Cotiviti

Lead early-stage solution strategy and innovation in healthcare, collaborating across units to develop actionable concepts and prototypes. | Bachelor's degree with 10+ years in healthcare strategy or consulting, 5+ years leadership, and experience translating emerging technologies like AI into business narratives. | Overview The Director of Solution Innovation Strategy leads early-stage solution strategy and innovation shaping for emerging healthcare opportunities. This role identifies, frames, and advances high-value solution concepts at the intersection of healthcare business needs, operational realities, market direction, and enabling technology. The role is translational in nature: it is not a pure product role, pure research role, or pure technology strategy role. Instead, it bridges what is technically possible to what is strategically useful, operationally viable, and commercially meaningful for the business. The Director helps the enterprise create solution optionality by preparing credible innovation pathways before demand becomes urgent. This role does not formally set business-unit strategy, own product delivery, or lead engineering execution. Rather, it works across business leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution development teams to shape opportunities that may later become pilots, prototypes, MVPs, partnerships, or broader business investments. The role is initially focused on supporting Project Vanguard, including Validiti 2.0 and Validiti 3.0 diversification of Cotiviti Specialized Domain Agents into new solution areas across Life Science Real-World Evidence and Pharmacovigilance, payer MLR/ALR optimization, provider performance optimization, and patient digital health. The Director will help ensure innovation efforts are aligned to enterprise priorities, real workflow needs, and future healthcare market direction. Responsibilities Identify, frame, and refine high-value innovation opportunities across healthcare solution domains, including payer, provider, life science, and patient-facing markets. Support Project Vanguard by shaping solution pathways for Validiti 2.0 and Validiti 3.0 diversification into adjacent and new healthcare markets. Translate emerging technology capabilities into operationally credible, economically coherent, and commercially meaningful business narratives. Bridge across business-unit leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution builders to shape feasible innovation directions. Work across lines of business to identify linked solution value, cross-business-unit leverage, and broader platform or ecosystem opportunities. Help define solution opportunities that reduce friction between payers and providers and better leverage Cotiviti's position across the healthcare ecosystem. Ensure innovation concepts are grounded in healthcare operational realities, including workflow design, reimbursement dynamics, adoption barriers, staffing constraints, and business economics. Partner with healthcare technology research, advanced AI research, architecture, and solution innovation development leaders to shape opportunities into actionable solution directions. Develop future-facing solution hypotheses informed by healthcare market evolution, workflow change, and enabling technology. Communicate and evangelize innovation opportunities clearly and credibly to executive and functional stakeholders, including building support for opportunities not yet widely understood. Support evaluation of internal development, partnership, and ecosystem pathways for new solution innovation. 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. Must be able to perform duties with or without reasonable accommodation. This job description 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 business, healthcare administration, health informatics, information systems, engineering, public health, or a related field. Advanced degree preferred. 10+ years of experience in healthcare strategy, solution strategy, healthcare consulting, innovation strategy, product strategy, healthcare operations, or a closely related field. 5+ years of leadership experience working across cross-functional business and technical teams. Demonstrated fluency across multiple healthcare domains such as payment integrity, risk adjustment, quality, fraud, waste and abuse, value-based care, consumer or patient engagement, payer operations, provider operations, revenue cycle, digital health, or related solution areas. Experience translating between executive priorities, operational realities, technical possibilities, and commercial implications. Experience framing solution opportunities, pilots, prototypes, business cases, or strategic options in complex enterprise environments. Experience evaluating or shaping solutions involving AI, automation, analytics, workflow orchestration, predictive modeling, digital health ecosystems, or related emerging technologies. Strong executive communication skills with the ability to influence business-unit leaders, product stakeholders, researchers, architects, and builders. Strong analytical and synthetic thinking, with the ability to connect disparate signals into coherent opportunity spaces. Experience working across matrixed enterprises and cross-business-unit initiatives preferred. Experience across payer and provider environments preferred. Experience in management consulting, enterprise transformation, or healthcare strategic advisory environments preferred. Cognitive/Mental Requirements: Strong strategic thinking and problem-solving capabilities, with a focus on practical, high-impact solution innovation. Ability to move fluidly between healthcare business economics, workflow realities, market direction, and enabling technology. Strong communication skills with the ability to explain and advocate complex solution concepts to executives and senior leaders. Ability to distinguish between interesting ideas and viable solution pathways. Bias to action with sound judgment in ambiguous and emerging problem spaces. Ability to challenge assumptions, broker alignment, and build credibility across diverse stakeholder groups. Strong innovation mindset balanced by practical discipline, operational realism, and commercial judgment. 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, leadership meetings, and strategic planning sessions required. Base compensation ranges from $155,000 to $205,000 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: 5/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/8/2026, 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 #director

Lead design and development of Java-based backend services and AI-enabled workflow automation. | 8–10+ years backend development with Java, workflow platforms, AI integration, and leadership experience. | Job Description: • Lead design and development of Java-based backend services (Spring Boot, microservices) • Implement solutions across workflow platforms (Temporal, Camunda, Flowable, JBPM, Drools, Appian) • Build AI-enabled service capabilities for workflow automation and decision support • Drive adoption of AI-assisted development (Claude, Copilot) with strong validation and engineering standards • Implement AI-native patterns : intelligent routing context-aware processing embedded decision support • Lead microservices and event-driven architectures for scalable systems • Collaborate with architects to translate design into implementation • Provide technical leadership: design/code reviews mentoring engineers guiding best practices • Support CI/CD, DevSecOps, and cloud deployments (OpenShift, Kubernetes, AWS) • Drive reusable services and shared platform components Requirements: • Bachelor’s degree in Computer Science or equivalent • 8–10+ years of enterprise backend development experience • Strong expertise in: Java, Spring Boot, microservices, REST APIs and integration patterns • Workflow orchestration platforms • Experience integrating AI-driven capabilities into enterprise systems • Strong understanding of distributed systems and event-driven architecture • Experience with: PostgreSQL / Oracle, CI/CD, DevOps, OpenShift, Kubernetes, AWS • Familiarity with Copilot, Claude or similar tools • Proven ability to lead design, mentor engineers, and drive alignment Benefits: • medical, dental, vision, disability, and life insurance coverage • 401(k) savings plans • paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year

Lead architecture and design of AI-native solutions, guide teams on technical standards, and ensure implementation aligns with business and regulatory needs. | 6+ years experience in architecture and software design, strong skills in modern languages and cloud-native systems, AI-assisted development experience, and leadership capabilities. | Overview The AI-Native Technical Architect II provides advanced architectural leadership within an assigned business area, aligning solution development with broader architecture direction while remaining closely connected to implementation. This role translates business and product intent in alignment with architectural direction into clear, implementable specifications that orchestrate AI agents and engineering workflows to produce delivery-ready solutions across applications, services, APIs, data flows, and platform components. As a senior technical leader, the AI-Native Technical Architect II drives architecture for their business area, establishes and applies technical standards within their scope, and guides traditional teams and AI-native pods through design trade-offs involving cost, scalability, security, reliability, and maintainability. The role is expected to balance strategic thinking with hands-on technical depth, applying strong systems thinking to ensure architecture decisions consider end-to-end flows, dependencies, and long-term platform evolution while being effectively realized in code and operational outcomes. This role operates within a complex, regulated healthcare domain and is expected to either bring deep domain expertise or quickly develop a strong understanding of healthcare data, workflows, and compliance considerations, ensuring that architecture decisions are grounded in real-world business and regulatory constraints. In the AI-native model, the Technical Architect II treats AI as both a solution capability and an engineering accelerator. This includes designing software that incorporates AI-enabled features where appropriate and advancing AI-assisted and agent-based development practices, including code generation, automated testing, intelligent engineering workflows, and reusable AI skills. The Technical Architect II plays a key role in helping teams apply AI effectively and responsibly, ensuring outputs are correct, secure, maintainable, and aligned to architectural intent through clear human accountability and guardrails. The role partners with senior architects, enterprise architecture, and shared AI and Data teams when broader alignment is needed, while owning architectural execution and ensuring teams utilize modern AI-native approaches efficiently and correctly within the assigned business area. Responsibilities • Business Area Architecture & Solution Design: Define and drive architecture for the assigned business area, translating business strategy, product priorities, and architecture runway into implementable solutions, technical designs, and delivery-ready features. • AI-Native Solution Architecture: Design systems that incorporate AI-enabled capabilities where they create clear business value, and establish guardrails for safe, effective use of AI within applications and workflows. • AI-Assisted Engineering Enablement: Advance AI-assisted development practices across the team, including use of copilots, code generation, automated testing, intelligent engineering workflows, agents, and reusable AI skills, while maintaining strong standards for correctness, security, and maintainability with clear human accountability. • Technical Leadership & Governance: Establish and reinforce architecture standards, patterns, and design guardrails within the assigned business area. Guide design reviews and major technical decisions across APIs, services, data flows, and platform components. • Implementation Oversight & Problem Solving: Partner closely with developers and technical leads to ensure architecture is effectively realized in code. Proactively identify risks, resolve architectural issues, and guide trade-offs across cost, scalability, reliability, security, and delivery speed. • Cross-Functional Collaboration: Collaborate with product, engineering, platform, security, data, and other partner teams to align architectural decisions with broader technical direction and business outcomes. • Technology Evaluation & Continuous Improvement: Evaluate emerging technologies, tools, and platforms for applicability to roadmap and delivery needs. Improve engineering effectiveness through modern architecture patterns, automation, observability, and AI-native delivery practices. • Mentorship & Team Enablement: Mentor developers and other architects within the assigned organization, strengthening architecture discipline, technical judgment, and confidence with modern engineering and AI-assisted development practices. • Complete all responsibilities as outlined in the annual performance review and/or goal setting. Required • Complete all special projects and other duties as assigned. Required • Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications • • Education: Master's degree in Computer Science, Information Technology, Engineering, or related field, or equivalent practical experience. • Experience: 6+ years of experience designing and building web, workflow, service, and backend applications, including direct responsibility for architecture and software design for one or more teams. • Solution & Application Architecture: Significant experience in application and solution architecture, including API design, service decomposition, integration patterns, and user-facing or workflow-oriented applications. • Core Technologies: Hands-on experience with modern languages and frameworks such as Java, Golang, Spring, or comparable technologies, and strong experience building rich, responsive APIs and service-based systems. • Cloud & Distributed Systems: Deep familiarity with microservices, cloud-native architecture, cloud platforms, distributed applications, streaming patterns, and enterprise integration approaches. • AI-Native Engineering: Experience applying AI-assisted development, agent-based workflows, and reusable AI skills to improve design, coding, testing, and delivery outcomes. Familiarity with agents, copilots, code generation, automated testing, and intelligent orchestration of development workflows, with strong judgment to ensure correctness, security, and maintainability. • Software Delivery Practices: Strong experience across the SDLC, including Agile delivery, CI/CD, DevOps practices, APM, observability, and engineering approaches that improve quality, speed, and operational resilience. • Architectural Judgment: Ability to translate business needs into architecture requirements and evaluate trade-offs across cost, scalability, reliability, security, maintainability, and delivery speed. • Technical Leadership: Proven ability to lead architecture and software design across a team or business area, build consensus, mentor engineers, and drive sound technical decisions in a collaborative environment. • Communication & Collaboration: Ability to clearly articulate advanced technical topics to technical and non-technical audiences and collaborate effectively across teams, stakeholders, vendors, and partners. • Hands-On Depth: Strong hands-on technical depth with the ability to review implementation details, solve complex technical problems, and remain credible with developers working across modern application and platform stacks. 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 $160,000 to $185,000 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: 02/09/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 05/08/2026, 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

Lead software development teams and manage staff performance to deliver healthcare insurance software solutions. | Requires 7+ years software development experience, 5 years leading development projects, and experience with Java Springboot or Python, Kafka, and agile methodologies. | Overview Cotiviti focuses on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. Our software engineers enable insurance companies to identify risk associated within their membership population, allowing insurance companies to direct resources to members most in need. If you are looking for an opportunity to lead software development teams that improve outcomes for healthcare insurance members, come join our team as a Software Development Manager. We are looking for a people leader who exhibits innovative thinking, is a natural collaborator and has a history of delivery execution. Cotiviti utilizes a global workforce, so team members reside not only in different US time zones but also live abroad. Our teams embrace agile development practices and broadly utilize the Scaled Agile Framework (SAFe). The future leader will support the Release Train Engineer (RTE) by championing these practices. Responsibilities • Will quickly possess an understanding of Cotiviti and is adept at working across organizational boundaries partnering with Business Leads and Functional Product Managers while maintaining a strategic perspective regarding IT architecture and business needs. • Drive, develop, and implement long-term architecture software strategy to ensure alignment with company performance objectives. • Responsible for managing internal stakeholders as needed. • Responsible for managing and evaluating staff performance for professional development of the staff members to include: conducting objective-setting goals, coaching, assessment, and mentoring activities. The Manager will have significant latitude in defining results, selecting alternatives, and acting across a range of products. • Will have primary knowledge, control, and influence of IT decisions for his/her area of responsibility, including optimizing service costs through a mix of internal and external resources for all aspects of development. • Working with the HIPAA Privacy and Security Officer and HIPAA Security Compliance team, ensuring all information systems and networks operate according to internal standards, external accrediting agency standards, regulatory agencies and legal requirements. In coordination with key personnel, develop and implement the following plans: disaster plan, emergency mode operation plan, backup plan, physical security plan, personnel security plan, access policies, and others. Ensure each plan is tested and revise plans as necessary to ensure data integrity, confidentiality, and availability. • 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 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 job description 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 • BS. in Computer Science or equivalent. • Strong strategic and tactical leadership, motivation and decision-making skills. • Proactive with strong troubleshooting skills. • 2+ years of development experience utilizing Java Springboot and or Python. • Experience working with streaming technologies such as Kafka. • 5 years of experience leading development projects using object-oriented development languages, ETL, or data warehousing, including team management. • 7+ years working knowledge of IT industry business operations is required. • 7+ years of strong design and development experience in area of software development. • Preference of 3+ years of experience working in an agile environment with preference to an Enterprise Agile Framework such as SAFe. • Strong written, verbal, interpersonal, and follow up communication skills. • Able to anticipate, identify, and resolve problems. 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. • 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 $130,000 to $165,000 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:04/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 07/08/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-MD1 #LI-Remote #senior

Lead architectural strategy and execution for retail platforms, mentoring teams and aligning technology roadmaps. | 12+ years in multiple IT disciplines including architecture, 5+ years in retail systems, leadership experience, and strong communication skills. | Overview The Cotiviti Retail division is seeking an experienced Principal Architect to lead and shape modern AI driven solutions/architecture across Retail platforms, data, and technologies. The role works independently with senior stakeholders and development teams to drive architectural consistency, quality, and successful delivery at scale. We are looking for a special individual who is not only technically sound but who also has experience in retail and financial systems. This individual should also be curious and interested in learning our unique and results-oriented business. Provide architectural leadership and guidance for Retail BU, aligning solution development efforts with the broader architectural vision and roadmap. 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, the Principal 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 Principal 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 • Operates with portfolio‑level accountability, influencing architecture across multiple platforms and mentoring developers/engineers, while partnering directly with senior Ops and Technology leadership. • Lead the translation of Cotiviti Retail business and product strategy into scalable solution architectures and multi‑year technology roadmaps, partnering with other architects to ensure alignment across audit platforms, data products, and analytical services. • Drive execution of the Retail technology vision through ownership of architecture and platform roadmaps, balancing short‑term delivery needs with long‑term modernization and scalability objectives. • Develop and evangelize a technology vision, informed by emerging IT, data, AI, and business trends, and grounded in Cotiviti’s audit, analytics, and client‑delivery priorities. • Evaluate new technologies, external platforms, and architectural patterns for applicability to product roadmaps, including audit workflow modernization, data onboarding, analytics, and AI enablement. • Enable business unit and product teams to achieve outcomes in an economical, scalable, and supportable manner, ensuring solutions are cloud‑ready, data‑driven, and aligned with enterprise standards. • Manage technology risk across the portfolio by overseeing technical debt, security, audit, and compliance considerations, and guiding investment decisions to balance innovation with stability. • Establish, maintain, and evolve technology standards and reference architectures, ensuring consistency across platforms while allowing flexibility to support differentiated product needs. • 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 job description 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. • 12+ years of experience in at least two IT disciplines (such as Application/solution architecture, Technical/Infrastructure architecture, Information/Data Architecture & Business Architecture) in a multitier enterprise environment. • Experience and understanding of Procure to Pay and Financial Systems processes a plus. • 5+ Years experience with large scale Retail, Supply Chain, ERP systems • 5+ years architecture & software design. • 5+ years leading development or product management teams. • 5+ years working in a global resource model. • 2+ years of cross cultural experience. • 2+ years working in an Agile Model. • Experience leveraging continuous delivery practices to bring value to the business. • Experience with multiple, diverse technologies and processing environments. • Firsthand experience with designing and building highly-available, mission critical large scale web applications in both front end and back end. • 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 apply multiple solutions to business problems. • Prior hands-on experience with multiple programming languages. • Prior hands-on experience with greenfield software development. • Ability to estimate the financial impact of architecture alternatives. • Basic knowledge of financial models and budgeting. • Understanding of the political climate of the enterprise and how to navigate the politics. • Ability to influence with impact and lead across matrixed organizations. • Strong problem solving and critical thinking skills. • Familiarity with basic graphical modeling approaches. • Exceptional interpersonal skills, including teamwork, facilitation and negotiation. • Excellent written and verbal communication skills. • Excellent planning and organizational skills. • Strong leadership skills. • Excellent analytical and technical skills. • Proficient with Microsoft Office Suite (Word, Excel, Power Point). • Professional with ability to properly handle confidential information. • Ability to work well independently and in a team environment. • Ability to handle multiple tasks, prioritize and meet deadlines. • Must be able to sit and use a computer keyboard for extended periods of time. • Must be able to lift up to 20 lbs without assistance. • Must have ability to positively handle/manage stress, such as high work volume and frequent change. • After hours / weekend work required where necessary for major deliverables/deadlines (rarely). • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. Cognitive/Mental Requirements: • Communicating with others to exchange information. • Problem-solving and thinking critically. • Completing tasks independently. • Interpreting data. 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 $160,000 to $185,000 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: 5/17/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/17/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #senior

Lead and optimize payment integrity operations ensuring service excellence and business growth. | 10+ years managing operations or consulting with strong leadership, operational acumen, and client communication skills. | Overview The Sr. Director of Payment Policy Management (PPM) Operations is responsible for overseeing the business operations within Cotiviti’s Payment business unit. This role plays a critical part in supporting sales, client engagement, business improvement, and operational processes. The Sr. Director will provide both strategic direction and team leadership, ensuring exceptional service for clients while positioning the organization for continued growth in alignment with business unit objectives. The ideal candidate will possess strong operational acumen, business transformation and people management skills. S/he will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure high quality of service. Achieving and exceeding service level benchmarks is a key responsibility. Success in this role will depend on a thorough understanding of operational processes and the ability to manage them efficiently amidst frequent changes to meet established SLAs. Responsibilities • Represent the business unit and operations by defining operational requirements that enable scalable, efficient, and high-quality delivery. • Respond promptly to Payment Requests for Information and Requests for Proposals. • Support client intake requests for the Pre-Payment business unit by understanding client requirements and providing tailored solutions and cost estimates. • Hire, develop, coach, lead, and retain top-tier talent, fostering a team and culture dedicated to implementing best-in-class practices that drive superior internal and external customer satisfaction. • Optimize labor and operating expenses while increasing productivity, service quality, and supporting future client growth. • Collaborate with key partners to ensure operational excellence. • Sponsor, lead and support operational improvement initiatives related to people, processes, and technology to deliver incremental value, enhance operational efficiency, and meet or exceed service and quality goals. • Develop lean business cases, establish key performance indicators, and create requirements and test plans for business improvement initiatives. • Communicate business unit performance and improvement initiatives to relevant stakeholders. • Enforce Cotiviti’s intellectual property protection best practices. • Ensure clinical operations comply with regulatory, accreditation, corporate, and client requirements. • Diagnose and resolve issues, prepare schedules, and set deadlines to ensure timely completion of work. • Develop short-term and long-term plans to anticipate client needs and drive operational improvements. • Foster a positive culture that supports corporate goals, encourages initiative, and promotes open communication across all levels of the organization. • Work closely with and support business leaders throughout the organization. • Establish and maintain effective client and team dynamics in a highly collaborative manner. • Manage and delegate team and individual projects and assignments. • Review performance against operating plans and standards. • Provide reports and metrics to drive continuous operational quality. • Cultivate and maintain personal relationships with executive leadership. • Complete all responsibilities as outlined in the annual Performance Plan. • Complete all special projects and other duties as assigned. • Perform duties with or without reasonable accommodation. This job description 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 • Bachelor’s degree in business, operations, healthcare or equivalent in a related field required and Master’s preferred. • Relevant certifications such as Lean Six Sigma, PMP, or Certified Payments Professional (CPP) are highly regarded. • A minimum of 10 years’ experience managing operations, consulting, or healthcare management, including decision rights for hiring and terminating employees, and management of operational budgets. • Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred. • Implementations/transitions experience preferred. • Exceptional operational acumen, advanced problem-solving capabilities, and proven leadership skills. • Demonstrated experience collaborating with key stakeholders and executive decision-makers. • Robust leadership background in directing operational divisions, establishing policies, and driving achievement of division objectives. • Highly developed interpersonal, analytical, and communication abilities. • Proven record of delivering significant business improvements and operational excellence. • Deep expertise in process optimization, enabling simplification and scalable quality solutions. • Comprehensive understanding of technology, including experience with software development initiatives. • Extensive experience presenting to clients and senior leadership teams. • Skilled in responding to client information requests, audits, and proposal submissions. • Ability to thrive in a fast-paced, high-accountability, and diverse environment, with relentless focus on client and customer service. • Distinguished leadership qualities and a successful track record in talent management and development. • Strong analytical and problem-solving acumen, with the ability to deeply assess and resolve operational inefficiencies. • Superior written and verbal communication skills, including expertise in public speaking. • Advanced proficiency in Microsoft Office Suite, including Word, Excel, and PowerPoint. • Professional demeanor with the ability to maintain confidentiality. • Capable of working independently and collaboratively within team settings; adept at multitasking, prioritizing, and meeting deadlines. • Experience operating effectively in a matrixed organizational structure. • Willingness and ability to travel as required. • Demonstrates flexibility and willingness to actively participate in the operations of a international organization, including attending conference calls scheduled to accommodate global time zones. • Experience in collaborating with sales teams and driving initiatives that support business growth. • Consistent track record of achieving and surpassing service level agreements (SLAs) and performance benchmarks. • Strategic capability to position the organization for sustained growth in alignment with the Payment business unit’s objectives. 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 $160,000 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. Date of posting: 5/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/8/2026, 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

Lead quality performance and operational excellence across payment integrity solutions. | Requires senior management experience in healthcare or payment integrity, advanced degrees, and certifications in quality and process improvement. | Overview The Director of Quality is responsible for ensuring quality delivery of the Payment Integrity Solution and driving excellence across multiple payment integrity products. This role will develop and implement a quality measurement framework, align quality processes across products, and establish monitoring mechanisms to communicate performance to senior leadership. The Director is focused on continuous improvement, delivering greater quality in support of Cotiviti’s growth strategy. Success in this role requires strong foundations in testing, technology, process management, operational acumen, and collaboration. The Director will engage with clients and internal teams to ensure the delivery of high-quality service, consistently achieve and surpass service level benchmarks, and effectively manage processes through frequent changes to meet SLA requirements. Responsibilities • Oversee and drive quality performance across payment integrity solutions, ensuring continuous improvement and operational excellence. • Collaborate with cross-functional business units to measure, report, and enhance quality performance metrics and outcomes. • Develop and align best-in-class quality processes and standards, delivering exceptional results through operational excellence. • Work closely with Operations and Product teams to drive quality improvements by leveraging technology, optimizing processes, and developing talent. • Ensure timely and accurate responses for Payment Requests for Information (RFIs) and Request for Proposals (RFPs). • Support client intake requests for PrePayment Business Unit by understanding client requirements and providing tailored solutions and cost estimates. • Hire, develop, coach, and retain top-tier talent, fostering a culture dedicated to exceptional quality and customer satisfaction. • Optimize labor and operating expenses while increasing productivity, service quality, and supporting future client growth. • Lead and support operational improvement initiatives encompassing people, processes, and technology to deliver incremental value and operational efficiency, consistently meeting or exceeding service and quality goals. • Enforce Cotiviti’s intellectual property protection best practices throughout all operations. • Diagnose and resolve issues proactively, manage schedules, and ensure deadlines are met for timely completion of work. • Develop short-term and long-term plans to anticipate client needs and operational improvements. • Cultivate a positive workplace culture that supports corporate goals, promotes initiative, and fosters open communication at all organizational levels. • Collaborate and support business leaders throughout the organization, maintaining highly effective client and team dynamics in a collaborative environment. • Manage and delegate team and individual projects/assignments, and review performance against operating plans and standards. • Provide comprehensive reports and metrics to drive operational quality and inform strategic decisions, based on operational objectives and work plans at a senior level. • Build, maintain and influence strong relationships with executive leadership to support organizational goals. • 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. • Must be able to perform duties with or without reasonable accommodation. This job description 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 business, operations, healthcare or equivalent in a related field required and Master’s preferred • Minimum of five years’ management experience, ideally within the healthcare industry. • Demonstrated operational excellence, exceptional problem-solving ability, and proven people leadership skills. • Expertise in collaborating with key stakeholders and executive decision-makers. • Established leadership in directing operational divisions, shaping policies, practices, and achieving division objectives. • Highly developed interpersonal, analytical, and communication skills. • Proven track record of driving business improvement initiatives and delivering measurable outcomes. • Deep process-oriented expertise, with a focus on simplifying and scaling operations while maintaining superior quality. • Advanced technological proficiency, including experience in software development and payment integrity solutions. • Significant experience presenting to clients and senior leadership. • Skilled in responding to client requests for information, audits, and proposals. • Exceptional performance management skills demonstrated through outstanding team and organizational outcomes. • Ability to excel within fast-paced, highly accountable, and diverse environments, maintaining a strong client and customer service focus. • Extensive experience in strategic planning and operational development. • Renowned leadership qualities coupled with a history of successfully managing and developing high-performing teams. • Superior analytical and problem-solving capabilities, with a talent for diagnosing and resolving operational inefficiencies. • Excellent written and verbal communication skills, including public speaking experience. • Proficient in Microsoft Office Suite (Word, Excel, PowerPoint). • Professional integrity, with experience in appropriately handling confidential information. • Capable of working independently or collaboratively, effectively managing multiple priorities and meeting deadlines. • Experience operating in matrixed organizational structures. • Demonstrated ability to effectively manage stressful situations, including high volumes and frequent change. • Willingness to travel as business needs require. • Demonstrates flexibility and willingness to actively participate in the operations of an international organization, including attending conference calls scheduled to accommodate global time zones • Strong foundation in quality assurance and testing methodologies. • Experience designing and implementing quality measurement frameworks. • Demonstrated capability to align and standardize quality processes across a portfolio of products. • Expertise in establishing and maintaining mechanisms for performance monitoring and reporting to senior leadership. • A proven record in continuous improvement and elevating organizational quality outcomes. • Experience engaging with clients and internal teams to ensure consistent delivery of high-quality service. • History of persistently achieving and exceeding service level agreements (SLAs) and benchmarks. • Effective change management skills and adaptability amid frequent operational changes. • People leadership experience, with a focus on supporting organizational growth strategies. • Experience in process improvement within payment integrity or comparable environments. Value-Adding Certifications: • Lean Six Sigma (Green Belt, Black Belt, or Master Black Belt) – indicative of expertise in process improvement and quality management. • Certified Quality Auditor (CQA) or Certified Manager of Quality/Organizational Excellence (CMQ/OE) – demonstrating recognized proficiency in quality assurance and organizational excellence. • Project Management Professional (PMP) – reflects a strong background in project and change management. • Certified Professional in Healthcare Quality (CPHQ) – highly relevant for leadership in healthcare quality management, especially within payment integrity. • Certified Payments Professional (CPP) – well-suited for roles in payment integrity and financial services. Base compensation ranges from $140,000 to $185,000 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: 5/3/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/3/2026, 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-JB1 #director

The Principal Interoperability Engineer will design, implement, and optimize advanced healthcare interoperability solutions, ensuring compliance with healthcare regulations and industry standards. This role involves both strategic technical leadership and hands-on software engineering excellence. | Candidates should have a bachelor's or advanced degree in a related field and over 10 years of experience in healthcare IT, with deep expertise in HL7 FHIR and CQL. Strong software engineering skills in .NET and experience with healthcare quality measurement programs are also required. | Overview We are seeking a Principal Interoperability Engineer with deep expertise in FHIR and Clinical Quality Language (CQL), combined with strong software engineering skills in .NET. The ideal candidate will design, implement, and optimize advanced healthcare interoperability solutions, translating complex clinical and quality measure logic into efficient, maintainable, high-performance code. This role requires both strategic technical leadership in interoperability standards and hands-on software engineering excellence. You will work closely with product managers, architects, and engineering teams to ensure compliance with healthcare regulations, data privacy requirements, and industry standards, including HL7, FHIR, C-CDA, and related APIs. Responsibilities Architecture & Strategy: Lead the design and implementation of FHIR-based interoperability architecture for digital quality measurement solutions aligned with NCQA standards. FHIR/CQL Subject Matter Expertise: Act as the FHIR and CQL subject matter expert, developing and validating CQL logic for digital quality measures while guiding adoption of relevant FHIR profiles, terminologies, and implementation guides. Interoperability Implementation Guides: Apply HL7 FHIR implementation guides including US Core, QI-Core, and/or DEQM to ensure Cotiviti’s data exchange workflows are standards-compliant and contribute to guide development as needed. Data Integration Leadership: Oversee integration of clinical and claims data using HL7 standards, designing FHIR-based APIs and mappings to support seamless transition from legacy formats to modern digital quality reporting. Stakeholder Collaboration: Work closely with technical and non-technical stakeholders to understand their data exchange needs and ensure our interoperability solutions meet real-world workflows. Technical Mentorship and Leadership: Provide technical guidance and mentorship to engineering teams implementing FHIR and CQL solutions. Set coding and integration best practices for handling FHIR resources and APIs. Conduct design and code reviews for FHIR/CQL-related development to ensure quality, performance, and security. Design and develop robust, scalable .NET web APIs to support FHIR-based interoperability, ensuring high performance, maintainability, security and seamless integration with healthcare data systems. 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 job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Education & Experience: Bachelor’s or advanced degree in computer science, health informatics, or related field. 10+ years of experience in healthcare IT, including substantial hands-on work in interoperability/integration. 5+ years of deep experience with HL7 FHIR (FHIR R4 or later) and related healthcare data standards. FHIR & CQL Mastery: Expert-level knowledge of the FHIR standard (resources, profiles, RESTful API, etc.) and the Clinical Quality Language. Comfortable reading and authoring CQL logic for clinical quality measures. Experience using or implementing a CQL execution engine. Quality Measures & Standards: Understanding of healthcare quality measurement programs and standards. Knowledge of NCQA HEDIS® measures and the transition from traditional reporting to digital quality measures (dQMs). Interoperability Implementation Guides: Demonstrated experience with or strong knowledge of relevant FHIR Implementation Guides and exchange frameworks. This includes US Core profiles (the U.S. baseline FHIR profiles for EHR data), QI-Core (FHIR profiles for quality improvement), and others like FHIR Bulk Data and Carin Blue Button for payer data. Technical Skills: Strong architecture and software engineering skills related to data exchange. Proficiency in designing and consuming RESTful APIs in .NET, C# and working with JSON/XML healthcare data. Experience with FHIR client/server implementations or FHIR data stores. Understanding of healthcare data security and consent, including OAuth2/OpenID Connect for API security and HIPAA compliance considerations. Hands-on ability with query languages or data processing (SQL, etc.). Soft Skills: Excellent communication and stakeholder management abilities. Proven ability to work cross-functionally – collaborating with product managers, clients, clinicians, and engineers. 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. Experience in an Agile development environment, with skills in breaking down complex projects and prioritizing requirements. 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. Preferred Qualifications: Prior experience working with quality measurement or population health data is highly desirable. Familiarity with FHIR data models and how they represent clinical concepts for quality measurement. Any experience with cloud-based health data services (AWS, GCP, or Azure healthcare APIs) is a plus. Advanced FHIR Engagement: Participation in HL7 FHIR community activities (e.g., HL7 workgroups, FHIR Connectathons, Da Vinci Project workgroups). Any HL7 or NCQA certifications, such as HL7 FHIR Proficiency/Certification or NCQA’s Digital Quality perspectives, would be a strong plus. Direct involvement in developing or testing digital quality measures or interoperability solutions. Software & Tools: Experience with tools used in quality measurement or health data integration, such as measure authoring/testing tools (CMS MADiE ), clinical data integration engines, or analytics platforms. Familiarity with data warehousing or big data processing of healthcare information (e.g., using Spark or Hadoop for large EHR data sets) is a plus. Any prior work with AI/ML in healthcare data. Domain Expertise: Working knowledge of HEDIS is a plus. 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 $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. This role is based remotely and all interviews will be conducted virtually. Date of posting: 10/09/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 01/08/2025, 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-RA1

Design and develop data ingestion pipelines, conduct end-to-end testing, analyze and resolve software issues, and collaborate with cross-functional teams. | Bachelor's or Master's degree in Computer Science or related field, 2+ years software engineering experience, coursework in software testing and machine learning, and ability to mentor team members. | Overview Opening available for Software Engineer at Cotiviti, Inc. in South Jordan, UT: Design and develop data ingestion solution pipeline for Cotiviti's proprietary platform. Conduct end-to-end testing to ensure data quality. Analyze requirements and specifications and create detailed designs for implementation. Analyze and resolve software related issues originated from internal or external customers. Continuously update professional knowledge of new technologies as selected and integrated into the Cotiviti product suite. Perform change control management. Enter, transcribe, record, store and maintain information in written and electronic form. Review software engineering approach to proposed solutions to ensure adherence to best practices. Mentor team members in proper software engineeirng methods and techniques. Collaborate with Senior Developers, QA, Product Owners Project Management, and other stakeholders. Requires a Bachelor's degree or foreign equivalent degree in Computer Science or related field plus 2 years of software engineering experience. In lieu of a bachelor's or foreign equivalent degree and 2 years of experience as stated, employer will accept a master's or foreign equivalent degree in Computer Science or related field. Also requires coursework in software testing and machine learning. Company will accept any level of coursework. Telecommuting available anywhere in the U.S. Company headquarters located at 10701 South River Front Pkwy, Suite 200, South Jordan UT 84095. Base compensation ranges from $99,761 to $125,000. 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. #LI-DNI #immigration

Lead strategic and annual product marketing planning, conduct market and competitive research, develop product positioning and messaging, create marketing content, enable sales teams, and manage marketing projects and events. | 7+ years product marketing experience in healthcare or healthcare IT, knowledge of Value-Based Care, strong research and content marketing skills, strategic thinking, and ability to lead and develop teams. | Overview Cotiviti is seeking a Sr Director of Product Marketing to join our Edifecs Product Marketing Team. The Sr Product Marketing Director will play a critical role in several areas of product marketing, including annual and strategic planning, market and competitive research and analysis, product positioning and messaging, sales enablement, including content creation and client presentation support, campaign development and execution, marketing project management, and event support. This associate will be collaborative, strategic, and have the ability to own and move multiple projects forward quickly and simultaneously. The ideal candidate has a good understanding of the healthcare industry, is organized, can understand and simplify complex concepts, is strategic-minded, and develops and maintains collaborative and supportive relationships across a wide variety of people, from executives to technical experts both internally and externally. Responsibilities • 10% - Annual & Launch Planning. Coordinate with sales, product, and marketing partners to develop comprehensive annual strategic marketing and product launch plans in alignment with organizational goals and objectives • Persona Development. Understand and market to our different types of buyers according to their buying/decision-making influence, needs, values, challenges, etc. • 15% - Market & Competitive Research & Analysis. Conduct primary and secondary research on healthcare market dynamics, payer trends, and market opportunities that are relevant to the Edifecs product lines. Perform and maintain competitor research across all product lines. • 20% Product Positioning & Messaging. Understand market business problems and how Edifecs solutions can solve them to develop compelling messaging that will strongly resonate with the market and individual personas. • 35% Content Creation. Develop original content for brand/thought leadership (blogs, articles, podcasts), demand generation (email, whitepapers, ebooks), product launch and client retention programs (web, presentations, product flyers, case studies). Serve as a subject matter expert and reviewer on press releases and other earned media. • Ongoing Collaboration. Continuously partner across marketing, product, and sales to deliver insightful marketing strategies, compelling content, and effective campaigns. • 10% Content Calendar Development & Management. Build and manage an editorial calendar for all content needs, purpose, goals, and timelines. Collaborate with internal partners/stakeholders to keep content fresh and timely. Serve as a go-to person for content-related questions. • 10% Sales Enablement. Collect, distill, and communicate market research to internal stakeholders via sales playbooks, sell-against documents, and a powerful client-facing deck that helps the sales team position Edifecs above the competition. • 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. Required • Complete all responsibilities as outlined in the annual Performance Plan. Required • Complete all special projects and other duties as assigned. Required • Must be able to perform duties with or without reasonable accommodation. Required Qualifications • Bachelor's degree in Marketing, Journalism, Communications, Business or a relevant field. • 7+ years of product marketing experience in healthcare or healthcare IT, interoperability, and related policies. • Experience and knowledge in Value-Based Care and Alternative Payment Models. • Experience conducting primary and secondary market research projects. • Self-starter with the ability to work with minimal direction under tight, but reasonable, deadlines. • Ability to grasp and simplify complicated concepts. • Self-starter with the ability to design, conduct and report on projects from end-to-end. • Knowledge of how content marketing supports marketing programming with a proven track record (and • samples) of building content (collateral, white papers, data sheets) for complicated subject areas. • Proven editorial skills with an outstanding command of the English language. Ability to interview subject matter experts and write a compelling story. Cognitive/Mental Requirements: • Strategic Thinking & Decision-Making • analytical Reasoning • Problem-Solving • Judgement & Discretion • Influencing & Negotiation • Learning Agility • Critical Thinking 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 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 $150,000 to $180,000. 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: Applications are assessed on a rolling basis. We anticipate that the application window will close on , but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

The Senior Director of Product Marketing will coordinate with various teams to develop strategic marketing and product launch plans while conducting market research and analysis. This role also involves creating compelling content and supporting sales enablement efforts. | Candidates must have a bachelor's degree in a relevant field and at least 7 years of product marketing experience in healthcare or healthcare IT. Knowledge of Value-Based Care and strong editorial skills are also required. | Overview Cotiviti is seeking a Sr Director of Product Marketing to join our Edifecs Product Marketing Team. The Sr Product Marketing Director will play a critical role in several areas of product marketing, including annual and strategic planning, market and competitive research and analysis, product positioning and messaging, sales enablement, including content creation and client presentation support, campaign development and execution, marketing project management, and event support. This associate will be collaborative, strategic, and have the ability to own and move multiple projects forward quickly and simultaneously. The ideal candidate has a good understanding of the healthcare industry, is organized, can understand and simplify complex concepts, is strategic-minded, and develops and maintains collaborative and supportive relationships across a wide variety of people, from executives to technical experts both internally and externally. Responsibilities 10% - Annual & Launch Planning. Coordinate with sales, product, and marketing partners to develop comprehensive annual strategic marketing and product launch plans in alignment with organizational goals and objectives Persona Development. Understand and market to our different types of buyers according to their buying/decision-making influence, needs, values, challenges, etc. 15% - Market & Competitive Research & Analysis. Conduct primary and secondary research on healthcare market dynamics, payer trends, and market opportunities that are relevant to the Edifecs product lines. Perform and maintain competitor research across all product lines. 20% Product Positioning & Messaging. Understand market business problems and how Edifecs solutions can solve them to develop compelling messaging that will strongly resonate with the market and individual personas. 35% Content Creation. Develop original content for brand/thought leadership (blogs, articles, podcasts), demand generation (email, whitepapers, ebooks), product launch and client retention programs (web, presentations, product flyers, case studies). Serve as a subject matter expert and reviewer on press releases and other earned media. Ongoing Collaboration. Continuously partner across marketing, product, and sales to deliver insightful marketing strategies, compelling content, and effective campaigns. 10% Content Calendar Development & Management. Build and manage an editorial calendar for all content needs, purpose, goals, and timelines. Collaborate with internal partners/stakeholders to keep content fresh and timely. Serve as a go-to person for content-related questions. 10% Sales Enablement. Collect, distill, and communicate market research to internal stakeholders via sales playbooks, sell-against documents, and a powerful client-facing deck that helps the sales team position Edifecs above the competition. 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. Required Complete all responsibilities as outlined in the annual Performance Plan. Required Complete all special projects and other duties as assigned. Required Must be able to perform duties with or without reasonable accommodation. Required Qualifications Bachelor's degree in Marketing, Journalism, Communications, Business or a relevant field. 7+ years of product marketing experience in healthcare or healthcare IT, interoperability, and related policies. Experience and knowledge in Value-Based Care and Alternative Payment Models. Experience conducting primary and secondary market research projects. Self-starter with the ability to work with minimal direction under tight, but reasonable, deadlines. Ability to grasp and simplify complicated concepts. Self-starter with the ability to design, conduct and report on projects from end-to-end. Knowledge of how content marketing supports marketing programming with a proven track record (and samples) of building content (collateral, white papers, data sheets) for complicated subject areas. Proven editorial skills with an outstanding command of the English language. Ability to interview subject matter experts and write a compelling story. Cognitive/Mental Requirements: Strategic Thinking & Decision-Making analytical Reasoning Problem-Solving Judgement & Discretion Influencing & Negotiation Learning Agility Critical Thinking 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 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 $150,000 to $180,000. 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: Applications are assessed on a rolling basis. We anticipate that the application window will close on , but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

The Subrogation Investigation Specialist is responsible for researching and documenting information related to recovery of funds from accidents caused by other parties. This includes contacting various stakeholders, negotiating payment arrangements, and ensuring compliance with relevant laws. | Candidates must have a high school diploma or GED and 1-2 years of experience in the health insurance industry or related fields. Strong communication skills, attention to detail, and basic computer proficiency are essential. | Overview The Subrogation Investigation Specialist position is a call center role where your primary responsibility is to support recovery of funds when one of our client’s members has been involved in an accident that was the cause of another party. You will be tasked with researching, documenting, and recording information based on phone calls, emails, and return files from 3rd party sources. We are seeking a talented individual for an Investigation Specialist who is responsible for researching medical claim information from insurance companies, gathering third party information from attorneys and insurance adjusters, and verifying attorney representation and/or liability insurance involvement. Responsibilities You will work directly with our client’s membership, insurance adjusters, and attorney’s to: Recovery Function – Responsible for performing a variety of tasks necessary to effectively recover incorrectly, erroneously paid, or unpaid policies and procedures: Comply and be knowledgeable of all federal and state laws governing the collection of accounts. Contact related parties (e.g., attorneys, adjustors, clients, and any other party involved on each account as necessary) by telephone, letter, or facsimile to obtain information related to account. Negotiate payment arrangements within established guidelines. Investigative Function - Research claims as investigative support for the company to maximize profits of each account worked: Determine if a case has third party liability potential. Work collaboratively with internal and external contacts to determine account liability. Assign file to a Recovery Specialist after detailing investigation claims. Coordinate benefits with no fault and first party auto carriers. Contact consumers via telephone, mail, facsimile, or email, following recovery techniques to arrange payment in full or reasonable payment arrangements. Execute the most feasible business decision based on accurate and thorough analysis of information obtained from the consumer responsible party and the client. Handle inbound/outbound calls from members, attorneys, and adjusters to obtain accident details. Investigative claims and accident details to identify recovery potential. Update internal systems with information obtained and actions taken on account. Ensure proper notification per client guidelines. Effectively work, maintain, and manage a variety of cases with current and accurate notes. Meet department objective standards for Customer Service. Follow account process to ensure proper investigative steps are taken on each account. Follow client and state guidelines for determining potential for recovery on behalf clients. Develop templates for system training materials based on the training strategy. Deliver specific application training based on use needs analysis. Create and document training materials based on key functionality across the application. Coordinate with product teams to keep training materials current with updated functionality and features. Develop additional system support materials such as user job aids. 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. Qualifications High School diploma or GED required. Minimum 1-2 years experience in health insurance industry, medical claims, data entry, or customer service required. Basic knowledge of Microsoft Word and Excel required. Basic computer proficiency required (typing, ability to navigate various websites). Ability to work independently to meet objectives. Ability to perform well in a team environment. Strong verbal and written communication skills. Ability to be thorough and detailed when speaking over the phone or entering data. Ability to interact with all levels of people both internally and externally in a professional manner. Working knowledge of HIPAA privacy and security rules. Ability to maintain a high level of confidentiality and ethics. Basic knowledge of health insurance coverage and/or terminology preferred. Ability to organize information to be shared to parties as required. Ability to meet deadlines. Bilingual (Spanish & English) 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: Investigative Skills: They often need to sift through evidence, contracts, and claims to uncover the cause of loss and determine responsibility. Critical Thinking: It’s essential to question assumptions and consider multiple perspectives when evaluating the facts surrounding a claim. Accuracy in Documentation: Subrogation requires a high degree of precision in handling legal, financial, and case documents. Missing or incorrectly processed information can lead to significant delays or errors in recovery efforts. Understanding Legal Processes: Familiarity with the legal processes involved in subrogation is key. Subrogation professionals need to understand how laws, contracts, and liability work. Cost-Benefit Analysis: Subrogation specialists must evaluate whether pursuing a claim is financially worthwhile, considering legal costs, the likelihood of recovery, and the potential for financial return. Integrity and Ethics: Subrogation professionals must make ethical decisions, especially when handling sensitive financial data, client information, and during legal negotiations. They should adhere to legal guidelines and corporate policies while ensuring fair treatment of all parties involved. 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 $17.00 to $19.00 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: 9/29/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/10/2025, 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-KK1 #entrylevel

Design and implement the main AI platform frontend using modern frameworks while building intuitive user interfaces for agent workflows. Develop reusable chatbot modules and ensure seamless data flow between frontend components and backend service APIs. | Candidates should have a Bachelor’s or Master’s degree in Computer Science or a related field with over 8 years of frontend development experience. Expertise in modern JavaScript frameworks and strong experience with TypeScript, HTML5, and CSS3 is required. | Overview We are seeking an experienced Lead Frontend Engineer to design and build the user interface for our centralized AI platform. This role will focus on creating an intuitive, responsive frontend that enables teams across the company to build, deploy, and manage AI agents through a seamless web application. You'll also develop reusable chatbot modules that can be integrated into various SaaS products within our ecosystem. Responsibilities Design and implement the main AI platform frontend using modern frameworks (React, Angular, or Vue.js) Build intuitive user interfaces for agent creation, configuration, deployment, and monitoring workflows Design and build modular, reusable chatbot components that can be embedded across different SaaSproducts Develop responsive dashboards and data visualization components for agent performance metrics andanalytics Create interactive forms and wizards that guide users through complex agent setup processes Implement real-time updates and notifications for agent status changes and system alerts Work closely with the UX team to translate wireframes and design mockups into pixel-perfect, interactiveinterfaces Implement comprehensive client-side validation and user feedback mechanisms Ensure seamless data flow between frontend components and backend service APIs 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. Qualifications Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field. 8+ years of frontend development experience with 6+ years using modern JavaScript frameworks Expert-level proficiency in React and/or Angular, with deep understanding of component lifecycles, statemanagement, and performance optimization Strong experience with TypeScript and modern JavaScript (ES6+) features and best practices Proficiency in HTML5, CSS3, and CSS preprocessors (Sass, Less) or CSS-in-JS solutions Experience with state management libraries (Redux, NgRx, Zustand, or Pinia) for complex application state Knowledge of build tools and bundlers (Webpack, Vite, Angular CLI, Create React App) Strong experience with version control (Git), CI/CD pipelines (GitHub Actions, GitLab CI, Jenkins), andautomated testing Experience with containerization and orchestration (e.g., Docker, Kubernetes). Cloud platform experience (AWS, GCP, or Azure). 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 orthe level of effort. Ability to handle multiple tasks, prioritize and meet deadlines. Physical Requirements and Working Conditions: Flexibility to work with global teams as well geographically dispersed US based teams. 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 $170,000 to $200,000 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: xx/xx/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on xx/xx/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

Design and implement scalable backend services for the AI platform, including RESTful APIs and SDKs. Lead technical discussions and ensure compliance with security and regulatory requirements. | Candidates should have a Bachelor's or Master's degree in a related field and over 12 years of backend development experience, with a strong focus on Python. Experience with large-scale distributed systems and agentic AI frameworks is also required. | Overview We are seeking a highly experienced Principal Software Engineer to design and build the backend infrastructure for our centralized AI platform. This role will focus on developing robust, scalable backend services that power our agentic framework and enable teams across the company to securely deploy, manage, and access AI agents through unified APIs and user interfaces. Responsibilities Design and implement scalable RESTful APIs endpoints for the AI platform Design and develop Python/Java SDKs that provide intuitive interfaces for teams to interact with the AIplatform Build robust backend services using Python (FastAPI, Django, or Flask) to handle agent lifecyclemanagement, deployment, and monitoring Develop secure authentication and authorization systems supporting multi-tenant architecture Understand how agentic solution works and create efficient data access layers and database schemasthat enable AI agents to interact with various internal data sources Implement asynchronous task processing systems for handling long-running AI agent operations Lead technical discussions, mentor junior engineers, and help set the technical vision for the AI platformroadmap. Ensure compliance with security, privacy, and regulatory requirements across the software developmentlifecycle. Provide technical guidance on backend architecture, Python development, and SDK design best practices Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. Qualifications Bachelor’s or Master’s degree in Computer Science, Engineering, or a related field. 12+ years of backend development experience with 5+ years building scalable Python applications and APIs Experience in building large-scale distributed systems and microservices. Strong programming skills in Python; proficiency in Java a plus. Expert-level proficiency in Python and modern frameworks (FastAPI, Django REST Framework, Flask) Strong experience with database technologies (PostgreSQL, MySQL) and ORM frameworks (SQLAlchemy,Django ORM) Hands-on experience with agentic AI frameworks such as LangChain, LangGraph, CrewAI, AutoGen, orsimilar. Proven experience developing and maintaining SDKs or client libraries for internal or external usage Strong experience with version control (Git), CI/CD pipelines (GitHub Actions, GitLab CI, Jenkins), andautomated testing Experience with containerization and orchestration (e.g., Docker, Kubernetes). Cloud platform experience (AWS, GCP, or Azure). Cognitive / Mental Requirements: Ability to navigate complex and fast-changing technologies and requirements Ability to work independently as well as collaborate as a team with a sense of urgency. Professional with ability to properly handle confidential information. Be value-driven, understand that success is based on the impact of your work rather than its complexity orthe level of effort. Ability to handle multiple tasks, prioritize and meet deadlines. Physical Requirements and Working Conditions: Flexibility to work with global teams as well geographically dispersed US based teams. 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 $200,000 to $240,000 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: xx/xx/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on xx/xx/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

Implement and maintain RESTful API endpoints for the AI platform and build backend services in Python to support agent lifecycle management. Collaborate with senior engineers to design and optimize data access layers and schemas for AI agent operations. | Bachelor’s degree in Computer Science or equivalent practical experience is required along with 5+ years of backend development experience, ideally with Python. Familiarity with Python frameworks and basic experience with relational databases is also necessary. | Overview We are seeking a Senior Software Engineer to join our team in building the core backend services for our centralized AI platform. This role will focus on implementing backend APIs and services that power our agentic framework, helping teams across the company securely deploy and use AI agents through unified interfaces. The ideal candidate has strong Python skills, eagerness to learn, and interest in working with cutting-edge AI technologies. Responsibilities Implement and maintain RESTful API endpoints for the AI platform Build backend services in Python (FastAPI, Django, or Flask) to support agent lifecycle management and monitoring Collaborate with senior engineers to design and optimize data access layers and schemas for AI agent operations Assist in developing authentication, authorization, and multi-tenant features under guidance Contribute to asynchronous processing systems for long-running AI agent workflows Write clean, maintainable code and automated tests to ensure reliability Participate in code reviews, team discussions, and knowledge sharing Stay current with modern Python frameworks and AI/agentic development practices Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. Qualifications Bachelor’s degree in Computer Science, Engineering, or equivalent practical experience 5+ years of backend development experience, ideally with Python Experience building and consuming REST APIs Familiarity with one or more Python frameworks (FastAPI, Django REST Framework, Flask) Basic experience with relational databases (PostgreSQL, MySQL) and ORM frameworks (SQLAlchemy, Django ORM) Familiarity with Git, CI/CD workflows, and automated testing Interest in AI/agentic frameworks (e.g., LangChain, CrewAI, AutoGen) and willingness to learn 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. Physical Requirements and Working Conditions: Flexibility to work with global teams as well geographically dispersed US based teams. 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 $140,000 to $170,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: xx/xx/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on xx/xx/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

Lead and mentor scrum teams using agile practices, manage project scope and deliverables, coordinate with stakeholders, and ensure efficient project delivery. | 3+ years as Technical Project Manager or Scrum Master, experience with JIRA, strong agile knowledge, excellent communication and project management skills, and preferably a relevant bachelor's degree and Scrum certification. | Overview The Technical Project Manager will be responsible for leading/organizing the projects as well as assisting teams as like scrum master to oversee and guide scrum teams. They will partner with various other teams at Cotiviti, including Research & Development and Operations to deliver client centric projects. Technical Project Manager will also contribute to continuous improvement of work management processes to ensure the most efficient delivery of Scrum Teams. To be successful as a Technical Project Manager, you should have a firm grasp of agile practices and the ability to effectively manage and mentor development teams. An outstanding Tech Project Manager should have excellent interpersonal, project management, and problem-solving skills. Responsibilities Resolve and/or escalate issues in a timely fashion and understand how to communicate difficult/sensitive information tactfully. Using agile methodology values, principles, and practices to plan, manage, and deliver solutions. Review deliverables prepared by the team before they are passed to client. Training, mentoring, and supporting scrum teams to follow agile values, principles, and practices. Define project scope, critical path, goals and deliverables that support business goals in collaboration with senior management. Create and execute project work plans and revise as appropriate to meet changing needs and requirements. Develop multiple full-scale project plans and associated communication documents identifying needed resources and assigning/ tracking individual responsibilities. Determining and managing tasks, issues, risks, and action items. Scheduling and facilitating scrum events, meetings, and decision-making processes. Monitoring progress and performance and helping teams to make improvements. Planning and organizing demos and product/system testing. Create and maintain project status documents and hold regular status meetings with the project team. Motivate team to work together in the most efficient manner, keeping track of lessons learned and sharing those lessons with team members. Ensuring the proper use of collaborative processes and removing impediments for the scrum team. 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 job description 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 a relevant field preferred. Certified scrum master, SAFe preferred. 3+ years of experience as a Technical Project Manager/Scrum master or in a similar role. Experience with JIRA Align, JIRA and ability to extract reports out of JIRA. Working knowledge of agile methodology, techniques, and frameworks, such as Scrum or Kanban, to deliver solutions. Proven experience in management, planning, risk assessment and mitigation, and change control with ability to manage multiple projects and meetings in a face paced environment with internal and external teams. Experience managing project life cycle from initial proof of concept through approval, development, delivery and implementation. Ability to coordinate with stakeholders outside the team facilitating issue and risk resolution. Excellent people and project management skills. Strong communication and presentation skills. 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. Assessing the accuracy, neatness, and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $86,000 to $112,000 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: 09/25/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/24/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-RA1

The Senior Revenue Cycle Specialist is responsible for complex recurring functions necessary for business execution, ensuring quality in various departmental functions. They also serve as a subject matter expert, mentor, and key point of contact for resolving client and audit issues. | Candidates should have 2-4 years of related experience or a relevant degree, with proficiency in MS Excel and knowledge of revenue cycle practices. Excellent organizational skills and the ability to work both independently and in a team are essential. | Overview 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. Qualifications 2 -4 years of related experience and/or Associate or bachelor’s degree 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. Excellent organizational ability required to handle multiple priorities. 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 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: 9/23/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/17/2025, 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 #entrylevel

The Senior Software Engineer will lead the development of NLP-powered systems for medical data analysis and text processing. Responsibilities include designing robust Java applications and implementing sophisticated natural language processing pipelines. | Candidates must have a minimum of 5 years of professional software development experience and expert-level Java programming skills. A bachelor's degree in computer science or a related field is required, with a preference for a combination of Computer Science and Data Science education. | Overview Cotiviti is seeking an experienced Senior Software Engineer with a minimum of 5 years of professional software development experience and strong Java expertise to join our healthcare data processing team. The ideal candidate will lead the development of NLP-powered systems for medical data analysis, text processing, and clinical information extraction using enterprise-grade technologies and infrastructure. Familiarity with NLP is preferred, however exceptions will be made for exceptional software engineers with strong technical fundamentals. Responsibilities Java Development Excellence: Design and implement robust, scalable Java applications with deep understanding of object-oriented programming, design patterns, and enterprise Java frameworks NLP System Development: Design and implement sophisticated natural language processing pipelines for medical text analysis, clinical document processing, and healthcare data extraction Enterprise Application Development: Build and maintain enterprise-grade Java applications using Maven for dependency management, Spring Framework for enterprise features, and industry-standard architectural patterns Database Management: Design, optimize, and maintain Oracle database schemas, stored procedures, and complex SQL queries for large-scale healthcare data processing Medical Text Processing: Develop algorithms for parsing, analyzing, and extracting meaningful information from clinical notes, medical records, and healthcare documentation System Administration & Deployment: Manage application deployment, configuration, and monitoring using SSH, shell scripting, and Linux/Unix environments Python Integration (Plus): Leverage Python for data processing, machine learning model integration, and NLP library utilization where applicable Named Entity Recognition: Build and optimize NER systems for identifying medical entities, conditions, procedures, and clinical terminology in unstructured text Build & CI/CD Management: Maintain Maven-based build processes, automated testing pipelines, and continuous integration workflows for reliable software delivery Classification Systems: Implement text classification models for medical coding, diagnosis categorization, and clinical decision support Infrastructure & Networking: Configure and troubleshoot server environments, network connectivity, and distributed system communications Language Model Integration: Integrate and fine-tune large language models for healthcare-specific NLP task and domain adaptation Database Performance Tuning: Optimize Oracle database performance, indexing strategies, and query execution plans for high-volume medical data processing Version Control & Collaboration: Manage code repositories using Git, coordinate branch strategies, and facilitate team collaboration on complex software projects Text Mining & Analytics: Develop text mining solutions for pattern recognition, trend analysis, and insights extraction from medical literature and clinical data Technical Leadership: Provide technical guidance and mentorship to junior developers, conducting code reviews and establishing Java and NLP best practices System Integration: Develop REST APIs, web services, and integration points for connecting NLP systems with existing healthcare infrastructure Performance Optimization: Optimize Java application and NLP model performance, memory management, and execution speed for production healthcare systems Security & Compliance: Implement secure coding practices, SSH key management, database security, and ensure HIPAA compliance across all systems Documentation & Standards: Create technical documentation for Java applications, NLP models, database schemas, deployment procedures, and system architecture Production Support: Monitor system health, troubleshoot production issues using logs and SSH access, and implement solutions for system reliability **Complete all responsibilities as outlined in the annual performance review and/or goal setting. Required **Complete all special projects and other duties as assigned. Required **Must be able to perform duties with or without reasonable accommodation. Required Qualifications Minimum 5+ years of professional software development experience Expert-level Java programming skills with deep understanding of JVM, concurrency, and enterprise development Strong experience with Maven, Spring Framework, and Java ecosystem tools Proficiency with Oracle databases and advanced SQL Experience with Linux/Unix systems and SSH Bachelor’s degree in computer science, Software Engineering, or related technical field (master’s degree is a plus) Combination of Computer Science and Data Science education is highly preferred Familiarity with NLP concepts and techniques preferred (exceptions made for exceptional software engineers) Python experience is a plus Cognitive / Mental Requirements: Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $105,000 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: x/x/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/29/2025, 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

Manage client relationships and projects to ensure successful use of Cotiviti products, drive quality improvements, and support healthcare payer clients with data integration and compliance. | 6+ years healthcare data integration and claims processing experience, familiarity with SaaS, strong client communication skills, and proficiency with Microsoft Office, SQL, Freshdesk, and Jira. | Overview Cotiviti is seeking a passionate and results-driven Technical Customer Solutions Manager to join our team and play a key role in driving long-term success for our clients through the effective use of Cotiviti products. In this strategic role, you will act as a trusted advisor to our healthcare payer clients, leveraging your deep operational knowledge of data processing systems, regulatory compliance, and enterprise system integration. Your expertise will help clients maximize the value of their Cotiviti investment while expanding our impact across the healthcare payer landscape. The ideal candidate combines strong technical acumen with a deep understanding of healthcare EDI operations, encounter data integrity, and agile software delivery—enabling them to guide clients toward measurable outcomes and sustained success. Responsibilities Develop, implement, and complete tactical project plans related to customer issue resolution, quality improvement plans, and program enhancements. Act as the lead relationship manager for assigned accounts, coordinating proactive customer communication and cross-functional collaboration Lead customers to success by understanding their business needs and aligning Cotiviti software and services to drive high-impact results Partner with Account and Product Management on Customer Health, NPS, Executive Business Reviews (EBRs), Expansion, and Renewals by delivering against assigned KPIs Forecast and track operational metrics including member volumes, encounter throughput, revenue recognition, and submission accuracy Apply deep operational knowledge of CMS regulations and audit frameworks to ensure accurate, compliant processing Leverage your expertise in encounter submissions and EDI transactions (834, 837, 835, 270/271) to support client success and issue remediation Analyze client support tickets and product issues to identify systemic trends and advocate for internal resolution Serve as a key conduit for customer enhancement requests through structured feedback loops to Product Management Ensure all contracted deliverables are provided accurately, on schedule, and in alignment with client expectations 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 job description 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 Master’s Degree OR a minimum of 6 years of relevant experience 6+ years of deep operational knowledge of data integration systems including in claim processing systems like FACETS, QNXT, SAP ECC,OR Cotiviti/Edifecs like platforms 6+ years of technical expertise in claims processing, encounter submissions, and risk adjustment workflows Fluent in Software as a Service (SaaS) distribution models 6+ years of Proven success in healthcare or related technical field Familiarity with customer journey mapping and strategic success planning Strong working knowledge of Microsoft Office, Freshdesk, SQL, and Jira Excellent organizational, communication, and interpersonal skills with a client-first approach

The Senior Support Analyst monitors, analyzes, and resolves data platform and infrastructure issues while serving as a liaison between technical and operational teams. This role involves coordinating support efforts, documenting processes, and providing technical assistance to business stakeholders. | Candidates should have a Bachelor's degree in a related field and 2-4 years of experience in enterprise-level application support. Strong knowledge of application architectures, SQL, and scripting languages is required, along with project management experience. | Overview The Senior Support Analyst will assist in monitoring, analyzing and resolving data platforms, configuration, and infrastructure related issues. This person serves as a liaison between technical and operation teams. This position provides analysis and problem solving, technical assistance and support coordination to business stakeholders. The person will make decisions based on independent judgement to resolve a range of complete technical problems. The Senior Support Analyst needs strong analytical skills and the ability to think outside the box when the root cause of an issue is not obvious or clearly defined, and a solutions-focused approach to resolve issues with improved processes. Responsibilities Works and communicates directly with clients and management for any production events, escalating issues as needed while communicating status and risks and producing after outage documentation. Act as a liaison between data operations, development, infrastructure and management. Coordinate and trouble shoot to resolve applications or product related issues. Manage and coordinate meetings with required technical and data operations team members and prioritize and route the issues reported as per the impact on business. Document and improve Production Support processes and add to knowledge base of system problems and resolutions for future reference, including peer knowledge sharing and training. Help data operations team members to create incident and change request tickets. Interface with the engineering, infrastructure, database administrator, implementation, and configuration management teams to follow up on any outstanding tickets for resolving the issues. Follow up for root cause analysis and confirm on permanent resolution status for an issue. Generate and provide daily status updated report to required business stakeholders and leadership team. 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. 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 Bachelor's degree in computer science, information technology, or related technical field or equivalent training, certification. 2-4 years of experience developing/supporting enterprise -level applications software in multi-node Windows or Linux Server environments. Deep knowledge of application architectures, workflows and monitoring tools. Strong experience working with SQL, Oracle, PL/SQL, MS Access and DB Management tools, proficiency with PowerShell, Bash or VB scripting, plus Java EE and/or.NET frameworks. Project management experience required. Ability to work in a cross-functional global team environment, utilizing on-line collaboration tools. Ability to troubleshoot application issues and escalate to supporting engineering teams. Knowledge of commonly used information technology concepts, practices and procedures. Solid written and verbal communication skills, previous Help Desk experience a plus. Ability to work independently and in a team environment. Ability to handle multiple tasks, prioritize and meet deadlines. 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 $68,000 to $90,000. 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: 08/22/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 09/22/2025, 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