Cotiviti jobs

Join a recently formed team focused on Model Risk and Responsible AI. The Staff GenAI Scientist - 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 Staff GenAI Scientist 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. 7+ 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 $165,000 to $190,000 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 11/6/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/06/2026, 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

The Data Solution Specialist role is aligned to our Implementation team and will partner will various divisions and levels of leadership within the whole organization. They will be accountable to internal stakeholders for the successful implementation of both new and recurring projects. They will manage milestone tracking and task execution for assigned projects and internal process improvement initiatives. This role involves close collaboration with Product Managers and cross-functional teams to ensure the timely and high-quality delivery of project outputs, such as documentation, data analysis, status reports, performance metrics, business requirements, backlog grooming, and other operational deliverables. Key responsibilities include: Documenting, organizing, and reporting issues and risks related to assigned tasks using appropriate project management tools and reporting systems. Applying project management rigor and process excellence best practices to enhance project efficiency. Challenging established processes and proposing creative solutions to drive cost and time savings. Success in this role requires strong analytical, organizational, and problem-solving skills, with a focus on driving continuous improvement and achieving operational excellence. Responsibilities Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep. Manage projects to ensure delivery expectations are met and proper approvals are obtained for release. Actively working on becoming a company-wide subject matter expert (SME) for all client data file layouts and various enterprise level projects. Investigates and responds to questions for assigned projects. Host and facilitate discussions internally to (1) manage data intake, and (2) ensure all client data requirements are discussed and confirmed. Partner with internal product development, operations, and client services groups to ensure that all parties are engaged and notified as to the implementation process and operational status. Perform data quality checks verifying that data provided is consistent with the requirements to build Healthcare Data Warehouse. Write data transformation specifications to load source data into target data warehouse tables. Analyze client interface requirements, identify gaps and handle all questions related to the client's specific file layout. Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations. Create and maintain all documentation needed for client interfaces and layouts. Evaluate data and provide insights and recommendations to stakeholders. Effectively communicate technical / analytic information to business partners. Provide qualitative and quantitative analysis of medical claims data sets. Other Related Responsibilities Actively promote and participate in process improvement and adoption of new technologies. Conduct detailed claims analysis and ad-hoc reporting as prioritized by management. Produce work that reflects a focus on quality in consideration of the client's (internal and external) needs. Produce, validate and deliver regularly scheduled reports on a timely basis. Identify all data issues and coordinate a resolution with the respective client team. Set appropriate expectations with internal and external clients while cultivating an image of professionalism and excellence. Available for occasional off-hours support as required. Ability to occasionally travel as needed for team collaboration and special projects. Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. 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 Diploma Required. Bachelor's degree in Computer Science, Information Systems, Data Management, or a related field or higher or equivalent experience required. 2+ years of Business Analyst experience (Preferred). 2+ years working with client data and client interfaces. 2+ years working with relational databases and SQL. Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred. Intermediate Smartsheet knowledge required Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required. Process improvement skill set required. Excellent oral, written, and technical skills are required. Excellent organization skills, with ability to track multiple projects simultaneously. Strong interpersonal and cross-functional skills required. Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision. Strong technical skills, with proven track-record of working across multiple technology platforms. 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. Comfortable speaking in front of a group, with clients, and leading meetings. Desire and capacity to learn new concepts and software. At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally. Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided 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 $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. This role is based remotely and all interviews will be conducted virtually. Date of posting: 00/00/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 00/00/2025, 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 #senior

The Sr Data Scientist - Generative AI II will apply knowledge and expertise to real world problems to enable healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare issues of our time. A Data Scientist at Cotiviti will be given the opportunity to work directly with a team of healthcare professionals including analysts, clinicians, coding specialists, auditors and innovators to set aggressive goals and execute them with the team. 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 on business outcomes. Please note: We are currently hiring multiple positions at various levels for our Artificial Intelligence teams. Please use the chart below as a guide for the amount of experience required for each level, and apply to the req(s) that are most appropriate for your level of experience. Responsibilities As a Sr GenAI Scientist 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. You will be expected to follow processes and practices that allow your models to be incorporated into our machine learning platform for production execution and monitoring, however, initial exploratory data analysis allows for more flexible experimentation to discover solutions to the business problems presented. Work with key stakeholders within Research and Development as well as Business Operations, along with Product Management to assess the potential value and risks associated with business problems that have the potential to be solved using machine learning and Artificial Intelligence techniques. Develop an exploratory data analysis approach to verify the initial hypothesis associated with potential Artificial Intelligence/Machine Learning use cases. Document your approach, thinking and results in standard approaches to allow other data scientists to collaborate with you on this work. Prepare your final trained model and develop a validation test set for QA. Work with ML Ops/Production operations to deploy your model into production and support them in monitoring model performance. Participate in design sessions to continuously develop and improve the Cotiviti machine learning platform. Participate in other data science initiatives, collaborating with your peers to support their projects. Participate in knowledge sharing sessions to bring new insights and technologies to the team. Provide End to End value-based solutions, including data pipeline, model creation and application for end user consumption. 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. 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. Flexibility to work with global teams as well geographically dispersed US based teams. Professional with ability to properly handle confidential information. Ability to work within a matrixed organization. Proficiency in all required skills and competencies above. Mental Requirements: Passion for collaboration, learn it all mindset and driving value with AI. Ability to work independently as well as collaborate as a team with a sense of urgency. 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. Communicating with others and teamwork. 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. No adverse environmental conditions expected. 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 $145,000.00 to $170,000.00 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 2/7/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 04/07/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #Senior #LI-LL1

The Trainer Consultant of Implementations is responsible for providing effective and relevant training to our clients through online, in person and recorded sessions. This is achieved through evaluating the Training Request, communicating with the client and the internal support team, and utilizing tools and techniques to deliver on the objectives. They will apply different forms of technology to measure the success of the training and make updates to the strategy based on the results. Responsibilities Consult and collaborate with internal departments to develop training materials that achieve defined learning outcomes by appropriately evaluating the need and making sound training recommendations. Create course materials and teaching aids that support content delivery and skills assessments. Problem-solving and manage multiple assignments simultaneously while meeting deadlines and quality standards as you revise, modify, and update training materials. Deploy feedback tools Sitting for Sto assess the effectiveness of the curriculum. Track training outcomes and ensure alignment to business objectives. Identify individual and organizational obstacles to learning and facilitating interventions. Respond to trainee questions and adjust course content as required. Facilitate the delivery of technology-based and multimedia-centered teaching. Ability to explain complex, technical concepts clearly, to both technical and non-technical audiences. 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. 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 education, technical writing, communications, or related fields required. Experience in healthcare industry with Brokers and Consultants, Employers, Health Plans, Physicians groups, and/or Third-Party Administrators preferred. Ability to explain complex, technical concepts clearly, to both technical and non-technical audiences. 1+ year of experience as a trainer. Training Consulting Certification preferred. Knowledge of tools such as HTML, training authoring tools, PDF creation, Microsoft application suite, and version control systems. Work independently and effectively communicate with all involved to meet desired outcomes. Demonstrated knowledge of training methods and best practices for user training on application software including thorough understanding of training techniques. Excellent organization, communication, and presentation skills. Travel: up to 25%. 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. Typing, reading, speaking, listening, interacting, and reasoning. 5 lb. lifting requirement Since this job will be based remotely, all interviews will be conducted virtually. Base compensation ranges from $60,000 to $75,000 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: 10/14/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/14/2025, 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 #junior

As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti. The BDR frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations. You will support the management of sales territories by establishing relationships, conducting introductory conversations, and gathering intelligence that enables Cotiviti to favorably compete for the prospects' business. BDRs support analysis and reporting needs of sales operations by developing business profiles of targeted accounts, also referred to as “New Logos.” BDRs also support marketing program development by providing feedback about market dynamics, competitive presence, and the perception of Cotiviti solutions in the eyes of prospective customers. Responsibilities Conduct Sales Development activities using the telephone, email, CRM, and other web-based platforms. Proactively seek new account relationships through an outbound, cadenced, engagement process, following up on inbound Marketing Qualified Lead. Collaborate with Sales VPs to develop and execute account-level sales strategies; document activities in Dynamics CRM associated with sales strategies. Qualify prospective customers using solution-selling techniques to determine the sales-readiness of opportunities. Develop thorough prospect profiles of target accounts, including reporting relationships, procurement processes, budgeting cycles and imbedded competition. Participate in and contribute to sales meetings, pipeline reviews, marketing input sessions and other sales or market events. Contribute to a professional atmosphere through positive interaction with customers, sales VPs, Marketing team members and co-workers. 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 B.S. or B.A in a healthcare or B2B-related field preferred, or equivalent. 2-4 years' experience in software sales or client services required. 1+ years working in health care industry with Health Plans preferred. Proficiency in Microsoft Office Suite, including Word, Excel and Outlook. MS Dynamics CRM experience and previous experience with healthcare analytics are a significant plus. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Communicating with others to exchange information. Repeating motions that may include the wrists, hands, and/or fingers. Assessing the accuracy, neatness, and thoroughness of the work assigned. No adverse environmental conditions expected. 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 Mental Requirements: Demonstrated ability to balance activities across multiple internal customers, campaigns, tasks, and performance pressures. Strong analytical skills with the demonstrated ability to research prospective customers and plan sales prospecting activities accordingly. Excellent oral and written skills. Strong interpersonal skills required. Understands that internal customers' interests are best served through continuous prospecting and intelligence gathering activities and proactive communication with sales partners. Must be able to perform daily functions with little or no direct supervision. Base compensation ranges from $75,000 to $95,000 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. Date of posting: 09/08/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/08/2025, 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 #senior

Technical Architect provides architectural leadership and guidance in their assigned business area, aligning solution development efforts with the broader architectural vision and roadmap. A Technical Architect's skills and knowledge must include multiple domains (Application/Solution architecture, Technical/Infrastructure architecture, Information/Data architecture), and experience with relevant implementation technology, platforms, and tools. As a leader, a Technical Architect is expected to influence the assigned organization and work independently with senior business and IT leaders, while acting as a mentor and role model within the development teams. The Technical Architect is accountable for successful implementation of architecture in their assigned organization/teams, which requires excellent communication skills, the ability to work with developers of differing skill levels, and the ability to recognize, surface, and resolve architectural issues in a collaborative manner. Responsibilities Architecture Leadership: The Technical Architect translates business strategy, the Architecture Vision, and the Architecture Runway into business area solutions, architectures & implementable features. The Technical Architect will drive the technology vision within their business/application area, evaluate new technologies and external products for their applicability to their specific project or roadmap requirements. This includes taking an opportunistic approach for the inclusion of the enterprise's Architecture Runway components into the incremental development plans (PI, or Program Increment Planning) of their assigned teams and applications. This must balance business needs and R&D needs, ensuring pragmatic use of development resources while enabling the business to achieve their goals in an economical, scalable, and supportable way. The Technical Architect will establish and maintain technology standards for their applications and drive technical designs to consensus and approval, as necessary. The Technical Architect will also participate in the Enterprise Architecture COP, allowing them to support the creation and evolution of enterprise architecture, including an Architectural Vision, Architecture Runway, and governance processes. Managerial Responsibilities: The Technical Architect will lead the technology vision, architecture, and implementation in their assigned business area, and will mentor developers within the associated development teams. If the Technical Architect has direct line team members, they will also act as a player/coach and assume general personnel management responsibilities (personal work assignments, timecards, periodic goals & reviews, quality reviews, etc.). Other Related Responsibilities: In coordination with the Enterprise Architecture COP, the technical Architect may be called on to analyze technology industry and market trends to determine their potential impact on the business and the enterprise architecture, which will help evolve the Enterprise Architecture Vision and Runway. Align the architecture vision and architecture runway with business strategies and portfolios. Collaborate with team members to determine best practices and requirements for software. Support the development team to ensure they are confident in the technology. Use a proactive approach to solve common challenges. 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. 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 related field, or equivalent experience. 10+ years of experience building world class web UI applications. Significant experience in UX/UI architecture and Application/Solution architecture. Hands on experience building rich & highly responsive UI using modern frameworks such as (AngularJS, ReactJS, TypeScript, Node). Expert at coding using functional or higher languages/frameworks such as Java/Golang/Spring, etc. Have directly lead architecture & software design for one or more teams. Deep familiarity with Microservices, Cloud Native, Cloud technologies, Enterprise Patterns. Followed agile methodologies & implement best practices for all stages of SDLC Experience with CI/CD and other DevOPS tools. Worked with APM and Observability tools. Working knowledge of designing distributed & streaming applications. Ability to rapidly comprehend the functions and capabilities of new technologies. Ability to balance the long-term ("big picture") and short-term implications of individual decisions. Ability to translate business needs into architecture requirements. Ability to articulate advanced technical topics to both technical and non-technical staff. Ability to articulate business issues/concerns with staff, peers, superiors, and outside parties (e.g., vendors, partners). Ability to estimate the financial impact of architecture alternatives. Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided 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 $128,000 to $168,000 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: 10/14/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/14/2025, 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 #senior

The Research Medical Director is a key member of the Clinical and Policy research development area at Cotiviti. The Research Medical Director is responsible for providing leadership guidance to the clinical teams and ensuring the Rules and policies are accurately interpreted and developed. This role is also responsible for analyzing, interpreting, and developing additional policies that will allow us to enhance our medical policy library. The Medical Director will guide both internal and external processes as related to PPM polices and rules. This is a full-time role and can work remotely in the US. Responsibilities Interpret and assess payment policy and medical coding information / guidelines against our policy library for maintenance of existing policy and development of new policy. Conducts thorough research and analysis for medical policy items. Performs multi-faceted analytics for data and report analysis. Responsible for translating industry references into Cotiviti policy. Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library. Identifies new opportunities as appropriate from both clinical reference and analytical sources. Analyze research inquiries from a multitude of sources and apply solid clinical judgment to determine potential impact to medical policies. Ability to determine if an update to existing policy logic or content is warranted based on changes to industry. Perform QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy. In addition to QA, provides feedback to the originator as needed. Educates client-facing MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings for client facing MDs and CPMs. Ensures work is accurate, complete and finished in a timely manner including documentation of notable changes. Maintains current knowledgebase of industry and content, best practices, applications, procedures and policies. 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 MD or DO degree (required). Additionally, an MBA degree is preferred. 10+ years of Research experience. Knowledge of healthcare payers, policy payment and correct coding knowledge (preferred). Possess in depth knowledge of claims, claims adjudication, medical policy rules and edits. Strong organizational and project management experience preferred. Proven success as a manager in a scalable organization that has significant scope, complexity and breadth. Strong personal leadership - in terms of the role of a leader, the impact on the company and creating. momentum for culture and accelerating the strategy. Relationship development skills to forge positive and lasting relationships with key business partners and clients. Ability to achieve sustainable results through others, including the development and assignment of other MDs and administrative staff as leaders, mentors, trainers, etc. Mental Requirements: Ability to work well independently and in a team environment. Ability to handle multiple tasks, prioritize and meet deadlines. Highly organized. Excellent written and verbal communication skills, strong listening skills. Ability to work in a fast paced, entrepreneurial environment with a strong bias for deep analysis, timely action and thorough execution. Understanding of and ability to lead and manage in a matrix environment where team work is essential. Ability to make good decisions that are strategically relevant to the company's goals and objectives. 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 $225,000 to $275,000 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: 08/04/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/04/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #director

The primary function of the Associate Legal Operations Analyst is to support the Legal, Compliance, and Strategic Vendor Solutions Department on a variety of matters including litigation, document management and production, intellectual property, department data management, matter and legal hold management, and legal systems administration. Responsibilities Creating and managing matters in matter management tool in accordance with Legal Operations standard operating procedure. Utilizing legal hold management tool to issue legal hold notifications at the request of issuing attorneys; administering the department's legal hold management tool and related data and processes. Coordinating and assisting attorneys with review and production of information and documents to third parties for litigation, subpoena responses, and other similar processes. Acting as systems administrator for certain legal systems including SharePoint by managing user permissions and access. Providing systems training for new department members as needed. Collaborating with department stakeholders to complete and maintain data map for all department data. Acting as information governance liaison for Legal Operations. Organize and maintain the company's intellectual property library. Performing all responsibilities in conformance with current relevant policies and procedures and in alignment with team and department leadership. 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 required. One to three years' experience in administrative and legal support functions, with at least one to three years' experience as a litigation paralegal, is required. Completion of formal legal education may be substituted for years of experience. Experience with intellectual property filings is highly desirable. Proficiency in utilizing web-based applications. Exceptional ability to learn and adapt to new technologies, as well as troubleshoot and provide first-level tech support to colleagues. Advanced proficiency in Microsoft Office (Word, Excel, PowerPoint, SharePoint, and Outlook) required. Familiarity with Legal Tracker, Casepoint, or other similar tools is highly desirable. Strong organizational skills and attention to detail. Strong communication skills and a positive customer service attitude to help promote training, troubleshooting, and the execution of various processes. Strong project management skills, including the ability to interpret and execute against a variety of instructions provided in written or oral form. Cognitive/Mental Requirements: Ability to navigate among multiple priorities. Ability to think critically and come up with solutions when facing, and take initiative to address, challenges. Very strong organizational skills and attention to detail. Ability to proactively write, revise and ensure adherence to standard operating procedures for the functional responsibilities outlined above. Ability to provide leadership, as well as to listen and take direction from others when needed. Working Conditions and Physical Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Communicating with others to exchange information. Repeating motions that may include the wrists, hands and/or fingers. Assessing the accuracy, neatness and thoroughness of the work assigned. No adverse environmental conditions expected. 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 $31.25 to $36.06 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: 10/31/2025 We anticipate that the application window will close on 12/312025, 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 #junior

The Stars Analyst works across the Cotiviti clientele to define, assign, and oversee best-in-class activities and Stars performance for all assigned Medicare Advantage plans. This individual is accountable for driving greater value and success for our customers by focusing on data, next best actions and maximizing member and provider outreach. They will also support identification of enhancements or improvements in the Cotiviti solutions to better support our clients. The Stars Analyst will directly own and manage a small number of clients and is responsible to oversee all aspects of our engagement for our Stars, as well as HEDIS/Quality solution set. They will leverage their healthcare and project management knowledge in an effort to deliver the highest quality of services to Cotiviti clients. Responsibilities Support the end-to-end Stars strategy, execution, and results across the assigned book of business. Collaborates with regional and local health plan business leaders to improve overall Star ratings for their Medicare products. Perform data and program management, included, but not limited to end-to-end data assessment to ensure accuracy in Stars measures. Leads the organization to drive innovative initiatives that address low-performing measures. Monitors historical and current data trends in order to make recommendations and predictions. Inform and implement member centric health activation and provider network strategies to close gaps, improve outcomes and achieve results across Stars measures. Ensures program compliance and identifies opportunities to improve service and quality outcomes. Act as the Cotiviti Stars program expert for both internal and external stakeholders. Supports Stars-related quality initiatives and activities across multiple business lines. Responsible for executing both national and market-specific strategies to ensure Stars success. Aggregates Stars results and ongoing performance measures to senior and executive leadership. Remains current and provides expertise around CMS Star measures, CAHPS, HOS guidelines. Educates, advocates, and influences regulatory and policy organizations on behalf of Cotiviti Supports thought leadership publications around Stars and Medicare Advantage market. 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. Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed. Responsible to track and report on client contractual SLA's. Identify issues and obstacles that may hinder success and ensure the appropriate Cotiviti resources are working to address these issues. Complete all 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 Five (5) or more years of healthcare experience, with at least 2 years working directly in Stars, CMS, NCQA, HEDIS. Understanding of Stars measures, financial impact and interpretation of results, weighting and cut points to enable Stars measure improvements. Experience in closing member quality gaps and provider outreach strategies. Knowledge of regulatory quality-based reporting and audit requirements. Proficiency in interpreting results and formulating recommendations/action plans. Ability to research and analyze state/federal regulations related to health insurance and healthcare. Demonstrated skills in critical thinking, problem solving, and the analysis, interpretation, and evaluation of complex information. Demonstrated ability to work independently. Excellent inter-personal, cross-functional coordination and communication skills. Strong project management skills. Strong, verbal, writing, and presentation skills. Computer skills: Microsoft Word, Excel, PowerPoint, and database software. Strong communication, time management, and organization skills. Demonstrated success in managing many projects at one time. Demonstrated success in supporting internal clients and departments. Mental Requirements: Strong verbal and written communication skills, with various levels of the organization and with clients. Strong organization skills, accuracy, and high attention to detail. Ability to navigate and analyze data from multiple systems. Ability to work with a high volume of transactions in a timely manner and meet deadlines. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. 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 $95,000 to $115,000 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: 10/01/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/01/2025 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-MW1 #LI-Remote #Senior

THIS IS AN ONSITE POSITION at one of the three offices: South Jordan UT, Blue Bell, PA or Bellevue WA. The internship is expected to be 3 months in length. The role focuses on supporting the IT Desk Side team with end-user technology services, primarily involving laptop migrations from legacy systems to Windows 11. The position requires hands-on assistance in software installations, troubleshooting, and ensuring smooth rollout processes. The individual will serve as a critical point of support for employees, addressing hardware and software issues while maintaining compliance with company policies and security standards. Responsibilities Assist the Desk Side team with laptop migrations from legacy systems to Windows 11. Support software migration, installations, and troubleshooting during the rollout process. Provide hands-on assistance to end-users for hardware and software issues. Document migration steps, issues, and resolutions for knowledge sharing. Work with the IT team to ensure compliance with company policies and security standards. Gain exposure to MDM (Mobile Device Management) solutions. Participate in team meetings and contribute to process improvements. 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 Basic understanding of Windows 10/11 operating systems. Familiarity with laptop setup, configuration, and troubleshooting. Interest or exposure to MDM solutions (Intune, Workspace ONE). Strong problem-solving and communication skills. Ability to follow detailed instructions and maintain accurate documentation. Customer-focused mindset with eagerness to learn. 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 $21.00 to $26.00 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: 09/24/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/24/2025, 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-AK1 #junior

The Staff Engineer is a senior-level technical architect who drives architectural decisions, mentors engineers, and ensures alignment of technology solutions with business goals. This role combines hands-on expertise with strategic vision, enabling teams to deliver scalable, high-quality, and efficient systems. Responsibilities Architecture & Design Define and maintain the overall technical architecture for applications, platforms, or enterprise systems. Evaluate business requirements and translate them into robust, scalable, and secure technical solutions. Ensure adherence to architectural principles, standards, and best practices. Conduct design reviews, assess risks, and provide recommendations to leadership. Technical Leadership Define and drive technical vision, architecture, and long-term strategy across multiple teams or domains. Evaluate and introduce new tools, frameworks, and practices to improve system reliability, scalability, and performance. Serve as a subject matter expert and provide hands-on guidance for complex engineering challenges. Execution & Delivery Partner with product managers, engineering managers, and stakeholders to translate business needs into technical solutions. Review designs, code, and infrastructure for best practices, quality, and security. Ensure systems are built with maintainability, observability, and operational excellence in mind. Collaboration & Mentorship Mentor engineers of all levels, fostering career growth and developing future technical leaders. Collaborate across cross-functional teams to influence technical direction and decision-making. Champion engineering best practices, including CI/CD, testing strategies, and automation. Innovation & Problem Solving Lead initiatives to resolve critical technical debt, performance bottlenecks, or architectural gaps. Drive innovation by identifying opportunities for automation, efficiency improvements, or emerging technologies. 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 (or equivalent experience). 12+ years of professional software/infrastructure engineering experience with a track record of delivering impactful solutions. Deep expertise in one or more areas (e.g., distributed systems, cloud platforms, data engineering, security, DevOps). Proven ability to influence at the organizational level, balancing technical depth with business impact. Strong communication skills with the ability to articulate complex technical concepts to non-technical stakeholders. Proven expertise in designing and deploying large-scale, high-availability systems. Strong understanding of cloud platforms (AWS, Azure, GCP), microservices, APIs, and integration strategies. Excellent knowledge of design patterns, software architecture principles, and security best practices. Exceptional problem-solving skills and ability to balance short-term needs with long-term strategy. Cognitive / Mental Requirements: Excellent communication and stakeholder management abilities. Able to translate regulatory/clinical requirements into technical solutions and explain technical concepts to non-technical audiences. Strong problem-solving mindset and a track record of driving initiatives from concept to implementation. Leadership and mentorship capabilities are essential - this role will guide teams and represent Cotiviti's interoperability expertise both internally and externally, so the candidate should be comfortable taking initiative, “leading without authority” when required, and mentoring others. 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 $140,000 to $170,000 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: 10/22/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 01/21/2026, 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-RA1 #senior

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

Strategic Vendor Solutions ("SVS") provides support services to the entire Cotiviti, Inc. ("Cotiviti") organization for the contracting of vendors who provide products and services to Cotiviti as well as any vendors with potential to join Cotiviti's mission through a joint venture, product development or some other form of strategic partnership. Cotiviti is a leader in analytics driven healthcare payment accuracy and quality-based solutions with locations in the USA, Canada, Australia, Nepal and India and relies heavily on leading edge technology to deliver these products and services to our wide range of customers. SVS is tasked with driving best in class strategic sourcing starting with initial vendor engagement and contracting to vendor performance and risk management. The team's key objectives are to manage risks while driving savings, standardization and continual improvement, and assuring that the contractual business approach is aligned across customer and vendor segments. Key activities include supporting SVS in strategic sourcing, contracting activities, the invoicing process, vendor performance review, and risk management. The Strategic Sourcing Manager under the guidance of a Director within SVS, will support Cotiviti's Research and Development R&D business leaders within different Business Units as they leverage third-party resources to deliver the business requirements and development for our products and services. To accomplish these responsibilities, the Strategic Sourcing Manager will leverage cross-functional relationships and partnerships with key stakeholders within the Legal, HR, Compliance, Finance and Security teams. Vendor negotiations and contract review, analysis, and risk mitigation are a fundamental part of this role. Basic knowledge of IT contracts for Professional Services and Software Licensing is required. Responsibilities Sourcing / Procurement: Clarify, document and support Cotiviti business requirements for vendor partnerships, drive strategic sourcing, identify potential third-party vendors, and complete contracts within an organization that is growing and undergoing change. Provide support for sourcing in all categories of IT, including software, hardware, and Professional Services. Contract Management: IT Vendor contracting: Ensure details are contractually captured (quotes, contracts, statements of work, metrics, units of measure etc.), negotiate terms and pricing, drive best value for the business, establish and communicate contracting timelines. Third-party contract management and execution through conclusion while working, as necessary, in close partnership with Legal, Compliance, and other internal stakeholders to ensure business requirements are captured and met. Support and manage renewals and contractual amendments. Enforce contract policy compliance. Ensure details are accurately captured in Cotiviti Procure to Pay (P2P) and Contract Management systems (contract type, requester, vendor details, requested date, etc.). 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 relevant field, with a focus on business administration. 5-7 years of work experience contracting with IT or Professional Services vendors. Strong contract drafting and communication skills. Excellent negotiation skills. Experience with Coupa or other Procure to Pay systems. Strong attention to detail. Ability to multi-task and prioritize multiple projects. Basic knowledge of IT contracts such as Software License Agreements, SaaS Agreements, Cloud Computing, etc. Cognitive/Mental Requirement: Strong attention to detail. Ability to multi-task and prioritize multiple projects. Excellent communication skills and understanding of when to escalate issues. Ability to analyze large amounts of data and identify supply chain patterns and profiles. 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 $90,000 to $115,000 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:10/27/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/27/2025, 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 #junior

In the role of Concept Development Analyst within our Clinical Chart Validation organization, you will lead in the identification, creation, and implementation of innovative concepts within the healthcare billing and coding field. Drawing from your industry experience and knowledge of clinical practices and regulations, you will assist in the development of novel strategies to enhance our claim selection processes. Your proficiency in data analysis, organizational skills, and understanding of claim selection methods in conjunction with extensive knowledge of Medicare and Commercial payer requirements associated with Inpatient, Outpatient, and Physician based healthcare payment systems and billing & coding guidelines; will be essential in supporting the team's objectives that include optimizing proprietary tools to ensure the highest payment integrity for our clients. Working collaboratively with senior team members, you will play a key role in refining and implementing groundbreaking approaches that contribute to the advancement of our claim selection methodologies. This role is responsible for the research and creation of new audit opportunities based upon client coverage policies, monitoring query output, audit performance outcomes, and investigation of discrepancies or variances. Responsibilities Lead the exploration, generation, and execution of pioneering concepts across various healthcare provider settings by leveraging your in-depth insights into healthcare billing and coding practices, clinical insights, and regulatory knowledge. Identify and implement coding and billing logic development opportunities. Utilizes healthcare and auditing experience to investigate, identify and define coding and/or billing issues. Determine audit procedures, selection methods for identified audit opportunities. Collaborates with engineering, analytics, audit teams, client management, and senior concept development team members to obtain alignment and drive results. Educate and train Audit Operations leaders and Medical Directors on identified audit opportunities. Communicates results effectively with senior team members and managers. Expand concepts based on customer requirements with a strong focus on concept approval. Demonstrate proficiency with Medicare reimbursement methodologies, coding and billing guidelines and applicable industry-based standards. Monitor and update concept criteria and logic to reflect any changes in legislation, rules, and policies. Fosters and implements new ideas, approaches, and technological improvements to support and enhance audit production, communication and client satisfaction. Review all concepts before and after client approval. Create and maintain concept validation procedures including scheduled validation of all concepts, monitoring concept performance, and reviewing associated documentation. Utilize internal and external tools to evaluate, document, and validate new ideas, claims, and concept effectiveness. Ensure new and existing concepts achieve desired goals in terms of recoveries, collectability and client acceptance. Complete all responsibilities as outlined on annual Performance Plan. Complete all 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 Registered Nurse required, Bachelor's or Graduate degree preferred. AAPC or AHIMA coding certification preferred. Minimum of 5 years of experience in medical billing, inpatient and outpatient coding, auditing, or CDI. Proficiency in at least one and desire to learn others as needed: Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Emergency Room, Behavioral Health. Proficiency in Microsoft Excel required; e.g. navigate pivot tables and create basic formulas (e.g. Vlookup). Able to conduct basic data analyses independently. Mastery of healthcare coding systems and payment methodologies (CPT, HCPCS, ICD-10, HIPPS, and Revenue Codes, etc.). Proficient with healthcare claim adjudication standards and procedures. Excellent verbal and written communication skills. Strong analytical and investigative skills. Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements. Ability to work independently, prioritize tasks, and document progress. Prior auditing or consulting experience in either a provider or payer environment is desirable. Experience with ChatGPT, Copilot, or similar AI tools preferred. 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 $95,000 to $120,000 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: 10/6/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/6/2025, 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-JJ1 #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: 11/6/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/4/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #entrylevel

The Director of Engineering AI will drive our AI Platform design across all lines of business. The Director will be responsible for the development and execution of the AI platform and machine learning applications that will empower Cotiviti's Product Groups to deliver innovative AI-powered experiences to our customers. Responsibilities Driven with sense of urgency and vision for AI, Advanced Statistics, LLM/VectorDB design across all lines of business. Enthusiastic and have advanced knowledge and know-how of latest and greatest in AI. Build machine learning foundation and deliver AI/ML projects through the entire development lifecycle. Extract and transform business requirements into trackable requirements, success criteria, and deliver large-scale machine learning models/services into production. Work with product and infrastructure teams on how applied machine learning can make their product or system better. Grow and expand expertise and team with an eye toward diverse and forward-looking skills that span advanced statistics, AI/Machine Learning/Deep Learning, Probabilistic and Generative AI. Ability to define and connect the product end to end, enabling conceptualization, development and production. Represent Cotiviti at academic and industrial conferences & events. 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. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Just 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 the requirements of the job change. Qualifications MS or Ph.D. in quantitative domain (CS + Computational Physics/Math's). 10+ years of machine learning and data science experience in high velocity, high-growth companies. 5+ years of management experience hiring and developing AI/ML teams. An innovative background with patents and publications in Tier1/2 journals and conferences. Experience with large-language models (LLMs) a big plus. Experience building and leading expert machine learning teams that have routinely launched new products and features, driving significant revenue. Comprehensive technical background, spanning multiple areas including software/systems engineering, machine learning, and computational physics/math with GPU based systems. Experience developing machine learning products and capabilities in a cloud environment. Strong communication skills to explain and evangelize machine learning to executives and the senior management team. Bias to action and passion for delivering high-quality data solutions. Mental Requirements: Enthusiastic and driven with a sense of urgency and vision for AI, Advanced Statistics, LLM/VectorDB design. Strong communication skills to explain and evangelize machine learning to executives and the senior management team. Bias to action and passion for delivering high-quality data solutions. Strong strategic thinking and problem-solving capabilities, with a focus on delivering high-impact, high-quality solutions. Working Conditions and Physical Requirements: 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. Occasional travel for conferences and events required (up to 10%). Base compensation ranges from $200,000 to $240,000 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 10/9/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/9/2025, 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-LL1 #Director

The primary focus of a Systems Engineer within IT Operations is to participate in projects that support technology growth and innovation. Systems Engineers also provide advanced technical support for all IT systems including server platforms, storage, and other cross-functional capabilities. They develop and implement new solutions, improve existing solutions, and provide a path of escalation for complex or high-risk IT requests. Responsibilities Drive and track assigned IT projects. Complete tasks in a timely and quality fashion. Adhere to and develop implementation, quality control, and change control standards. Keep IT management apprised of risks to project success. Adhere to and develop documentation standards. Document all project work Systems Support. Available as needed for escalation of critical support incidents. Monitor and complete tickets in assigned queues. Provide after-hours on-call support. Participate in after-hours maintenance. Keep IT management apprised of critical issues. Provide feedback and recommendations regarding service delivery improvements. Identify and close any gaps in the existing documentation of the infrastructure. Assist in policy, security, and compliance documentation efforts. Research technical concepts and educate other team members as needed. Present research /proposed projects to IT management. Participate in technology evaluations. Provide expertise in application integration, design, security, reliability Collaboration with other design teams within IT. High aptitude for business understanding and proactive application of technical solutions to business challenges Complete all responsibilities as outlined in annual Performance Plan. 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 Requires a bachelor's degree in computer science, information technology, or related technical field or equivalent experience. At least 5+ years of proven technology integration experience. Experience with multiple technologies, processes, and environments with a proven ability to execute engineering projects. Subject matter competency in areas such as Microsoft servers, Linux/Unix systems, Active Directory, Group Policy, storage, and information security. Ability to manage situations of a catastrophic failure or of high risk and critical nature and the ability to collaborate with team members and IT management. Demonstrated effective leadership and communication skills. Demonstrated strong analysis, problem resolution, judgment, and decision-making skills. Demonstrated ability to effectively prioritize and execute tasks in a high-pressure environment. Project management experience preferred. Ability to interact and facilitate initiatives with vendors and third parties. Experience working in a team-oriented, collaborative environment. Demonstrated results orientation, initiative, attention to detail, and customer service orientation. 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. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Communicating with others to exchange information. Repeating motions that may include the wrists, hands, and/or fingers. Assessing the accuracy, neatness, and thoroughness of the work assigned. No adverse environmental conditions expected. 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 $86,000 to $118,000 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: 09/02/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/02/2025, 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-AK1 #junior

The Data Product Manager drives the discovery, design/development, and implementation of highly scalable analytic products including self-serve BI dashboards, AI/ML models, automated reports, and curated datasets. This role owns the voice of the customer and partners with data engineers, BI developers, and data analysts/scientists to develop data products that inform decision-making and accelerate growth. The Data Product Manager is passionate about harnessing the power of data to inform decision-making and developing analytic tools that drive business value. Responsibilities Partner with enterprise stakeholders to identify opportunities to integrate data/insights into workflows and decision-making processes. Define analytic use cases and product ideas, validate customer fit, and design prototypes to inform product development. Evaluate use cases to select the most appropriate AI and/or BI solutions. Own the voice of the customer and collaborate with data engineers, BI developers, data analysts, and data scientists to design and develop highly scalable analytic products. Drive analytic product marketing, launch, and feedback processes; proactively engage with customers and implement best practices to maximize product adoption and utilization. Develop high-level analyses and business cases to support strategic product planning Guide analytic resources on delivering adhoc analyses requested by customers; identify opportunities to productize and achieve greater scale and value creation. Provide input to product roadmap and strategic planning processes. Conduct quantitative and qualitative analyses to support important client and internal deliverables. 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 with strong academic performance in Health Sciences, Computer Science, Engineering, Economics, Mathematics, or other quantitative field. 6 years experience in healthcare analytics, consulting, technology, product development, or other relevant role, including 2 years experience developing analytic products. Demonstrated knowledge of healthcare claims data; knowledge of payment integrity and/or provider revenue cycle preferred. Experience working with cross-functional, matrixed product teams in an agile environment; agile or other product management certifications a plus. Experience defining customer workflows and user stories; User Interface / User Experience design skills a plus. Experience conducting data analysis using Business Intelligence applications such as Tableau, Microstrategy, Looker, Domo, etc.; technical certifications a plus but not required. Familiarity with how to apply AI/ML and other advanced analytic techniques to drive business value. Mental Requirements: Ability to analyze complex data sets and identify patterns and insights. Ability to solve problems and address stakeholder needs effectively. Ability to think strategically and align product development with business goals. Ability to communicate and collaborate effectively with diverse teams. Working Conditions and Physical Requirements: 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 $115,000 to $145,000 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: REPOSTED: 8/8/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/08/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-MJ1 #LI-Remote #senior

The Senior Application Security Engineer is responsible for ensuring the security of the organization's business applications including business logic testing, code scanning and web application firewall. The individual will work closely with application development and production support teams to coordinate risk assessment, vulnerability analysis and remediation for business. This individual will also need to educate and assist application teams to adopt secure development best practices. The Senior Application Security Engineer will help define and drive the implementation of these capabilities and work to integrate application security processes within the SDLC and CI/CD processes. Responsibilities Application of secure code practices. Ensuring compliance with secure coding practices. Ensuring products and services are scanned for defects and security issues. Ensuring those defects and security issues are resolved. Coordination with DevOps, Software Engineering and Development teams on remediating defects that are related to security issues. Onboarding of applications into the web application firewall along with configuration and troubleshooting. Training Developers on secure code practices. Ensuring the SDLC includes secure coding methodology. Ensures that the user community understands and adheres to necessary procedures to maintain security. Performs root cause analysis of complex application security issues and provides recommendations to stakeholders on the best course of action to remedy the problem. Performs ongoing application security reviews to ensure compliance with internal security standards and regulatory requirements. Assist in responses to external audits, penetration tests and vulnerability assessments. Participate in on-call system administration support including but not limited to weekends, holidays and after-business hours as required to service the needs of the business. Interview, 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. 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 BS degree in Cyber Security/Computer Science/MIS, equivalent and a minimum of 8 years relevant industry experience. Experience with agile development methodologies (Scrum, Kanban, sprint iterative). Demonstrated passion for information security and application security. 8 years in application security with hands-on exposure to industry standard platforms like Veracode, Rapid7, WAF, Burp Suite and/or Fortify. Vulnerability management and remediation experience. Experience securing API's. Active involvement with practices emerging from OWASP, NIST and SANS Experience validating penetration test findings and recommending remediations. Demonstrated project management skills and ability to track and report progress against established milestones, metrics and deliverables. Excellent written communication skills, demonstrating the ability to write with purpose, clarity, and accuracy to both technical and non-technical audiences. Excellent aptitude for problem solving. Self-starter, team player, personable, enthusiastic, hardworking, and enjoy interfacing with external and internal customers on a day-to-day basis. Preferred: Hands-on experience administering a variety of secure code platforms with proven ability to run static and dynamic application security tests (SAST and DAST) and/or implementation/administration of web application firewalls (WAF). Security certification a plus (CISM, CISSP, CEH, OSCP). Demonstrated knowledge and understanding of Application Security trends and emerging technologies (Docker, Kubernetes, etc.). Experience in Java and/or .NET platforms. Mental Requirements: Exceptional communication, problem-solving, and leadership skills. Advanced analysis, problem-resolution, judgment, and decision-making capabilities. Ability to prioritize and execute complex tasks in a high-pressure environment independently. Strong results orientation, initiative, attention to detail, and customer service focus. Expert time management skills, balancing daily operations, projects, and mentorship. Ability to independently prioritize, re-prioritize, and manage multiple complex tasks. Working Conditions and Physical Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Communicating with others to exchange information. Repeating motions that may include the wrists, hands and/or fingers. Assessing the accuracy, neatness and thoroughness of the work assigned. No adverse environmental conditions expected. 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 $130,000 to $165,000 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 08/19/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/19/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #senior #LI-REMOTE #LI-AK1