assigned accounts and is responsible for overseeing all aspects of our engagement for our Risk Adjustment solution set. The Sr Program Manager, Operations will leverage their deep healthcare and project management knowledge to deliver the highest quality of services to Cotiviti clients. Responsibilities Accountable for ensuring the successful delivery of products and services to assigned clients within the Cotiviti Risk Adjustment Portfolio. This will require the Sr Program Manager to partner very closely with the assigned Client Executive, retrieval, coding, and reporting team leads, as well as other teams across the organization. Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives, and follow-up. Interacts directly with customers to drive client satisfaction and product adoption in support of all initiatives as defined. Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed. Responsible and Accountable for ensuring that the costs/expenses of managing clients are aligned with the anticipated revenue. Responsible for tracking and reporting on client contractual SLA's Accountable for driving the value of our products and solutions within the assigned customer's account, ensuring the client receives ROI for their investment. Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to correct these issues. Complete all responsibilities as outlined on annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotivit and the requirements of the job change. Qualifications Bachelor's degree is required, Relevant Master's Degree preferred. A minimum of 7 years of health care industry experience with a health plan or vendors of data analytics or claims processing technologies. A minimum of 5 years of successful client/program management. A minimum of 3-5 years of experience in the Risk Adjustment space. Demonstrated experience managing the deliverables of a large client dealing with a broad range of services. Ability to foster relationships at the appropriate level within the Client organization and take full accountability for managing client escalations. Proven ability to handle stressful situations, multiple tasks, and deadline pressures. Formal training in enterprise project management methods and process management experience preferred. Outstanding presentation and communication skills. Proven success in preparing and delivering presentations that convey information critical to the audience and adjusting to meet changing audience needs. Ability to listen and understand information and ideas, whether presented verbally or written. Excellent verbal, written, and interpersonal communication skills with strong grammar and writing skills. Able to interact easily and appropriately with internal and external individuals with a professional demeanor. Ability to follow up on outstanding tasks/deliverables. Experience leading, training, and managing a team with strong organizational skills. Ability to lead cross-functional internal teams to execute on complex tasks in a growing and changing environment. Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook are a must. Deep knowledge of Project Management Willingness/availability to travel up to ~15% is required. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions are expected. Base compensation ranges from $100,000 to $140,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 8/25/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/25/2025 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-MW1 #senior

Job title: Principal Site Reliability Engineer Reports to: Director, Site Reliability Engineering Department: Engineering Grade: 21 About Priority: Priority Technology Holdings, Inc. is a leading financial technology company on a mission to deliver a personalized, easy-to-adopt financial toolset that accelerates cash flow and optimizes working capital for businesses. Our vision is to eliminate the barriers to unlocking revenue - empowering businesses to grow faster and operate smarter. We achieve this through the Priority Commerce Engine, an innovative platform that combines payables, acquiring, and banking and treasury solutions. This unified approach allows businesses to streamline financial operations, reduce unnecessary costs, and uncover new revenue opportunities. At Priority, we're driven by results. We expect our people to be known for results - bringing expertise, momentum, and relentless focus to every challenge, helping our clients and each other thrive. About the Role: As a Principal Site Reliability Engineer, you will be a senior technical leader ensuring the reliability, scalability, and operational excellence of Priority's mission-critical financial technology platform. This role blends hands-on engineering with leadership, mentorship, and cross-functional influence.You will partner with product and infrastructure teams to ensure services are observable and resilient. You will resolve incidents, automate operational workflows, and set standards that raise the bar for reliability across the organization.This is an ideal role for an engineer who thrives at the intersection of software, systems, and operations, and who wants to shape the reliability culture at scale. Responsibilities: Define and drive the SRE strategy, aligning reliability practices with Priority's long-term business and technology goals. Lead incident response and retrospectives, driving systemic reliability improvements across multiple product workstreams. Own cross-cutting platform concerns such as observability, monitoring, alerting, performance, scalability, and resiliency. Partner with engineering leadership and product teams to embed reliability best practices into design, planning, and delivery. Automate detection, resolution, and recovery for recurring production issues, reducing toil and increasing delivery velocity. Evaluate and introduce new technologies, frameworks, and practices to improve reliability, cost efficiency, and performance. Mentor and coach engineers across levels, multiplying SRE skills and mindset across the organization. What Success Looks Like: Delivery & Execution: Services are deployed frequently and safely; incidents are resolved quickly with minimal customer impact; operational load is reduced through automation and reliable processes. Product Quality & Reliability: Systems consistently meet availability, latency, error-rate, and performance SLOs; incidents are rare, well-mitigated, and quickly remediated; redundancy and fault tolerance are built into all layers of the stack. Collaboration & Knowledge Sharing: Teams design with reliability in mind; incidents are resolved faster with shared playbooks; engineers across disciplines feel confident in operational practices; blameless postmortems drive organizational learning. Business & Product Impact: Reliability improvements directly enhance customer experience, reduce churn, and support adoption of new products and features without sacrificing stability. Professional Growth & Team Contribution: You are recognized as a mentor and thought leader, elevating engineering maturity across the org; teams continuously improve reliability practices, automation, and resilience. Candidate Requirements: Required: 10+ years of professional software engineering / systems engineering experience, including 5+ years in SRE or reliability-focused roles. Proven leadership experience influencing reliability practices across multiple teams or domains. Strong background in distributed systems, cloud infrastructure (AWS preferred). Deep expertise in observability, monitoring, alerting, and incident management. Proficiency in a modern programming language (Java, Node.js/JavaScript, or similar). Experience with relational and non-relational databases. Strong communication skills with the ability to collaborate effectively across engineering and business stakeholders. Preferred: Prior experience in high-throughput, regulated industries such as payments, fintech, or banking. Familiarity with event-driven and asynchronous architectures. Strong mentoring background, helping senior engineers adopt higher-level reliability thinking. Advanced certifications in cloud, reliability, or system design (e.g., AWS Solutions Architect Professional, SRE Foundation. Work Environment & Culture: We believe that performance and experience go hand in hand - an exceptional employee experience is earned through contribution. We are a results-driven team, grounded in our core values: ownership, authenticity, service, trust, innovation, and camaraderie. Our culture is built for those who want to make an impact. We challenge each other to grow, celebrate progress, and support one another through shared goals and real connection. Whether you're building technology, serving clients, or supporting internal teams, you'll be part of a company that empowers you to perform at your best and be known for results. Compensation and Benefits: Compensation range: $181,700 - $201,000 We invest in the whole employee - personally and professionally. Our benefits package is designed to support your well-being, growth, and success - both inside and outside of work. Financial Wellness Bonus programs 401(k) match Employee Stock Purchase Program (ESPP) HSA and FSA options Financial wellness resources and employee discount programs Health & Well-being Medical, dental, and vision coverage Mental health support for employees and dependents through Lyra Health Family planning and women's health benefits through Carrot Gym membership reimbursement and virtual wellness programs (including yoga) Time Off 3 weeks PTO to start, with unlimited PTO after year one Growth & Development Education expense reimbursement Leadership development programs Certified Payments Professional (CPP) certification support We believe great performance starts with feeling supported - and we've built our benefits with that in mind. Traditional Physical Requirements: Requires prolonged sitting, standing, bending, stooping and stretching. Requires the ability to lift 10 pounds. Requires eye-hand coordination, manual dexterity and a normal range of hearing and vision (with or without correction). Join our team at Priority Technology Holdings, Inc. and be part of a dynamic and innovative company that is transforming the financial technology landscape. Together, we can shape the future of payments and banking solutions while providing unmatched value to our clients.

We are seeking an experienced Lead Software Engineer to design and lead the development of a scalable, high-performance FHIR Repository service capable of handling hundreds of terabytes of healthcare data. This system will form the foundation of our next-generation healthcare data platform - powering interoperability, analytics, and compliance across our product ecosystem. You will be responsible for the architecture, design, and implementation of core services that store, retrieve, and manage FHIR resources at massive scale. The ideal candidate combines deep technical expertise in database scalability, distributed systems, and Java engineering with strong leadership skills and a passion for solving real-world problems in healthcare data management. Responsibilities Architect and lead the design of scalable and fault-tolerant FHIR Repository supporting high-throughput operations. Define and implement data modeling, storage, and indexing strategies optimized for FHIR resource retrieval and updates at petabyte. Drive performance, scalability, and cost-efficiency initiatives across the repository and related services. Partner with product management, cloud operations, and security teams to ensure compliance with HIPAA, and other healthcare data regulations. Evaluate and integrate cloud-native and database technologies (RDS, Aurora, PostgreSQL, sharding strategies, caching layers, etc.) to support growth. Lead proof-of-concepts and architectural prototypes to validate design approaches. Collaborate with cross-functional stakeholders to ensure the repository integrates seamlessly with APIs, analytics pipelines, and FHIR-based interoperability solutions. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications 10+ years of experience in software engineering, with at least 3+ years in a technical leadership or architectural role. Proven expertise in Java, Spring Boot and related frameworks. Strong experience with Relational databases (PostgreSQL, MySQL, or Aurora) including scaling, sharding, performance tuning, and distributed query optimization. Experience designing distributed systems, data pipelines, or large-scale storage services. Understanding of FHIR standards, RESTful APIs, and healthcare data interoperability principles. Knowledge of data partitioning, caching, and data-lifecycle management in high-volume systems. Strong foundation in cloud infrastructure (AWS preferred) including monitoring, autoscaling, and resiliency design. Excellent analytical, problem-solving, and communication skills. Preferred Qualifications Experience working with healthcare data (FHIR, HL7, EDI). Experience with containerized and orchestrated environments (Docker, Kubernetes). Exposure to data governance and security requirements in healthcare (HIPAA, HITRUST). Experience mentoring engineers and influencing technical direction across teams. Cognitive/Mental Requirements Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness, and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Physical Requirements and Working Conditions Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $122,000 to $170,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of Posting: 11/7/2025. We anticipate that the application window will close on 12/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. Since this job will be based remotely, all interviews will be conducted virtually. #LI-REMOTE #senior #LI-MJ1

A Sales support and selling role dedicated to supporting Sales VPs in the sale of our [Payment Accuracy or Health Enablement] products. This role requires product expertise in the [Payment Accuracy or Health Enablement] suite of solutions. Candidate should have at least eight years of experience with inside sales, sales development, or a similar customer- facing role within the healthcare industry. They should possess the skill and experience to work as a member of a collaborative sales team and to be responsible for sales quota, expansion of account intelligence, qualification of leads, preparing the sales materials and drive revenue growth. The intent of the role is to provide support to the Sales VPs in their pursuit of the opportunities. In partnering with the Sales VPs, the Sr. Sales Solution Manager will execute best sales practices and efficient use of internal resources. Responsibilities To support Sales VPs, the Sr. Sales Solution Manager participates in the planning and execution of sales strategies, including but not limited to: Participating in sales planning and the creation of the pipeline and account plans. Coordinating cross-selling activities with Client Engagement Team. Coordinating with account management in sales planning and account plans. Targeting and engaging senior decision makers. Scheduling and conducting discovery calls. Creating presentations for online and onsite meetings. Conducting solution presentations and leading demo conversations. Fulfilling take-aways from presentations. Present product demonstrations. Supporting submissions of pricing and proposals. Managing RFI and RFP submissions. Participating in tradeshows, Cotiviti Client Conference and other marketing events. Managing contract administration process and participating in contract negotiations. Provide support in the preparation and delivery of internal training sessions. Closing new business. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. To develop their sales abilities and experience for accepting quota responsibility, the Sr. Sales Solution Manager will support the Sales VP: Maintaining accuracy of product pipeline reports. Assisting with contract creation and administration (NDA, BAA, MSA, SOW). Creating and maintaining account profiles in Microsoft Dynamics, including organizational charts and contacts. Documenting in Microsoft Dynamics essential interactions with prospects and customers. This is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications BA., B.S. or advanced degree in business, sales, or equivalent experience. 8+ years of sales experience or a client facing role. Proven success in sales, managing accounts and resolving customer issues. Ability to self-manage with attention to detail. Professional demeanor and ability to interact easily and professionally with customers. Responsible for retaining confidentiality and creative problem solving with ability to work with customers, both internally and externally to meet revenue goals. Proactive, self-motivated individual with ability to work well in group setting providing product subject matter expertise for Cotiviti's Payment Accuracy solution components. Excellent organizational skills for filing, organizing information for quick retrieval and tracking tasks and due dates. Ability to work on multiple projects simultaneously. Excellent verbal, written, follow-up and interpersonal skills. Proficiency in Microsoft Office Suite. Travel up to 20% of the time. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $125,000 to $150,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for commission. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 12/17/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/17/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-AK1 #senior