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Cotiviti

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CO

*Software Engineer

CotivitiAnywherefull-time
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Compensation$85K - 125K a year

The Software Engineer is responsible for designing and developing software applications and reusable components for the Cotiviti product suite. This role involves collaborating with various stakeholders and ensuring adherence to coding standards and best practices. | Candidates should have a Bachelor's Degree in a relevant field or equivalent experience, along with strong proficiency in Java and a scripting language like Python. A minimum of 3 years of industry experience in software development and familiarity with microservices and cloud technologies is required. | Overview Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality. The Software Engineer is responsible for the design and development of software applications and reusable software components for the Cotiviti Inc product suite, in compliance with predefined coding standards and technical design. This person will collaborate effectively and work with Senior Developers, QA, Product Owners, Project Management, and other stake holders. Cotiviti develops highly innovative applications in healthcare analytics to generate performance, improvement opportunities and value for our clients. Responsibilities Design and develop high quality, maintainable software modules for the Cotiviti, product suite Conduct unit and integration testing using appropriate methodology and techniques 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, Inc. product suite Change control Enter, transcribe, record, store and maintain information in both written and electronic form. Review software engineering approach to proposed solutions to ensure adherence to best practice Mentor team members in proper software engineering methods and techniques Complete all responsibilities as outlined in the annual performance review and/or goal 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, Information Systems, or related field or equivalent work experience. Strong understanding of OOP and common design patterns Demonstrated proficiency with Java and a scripting language such as Python Working knowledge of RDBMS such as SQL Server, MySQL, or SQL programming skills Knowledge of common application frameworks such as Java SE or 2-3 years' experience with software engineering best practices such as continuous integration, unit testing, refactoring, and code reviews 3+ years of industry experience in software development using Java/Scala programming language. 3+ years’ experience with Microservices and the Spring Framework. 3+ years’ experience with web services and RESTful API development. 3+ years’ experience in SQL, NoSQL, and databases. 3+ years’ experience with distributed/cluster computing concepts and cloud-native applications. 3+ years’ experience in container technology and container orchestration platforms like Kubernetes. 3+ years’ experience with Kafka stream processing using tools like Kafka Streams and KSQL. 3+ years’ experience working with Spark applications is preferred. Understanding of prevalent Software Development Lifecycle Methodologies with specific exposure or participation in Agile/Scrum techniques Experience or familiarity with Spring AI and Generative AI technologies is a strong advantage. Ability to execute on project deliverables in a dynamic, fast paced environment within estimated timelines Strong analytical, organizational, and interpersonal skills Good written and verbal communication skills Strong knowledge and application of SAFe agile practices, preferred. Strong problem-solving and analytical skills. Ability to work collaboratively in a team environment. Mental Requirements: Exceptional communication, problem-solving, and leadership skills. Advanced analysis, problem-resolution, judgment, and decision-making capabilities. Ability to prioritize and execute complex tasks in a high-pressure environment independently. Strong results orientation, initiative, attention to detail, and customer service focus. Expert time management skills, balancing daily operations, projects, and mentorship. Ability to independently prioritize, re-prioritize, and manage multiple complex tasks. 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. No adverse environmental conditions expected. Base compensation ranges from $85,000 to $125,000 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: 8/7/2025. We anticipate that the application window will close on 10/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. Since this job will be based remotely, all interviews will be conducted virtually. #LI-REMOTE #LI-AK1 #junior

Software Development
Java
Python
SQL
Microservices
Spring Framework
RESTful API
Cloud-Native Applications
Kubernetes
Kafka
Spark
Agile
Problem-Solving
Communication
Team Collaboration
OOP
Direct Apply
Posted 1 day ago
CO

UX Designer

CotivitiAnywhereother
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Compensation$85K - 105K a year

The UX Designer will define and create UX concepts based on business requirements and end-user needs, facilitating various UX design activities. They will produce assets such as personas, user flows, and prototypes while collaborating closely with cross-functional teams. | Candidates should have a BA/BS or AA/AS in relevant fields or 3+ years of experience as a UX Designer, with a portfolio demonstrating proficiency in interaction design. Strong communication skills and experience with design tools like Figma and Adobe XD are essential. | Overview We are looking for a UX Designer that has a proven track record of leveraging design thinking and user feedback to design experiences that are delightful and motivating. The ideal candidate will be motivated about user-centered design and be able to thrive with minimal process and direction while driving efficiency, consistency and results with cross-functional teams. If you also have a portfolio of professional design projects that includes work with web/mobile applications, we’d like to visit with you. Responsibilities Define and create UX concepts based on an understanding of the business requirements and end-user needs through up-front, end-user research and/or collaboration with Product organization Prepare and facilitate of a variety of UX Design activities for client-facing sessions, Product organization meetings, and/or customer/stakeholder interviews Produce a variety of assets such as personas, customer journey maps, user flows, information architecture, prototypes, and wireframes, or mockups, as it pertains to business requirements and end-user needs and validate through user testing, when appropriate Leverage design thinking toward individual requirements and implementation, but constantly consider the continuity from one UX experience to another Create a unified, end-to-end experience through close collaboration with cross-functional team members Advocate for design by sharing your work and presenting cross-functionally, while being able to precisely articulate design rationale Build and maintain strong working relationships with colleagues, clients, and key stakeholders Must be able to positively adapt to shifting priorities, demands, and timelines Participate as a contributor and at times, lead, cross-functional teams that include other designers, business analysts, technical product owners and functional architects, and software developers Collaborate effectively with remote team members Qualifications BA/BS or AA/AS in Graphic Design, Interaction Design, HCI Design, Psychology, Visual Arts, or 3+ years of experience as a UX Designer 3-7 years of experience designing user experiences for web and/or mobile apps, or experience in visual or interaction design Portfolio demonstrating proficiency in interaction design and clean visual design Expertise at capturing the essence of usability issues and clearly communicating them with non-technical audiences Proficiency in design & prototyping tools such as Figma, Adobe XD, Adobe Creative Cloud Strong abilities in sketching, mocking up, and evaluating interaction design Ability to work within a Design System and contribute to it Previous experience working with Product owners and Development Teams Excellent communication skills, both verbal and written Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access / connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $85,000 to $105,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 00/00/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 00/00/2026, 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

UX Design
User-Centered Design
Design Thinking
Prototyping
Wireframing
User Testing
Collaboration
Communication
Attention to Detail
Critical Thinking
Data Interpretation
Adobe Creative Cloud
Figma
Adobe XD
Interaction Design
Visual Design
Direct Apply
Posted 1 day ago
CO

Implementation Analyst

CotivitiAnywhereother
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Compensation$60K - 72K a year

The Implementation Analyst manages processes and systems related to client projects and product configuration. They interact with clients and internal stakeholders to drive satisfaction and ensure project goals are met. | Candidates should have a B.A. or advanced degree in a related field and at least 3 years of experience in customer relations or project management. Strong analytical and organizational skills are required, along with proficiency in Microsoft Office and project management software. | Overview Accountable to internal customers in the pursuit of implementing new and recurring projects. Manages milestone and task execution within implementations projects and internal process improvement efforts. Works directly with implementation managers and internal cross-functional counterparts to ensure timely and quality output of project deliverables including but not limited to data analysis, forecasting, reporting, performance metrics and other operational functions. Maintains project status and issues / risks in the applicable project management software and reporting mechanisms. Project management rigor and best practices application of process excellence, as well as questioning previously established processes and providing creative solutions to achieve time / cost savings, will be of paramount importance in succeding in this role. Responsibilities Manages processes and systems related to client projects, product configuration, completion of data loads, ticket creation, special initiatives and follow up. Interacts directly with clients and internal stakeholders via calls and meetings to drive client satisfaction and meet project goals. Under the direction of the Implementation Manager(s), work collaboratively with Data Ops, Client Services, and other ancillary departments to deliver all contractually required services Investigates and responds to questions for assigned projects. Generates, interprets and presents reports. Monitors quality of product usage post-implementation and pro-actively partners with Implementation Managers and Client Services on observations relating to stickiness of implementation. Identifies unmet business needs and/or requirements and works collaboratively with Implementation Manager to investigate process improvement opportunities. 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 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. Required Qualifications B.A, or advanced degree in business or healthcare related field, or equivalent experience. 3 years working in customer relations, technical support, project management, or client services required. 1 year working in health care industry with Brokers and Consultants, Employers, Health Plans, Physicians groups, and Third-Party Administrators preferred but not necessary. Proven ability to handle stressful situations, multiple tasks, and deadline pressures. Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex customer problems required. Process improvement skill set required. Excellent oral, written, and technical skills are required. Excellent organization skills, with ability to track multiple projects simultaneously. Strong interpersonal and cross-functional skills required. Understands that the clients’ and internal resources’ best interests are served through smooth, seamless service delivery. Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision. Strong technical skills, with proven track-record of working with robust software platforms. Proficiency in Microsoft Office Suite, including PowerPoint, Word, Excel, and Outlook. Project management software experience, LMS (learning management systems) experience, TFS and other ticketing systems experience preferred. SQL experience is a plus. Willingness to travel up to 10% required. 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 or a project plan. 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 a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $60,000 to $72,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 11/17/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/17/2025 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote #LI-MW1

Project Management
Data Analysis
Reporting
Performance Metrics
Process Improvement
Analytical Skills
Technical Skills
Interpersonal Skills
Communication Skills
Organizational Skills
Client Services
Problem Solving
SQL
Microsoft Office
Ticketing Systems
Learning Management Systems
Direct Apply
Posted 3 days ago
CO

Senior Artificial Intelligence AI Product Manager

CotivitiAnywherefull-time
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Compensation$150K - 190K a year

Lead strategy, development, and lifecycle management of AI data products by collaborating with cross-functional teams and driving product roadmaps and execution. | Bachelor's degree with 10+ years in product/project management or software development, 3+ years in AI product management, experience with AI infrastructure, data engineering knowledge, and strong communication skills. | Overview The Sr AI Product Manager - We are seeking a passionate, talented, and enthusiastic individual to join the AI R&D team and help build industry-leading AI technologies, enabling lines of business with cutting edge and impactful solutions. You will lead the strategy, development, and lifecycle of data products that power GenAI solutions across the enterprise. This role bridges the gap between data engineering, AI teams, and business stakeholders to deliver high-impact, reusable data products. Responsibilities Sr AI Product Manager will play a key role in driving the planning and roadmap for our data products within AI Solutions across lines of business. Define product strategy, roadmap and product requirements for our data products within the AI Platform and solutions. Collaborate with data engineers, AI scientists, and domain experts to identify high-value data opportunities and translate them into product requirements. Drive executive decision making for new investments, including competitive analysis, program goals and business requirements, architectural concepts, risk management, financial analysis, schedule and strategy. Coordinate and partner closely with Data Science, Engineering, finance, legal and other stakeholders with a sense of urgency in a data driven manner. Develop and drive end to end program management to define, prioritize, and implement features, infrastructure, processes, and workflows. Drive technical projects from requirements including managing complex project schedules, removing roadblocks, and keeping processes running smoothly. Identify and prioritize customer needs, market opportunities, and competitive gaps, and translate them into clear and actionable product requirements and specifications. Developing and maintaining a high level of technical proficiency in data management, governance, FAIR data principals and AI. Operate effectively in ambiguity. Apply process where it creates value, and design process where it’s needed. Work closely with operations teams and drive adoption across the portfolio. Establish trusting relationships with different stakeholders and create avenues to synergically improve the AI landscape of the company. 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 AND 10+ years’ experience in product/service/project/program management or software development OR equivalent experience such as MS +7 years. MBA is desirable. 3 + years of product management experience in AI or similar fields. 3+ years of experience in a cross-functional role. 2 + years of experience working with AI infrastructure. Healthcare experience is desirable. Experience in data product management or technical product management, ideally in AI/ML or data platform environments, preferably in a healthcare domain. Understanding of healthcare domain data sets like a claims, member, provider etc. is a plus. Strong understanding of data engineering concepts, including pipelines, modeling, and governance (Databricks experience a plus). Experienced in navigating data sets with SQL and ability to tell data driven stories via creation of dashboards. Mental Requirements: Excellent written and oral communications skills. Self-starter with a strong sense of ownership and orientation towards technical details. Able to prioritize in a complex, fast-paced environment. Creative thinker with bias for action. 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 $150,000 to $190,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 11/14/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/14/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-DNP #LI-LL1 #LI-remote #senior

Product Management
AI/ML Product Management
Data Product Management
Data Engineering Concepts
SQL
Roadmap Management
Agile and Scrum
Jira
Confluence
Figma
Business Requirements Gathering
Direct Apply
Posted 6 days ago
CO

*Senior Insights Analyst

CotivitiAnywhereother
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Compensation$75K - 90K a year

The Senior Insights Analyst will lead the analysis of complex data sets to provide actionable insights and strategic recommendations that drive business growth. This role includes mentoring junior analysts and collaborating with stakeholders to implement data-driven solutions. | Candidates must have a bachelor's degree in a relevant field and a minimum of 5 years of experience in data analysis or business intelligence. Expertise in data manipulation, statistical analysis, and data visualization techniques is required. | Overview The Senior Insight Analyst is part of our Operational Insights team and will lead the analysis of complex data sets to provide actionable insights and strategic recommendations that drive business growth and optimize performance. This is a key role in guiding the data analysis process, mentoring junior analysts, and collaborating with stakeholders across the organization to identify opportunities and implement data-driven solutions. This position would act as a subject matter expert on the team. Analysts contribute to the organization's success by providing insights and recommendations that inform strategic decision-making and drive business growth. The insights team operates as an internal consulting group to supply, manage, and analyze overpayment recovery data for use in assigning actions needed, as well as recommending organizational efficiency improvements across all post-production areas. Responsibilities Mentoring: Provide strategic guidance and mentorship to junior analysts, fostering their professional growth and development. Act as a subject matter expert on data analysis techniques, tools, and methodologies, providing guidance and training to colleagues as needed. Create and document training materials based on key functionality across the application. Monitor standard operating procedures for revisions. Data Analysis and Interpretation: Utilize advanced analytical techniques to uncover trends, patterns, and correlations within large and diverse data sets. Interpret analysis results and translate them into actionable recommendations for business stakeholders. Interpret data to identify business trends, conduct root cause analysis of business problems/bottlenecks, or suggest areas for process improvement. Design and implement data visualization dashboards and reports to effectively communicate insights to stakeholders at all levels of the organization. Conduct deep-dive analysis and root cause investigations to address complex business challenges and opportunities. Lead the development and execution of data analysis projects, from data collection to insights generation and presentation. Generate actionable insights by synthesizing data analysis findings with industry knowledge and business context. Market Research and Competitive Analysis: Conduct market research to identify industry trends, consumer behavior, and competitive landscape Perform competitive analysis to benchmark against industry peers and identify opportunities for differentiation. Stay current with emerging trends and best practices in data analysis, business intelligence, and industry-specific knowledge. Lead the evaluation and adoption of new tools, technologies, and methodologies to enhance the efficiency and effectiveness of the analytics function. Cross-functional Collaboration: Collaborate with cross-functional teams including marketing, sales, product development, and finance to understand business objectives and priorities. Work closely with business stakeholders to define analytical requirements and tailor insights to meet their needs. Collaborate with cross-functional teams to understand business objectives, identify key performance indicators (KPIs), and prioritize analytical initiatives. Present findings, recommendations, and insights to senior leadership and key stakeholders in a clear, concise, and compelling manner. Solicit requirements and Service Level Agreements (SLAs) from key stakeholders for ad hoc and/or complex reporting requests. Data Governance and Compliance: Adhere to data governance policies and ensure compliance with data privacy regulations and industry standards. Safeguard sensitive data and ensure appropriate access controls are in place to protect data integrity and confidentiality. Qualifications Bachelor’s degree in business administration, Economics, Statistics, Mathematics, Computer Science, or related field is required, or an equivalent combination of education and/or relevant experience. DP600 and/or DP700 Certification preferred. Minimum of 5 years of related experience. Proven experience in data analysis, business intelligence, or a related field, with a minimum of 5 years of relevant experience. Expertise in data manipulation, statistical analysis, and data visualization techniques. Proven Microsoft Fabric experience building Lakehouse or Warehouse solutions, using Data Factory or Dataflow Gen2 to land data from SQL Server into OneLake and feed Power BI strongly preferred. Strong T SQL and dimensional data modeling background, including design of star schemas with fact and dimension tables for high volume reporting strongly prefe.rred Strong leadership and mentoring skills, with the ability to effectively guide and support a team of analysts. Excellent communication and presentation skills, with the ability to convey complex technical concepts to non-technical audiences. Demonstrated ability to manage multiple projects simultaneously, prioritize tasks, and meet deadlines in a fast-paced environment. Strategic thinking and problem-solving skills, with a focus on driving actionable insights and recommendations that align with business objectives. Experience working with large and diverse data sets, including structured and unstructured data sources. Knowledge of advanced analytical techniques such as machine learning, predictive modeling, and optimization algorithms is preferred. Strong business acumen and understanding of key business processes, drivers, and metrics within the organization or industry. Certification in relevant areas such as data analysis, business intelligence, or project management is a plus. Experience in a leadership or managerial role is advantageous. Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. · Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. · Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Exposure to moderate noise intensity is expected. No adverse environmental conditions are expected. Base compensation ranges from $75,000 to $90,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 11/14/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/14/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

Data Analysis
Business Intelligence
Data Visualization
Statistical Analysis
Mentoring
Market Research
Competitive Analysis
Cross-Functional Collaboration
Data Governance
Communication Skills
Problem-Solving
Leadership
T SQL
Machine Learning
Predictive Modeling
Data Manipulation
Direct Apply
Posted 6 days ago
CO

Senior Software Engineer

CotivitiAnywherefull-time
View Job
Compensation$105K - 145K a year

Support, enhance and optimize Cotiviti product suite modules, resolve software issues, document and deliver solutions, mentor others, and follow the software development lifecycle. | The job requires 8+ years industry experience with extensive relational DB and ETL work, 2+ years healthcare data experience, and strong legacy Microsoft/Java/VBScript skills (SQL/Oracle, MS Access, PowerShell/VBScript, Java/.NET). | Overview Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality. The Senior Software Engineer I role is primarily responsible for the support of the existing software applications and enhanced software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders. Responsibilities Support and enhance high quality software modules for the Cotiviti product suite. Analyze and resolve software related issues originating from internal or external customers. Document the specifications, design, features, and operation of applications prior to production roll out. Demonstrate proficient working knowledge of the primary discipline and a developing knowledge of related disciplines. Execute solutions enhancements to improve performance / availability. Communicate technical and operational issues to both engineering and business leadership in a timely manner. Ensure that all technology standards are adhered to while developing systems. Explore new ideas and make innovative contributions to existing processes or systems which improve efficiency and results. Continuously improve and enhance knowledge of new technologies as selected and integrated into the Cotiviti product suite. Execute all appropriate facets of the Cotiviti Software Development Lifecycle with a desire for continuous improvement. Mentor other developers. 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 BS or MS Computer Science, Information Technology, Information Systems, or equivalent work experience. 8+ years of industry experience. Must have 2+ years’ Healthcare data experience. Proficiency in working with large datasets. 8+ years' experience with relational databases. 8+ years' experience working with ETL processes. Optimization and tuning of SQL/Oracle queries, stored procedures, and triggers. Advanced understanding of Object-Oriented Analysis and Design. 8+ years' experience with MS Access. 8+ years' experience with scripting languages: VBScript or PowerShell. 8+ years' experience with Java frameworks or.Net Framework. Knowledge of one or more enterprise scheduling tools. Good written and oral communication skills. Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $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. This role is based remotely and all interviews will be conducted virtually. Date of posting: 00/00/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 00/00/2026, 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

TypeScript (Next.js, React, Node, Angular)
ETL & large dataset processing
SQL/relational databases (MySQL)
Backend API design and event-driven architectures
Cloud platforms (AWS, GCP, Firebase, Supabase)
CI/CD and deployment automation
AI/LLM integration & workflow automation
Payment and third‑party API integrations
Direct Apply
Posted 7 days ago
CO

Business Analyst I

CotivitiAnywhereother
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Compensation$77K - 94K a year

Support product team by analyzing business needs, facilitating process improvements, defining project requirements, and liaising between IT and business stakeholders. | Bachelor's degree, 3-5 years business process development, 1-3 years project management and agile experience, strong communication and organizational skills, ability to work independently and collaboratively. | Overview The Business Analyst will be responsible for driving results by supporting the product team in their efforts to deliver new products, enhancing existing products, and implementing medium to large scale projects. Liaise with technical delivery team professionals and subject matter experts to ensure solutions meet business needs. In addition, they will support activities related to user acceptance testing for the above. Responsibilities • Work closely with business partners to understand their business and how current and future systems may improve productivity and quality.• Conduct analysis to determine the best path for solving business problems/opportunities that may include process improvement, systems enhancement, and user training.• Apply and utilize business process modeling methods to ensure business outcome-based deliverables in a way that can be readily used as input to Product Delivery teams and executive decision-making by both line of business and IT partners.• Facilitate future-state process and visioning sessions with business partners.• Define measurable process improvement objectives and participate in grooming features sessions.• In collaboration with Product Manager, help to define project requirements by identifying, and actively participate in the Agile Product team for implementation.• Serve as the liaison between IT, business requestors, and business leaders to resolve questions from IT pertaining from changes or defects; present testing requirements on behalf of the requestor to business leaders; and facilitate discussion to build consensus on the completeness and accuracy of requirements. Communicates with business SMEs to ensure expectations are kept in line with release status. Obtain signoff of deliverables by all impacted parties. • Ensure product satisfies the customer/end-user requirements by actively representing the business users in product testing and evaluation through mapping product enhancement to business process change.• Work with training development to ensure content effectively maps product capabilities to business process execution.• Develop business use cases.• Complete ad hoc research and projects as assigned.• 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 required. • Healthcare Systems and Operations experience preferred.• 3-5 years’ experience with Business Process development.• 1-3 years’ experience in Project Management and Agile Product Development methodologies.• Strong relationship-building skills and customer orientation. Proven ability to collaborate with business partners to define needs, address issues and answer questions.• Proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint).• Ability to work well independently and in a team environment.• Must have the ability to interact with business users in a sensitive and diplomatic manner, while challenging existing procedures and building collaboration on project goals.• Ability to translate business needs into product features.• Consistent and effective critical thinking skills required.• Strict attention to detail in actions and documentation.• Works with a sense of urgency.• Strong organizational skills (including a commitment to thorough documentation of results).• Strong written and verbal communication skills in person as well as with remote and international resources.• Professional demeanor with ability to use appropriate language, tone, style and structure in oral and written communications.• Positive and helpful demeanor in interactions with all internal/external stakeholders.• Active listening skills.• Highly skilled at handling multiple tasks simultaneously, prioritizing and meeting deadlines.• Ability to maintain strict confidentiality in all communications involving sensitive information.• Must be driven and a self-starter.• Must be flexible and willing to adapt to an ever-changing environment.• Ability to work within a matrix organization. Cognitive / Mental Requirements:• High level of initiative for excellence, results, and process improvement. • Highly developed financial and other qualitative/analytical skills. • Demonstrated ability to work well with short deadlines and time constraints. • Excellent presentation skills with solid communication skills and practices, both oral and written. 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 $76,500 to $94,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.Date of posting: 11/11/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/11/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

Business Process Development
Project Management
Agile Product Development
Stakeholder Engagement
User Acceptance Testing
Process Improvement
Microsoft Office Suite
Direct Apply
Posted 7 days ago
CO

Senior Manager Engineering

CotivitiAnywhereother
View Job
Compensation$140K - 175K a year

Lead multiple engineering teams, oversee software development projects, ensure quality standards, and drive process improvements. | Bachelor's degree, 8+ years software development, 4+ years management, Java and Oracle SQL experience, agile environment familiarity. | Overview As a Senior Manager of Engineering, you will oversee all operational aspects of software development, ensuring projects are completed on time and within scope. You will provide administrative, technical, and people leadership for multiple, diverse, and geographically distributed teams. Your responsibilities will include providing clear guidance, delivering constructive feedback to team members, and promoting a culture of continuous improvement and innovation. This is an exciting opportunity to make a significant impact on our organization and contribute to the advancement of healthcare data analytics. If you are passionate about leading teams, driving excellence, and making a difference, we would love to hear from you. Responsibilities Recruit, train, coach, lead, and retain top-tier talent, with an emphasis on developing a team and workplace culture that employs best-in-class methods to support and drive high levels of internal and external customer satisfaction. Ensure engineering teams adhere to established internal development standards, consistently delivering high-quality solutions. Proven leadership skills, demonstrated ability to mentor, influence, and deliver scalable and robust data solutions. Engage with teams, architects, and stakeholders to collect requirements and specify solutions. Collaborate with DevOps, IT, and Database Administrators to ensure the needs and requests of your team members are met efficiently. Identify opportunities for process improvement and optimization, considering overall organizational goals and strategy to help reduce delivery time and operational costs. Collaborate with internal teams to find opportunities for automation and quality improvement. Participate in root cause analysis for issues encountered and ensure that permanent solutions are implemented. Communicate project status updates with management and peers on a regular basis. Complete all responsibilities as assigned as well as special projects and other duties as assigned. This 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 equivalent. 8+ years of hands-on experience in software development. Minimum of 4+ years of management experience with increasing level of responsibility and oversight. Experience estimating and planning software development projects including risk management and integration plans. Experience in Java development. Experience in Oracle SQL development and data architecture. Experience working in an agile environment. Mental Requirements: Demonstrated ability to handle multiple assignments and tasks simultaneously. An extremely motivated, results-oriented individual that is very self-directed and comfortable thinking and reacting quickly. Excellent written and verbal communication skills and ability to influence at all levels of the organization. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $140,000 to $175,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 00/00/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 00/00/2026, 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 #manager

software development
team leadership
project management
agile methodologies
Java
Oracle SQL
data architecture
Direct Apply
Posted 7 days ago
CO

Technical Product Owner

CotivitiAnywherefull-time
View Job
Compensation$90K - 124K a year

Translate product vision into technical requirements, manage technical backlog, collaborate with stakeholders and agile teams, and ensure technical alignment with business goals. | Bachelor's degree or equivalent, 6-8 years business analysis, 5+ years in Enterprise Data Warehousing and BI reporting, 3+ years agile experience, proficiency in BI tools and SQL. | Overview Technical Product Owner (TPO) will serve as a critical bridge between product management, stakeholders, and agile development teams. The TPO will ensure technical implementation aligns with overall business vision and strategy, guiding product development, managing technical aspects, and ensuring product features meet user needs and technical feasibility. This role requires a strong technical background, particularly in Enterprise Data Warehousing and Business Intelligence, and the ability to translate technical requirements into actionable development plans. The ideal candidate will act as a technical resource, address technical debt, and drive technical solutions that support business objectives. Responsibilities Product Vision & Strategy:Collaborate with Product Managers to define and translate product vision into actionable technical requirements and a long-term roadmap. Own and groom the technical backlog, prioritize features and functionalities based on technical constraints and dependencies, ensuring clarity and feasibility. Communication & Collaboration:Demonstrate excellent written and verbal communication skills to convey complex technical concepts and facilitate collaboration across diverse teams and stakeholders. Build relationships, manage expectations, and negotiate priorities. Gather and interpret user feedback to deliver high-quality user experiences. Problem-solving & Analytical Skills:Analyze complex technical issues, interpret data, assess risks, and propose effective solutions. Align technical initiatives with business goals and product vision. Agile Methodologies:Exhibit deep knowledge and experience with Agile frameworks (Scrum, Kanban). Participate in sprint planning, daily stand-ups, reviews, and retrospectives. Provide technical guidance and clarify requirements for development teams. Backlog Management & Agile Execution:Create, prioritize, and maintain the technical product backlog to ensure alignment with business strategy and provide clear direction to development teams. Technical Expertise & Guidance:Serve as a subject matter expert on Enterprise Data Warehouse methodologies, system architecture, T-SQL, ETL (SSIS), data pipelines, and BI reporting tools (Jira, Microsoft SQL Server, SSIS, SSRS, Tableau, Power BI, DOMO). Guide product roadmap execution, address technical debt, and ensure technical excellence. Stakeholder Communication & Relationship Management:Communicate development progress, product vision, and technical considerations to both technical and non-technical stakeholders, including senior leadership. Build strong relationships and act as a trusted change agent. Continuous Improvement & Innovation:Identify opportunities to improve processes, tools, and methodologies in requirements gathering, development, and delivery. Stay current with emerging technologies and industry trends to inform product decisions and drive innovation. Leadership & Mentorship:Lead, mentor, motivate teams, foster a collaborative and innovative environment. Domain Knowledge:Demonstrate expertise in the business domain supported by the BI Enterprise Data Warehouse team (e.g., Healthcare, Record Retrieval, Coding). Special Projects:Complete all special projects and other duties as assigned. General: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. Required Qualifications Bachelor's degree in Information Systems, Computer Science, or a related field, or substantial equivalent work experience. At least 6-8 years of strong business analysis experience. A minimum of 5 years of experience in Enterprise Data Warehousing and Business Intelligence Reporting & Analytics, with a proven track record of delivering high-quality products. At least 3 years of experience working in an agile environment. Proficiency in BI tools (e.g., Tableau, Power BI, DOMO), SQL, SSIS, SSRS, data warehousing, and data modeling. Knowledge of programming languages (e.g., Python, R) is a plus. 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. 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 are 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 $90,000 to $124,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 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. #LI-REMOTE #LI-RA1 #senior

Agile methodologies
Product roadmap management
Jira
Confluence
Figma
Business requirements gathering
SAP ECC
Sprint and backlog management
Direct Apply
Posted 8 days ago
CO

*Senior Software Engineer

CotivitiAnywhereother
View Job
Compensation$105K - 145K a year

Support and enhance existing software modules, analyze and resolve issues, and mentor other developers. | 4-5 years of industry experience, proficiency in Java or Python, healthcare data experience, and experience with large datasets and web services. | Overview Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality. The Sr Software Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders. Responsibilities Support and enhance high quality software modules for the Cotiviti product suite Analyze and resolve software related issues originated from internal or external customers Documents the specifications, design, features, and operation of applications prior to production roll out. Demonstrates proficient working knowledge of the primary discipline and a developing knowledge of related disciplines. Executes solutions enhancements to improve performance / availability. Communicates technical and operational issues to both engineering and business leadership in a timely manner. Ensure that all technology standards are adhered to while developing systems. Explores new ideas and makes innovative contributions to existing processes or systems which improve efficiency and results. Continuously improves and enhances knowledge of new technologies as selected and integrated into the Cotiviti product suite Execute all appropriate facets of the Cotiviti Software Development Lifecycle with a desire for continuous improvement Mentor other developers Complete all responsibilities as outlined on 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 BS or MS Computer Science, Information Technology, Information Systems, or equivalent work experience. 4-5 years of industry experience Must have 2+ years’ Healthcare data experience Proficiency working with large datasets Optimization and tuning of SQL queries, stored procedures, and triggers 4-5 years' experience with languages: Java or Python 4-5 years' experience with 3rd party platforms: Appian, Cloudera Hadoop 4-5 years' experience with databases: Microsoft SQL Server, HBASE, Hive 4-5 years' experience with web services using Java and Spring Boot Strong knowledge and application of SAFe agile practices, preferred Proficiency working with large data sets Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access / connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $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. This role is based remotely and all interviews will be conducted virtually. Date of posting: 11/11/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/10/2026, 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

Node.js
TypeScript
AWS
REST API Development
SQL/NoSQL databases
React
GraphQL
Event-Driven Architecture
Direct Apply
Posted 9 days ago
CO

Lead Software Engineer

CotivitiAnywhereother
View Job
Compensation$122K - 170K a year

Architect and lead the design and implementation of a scalable, high-performance FHIR Repository service for healthcare data. | 10+ years software engineering with 3+ years leadership, expertise in Java and Spring Boot, relational databases, distributed systems, FHIR standards, cloud infrastructure, and healthcare data compliance. | Overview We are seeking an experienced Lead Software Engineer to design and lead the development of a scalable, high-performance FHIR Repository service capable of handling hundreds of terabytes of healthcare data. This system will form the foundation of our next-generation healthcare data platform — powering interoperability, analytics, and compliance across our product ecosystem. You will be responsible for the architecture, design, and implementation of core services that store, retrieve, and manage FHIR resources at massive scale. The ideal candidate combines deep technical expertise in database scalability, distributed systems, and Java engineering with strong leadership skills and a passion for solving real-world problems in healthcare data management. Responsibilities Architect and lead the design of scalable and fault-tolerant FHIR Repository supporting high-throughput operations. Define and implement data modeling, storage, and indexing strategies optimized for FHIR resource retrieval and updates at petabyte Drive performance, scalability, and cost-efficiency initiatives across the repository and related services. Partner with product management, cloud operations, and security teams to ensure compliance with HIPAA, and other healthcare data regulations. Evaluate and integrate cloud-native and database technologies (RDS, Aurora, PostgreSQL, sharding strategies, caching layers, etc.) to support growth. Lead proof-of-concepts and architectural prototypes to validate design approaches. Collaborate with cross-functional stakeholders to ensure the repository integrates seamlessly with APIs, analytics pipelines, and FHIR-based interoperability solutions. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This 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 10+ years of experience in software engineering, with at least 3+ years in a technical leadership or architectural role. Proven expertise in Java, Spring Boot and related frameworks Strong experience with Relational databases (PostgreSQL, MySQL, or Aurora) including scaling, sharding, performance tuning, and distributed query optimization. Experience designing distributed systems, data pipelines, or large-scale storage services. Understanding of FHIR standards, RESTful APIs, and healthcare data interoperability principles. Knowledge of data partitioning, caching, and data-lifecycle management in high-volume systems. Strong foundation in cloud infrastructure (AWS preferred) including monitoring, autoscaling, and resiliency design Excellent analytical, problem-solving, and communication skills. Preferred Qualifications Experience working with healthcare data (FHIR, HL7, EDI). Experience with containerized and orchestrated environments (Docker, Kubernetes). Exposure to data governance and security requirements in healthcare (HIPAA, HITRUST). Experience mentoring engineers and influencing technical direction across teams. Cognitive/Mental Requirements Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness, and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a timely manner. Physical Requirements and Working Conditions Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $122,000 to $170,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of Posting: 11/7/2025. We anticipate that the application window will close on 12/7/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. Since this job will be based remotely, all interviews will be conducted virtually. #LI-REMOTE #senior

Java
Spring Boot
Relational Databases
Distributed Systems
FHIR
RESTful APIs
Cloud Infrastructure (AWS)
Direct Apply
Posted 10 days ago
Cotiviti

Business Product Owner CE - DM

CotivitiAnywherefull-time
View Job
Compensation$115K - 145K a year

Lead product roadmap and backlog prioritization for operational technology products, collaborating with stakeholders and delivery teams to ensure alignment and delivery of business outcomes. | Requires 10+ years US healthcare experience with health plan focus, product development liaison skills, Agile methodology expertise, process improvement, and strong communication and analytical skills. | Overview: The Business Product Owner - Content & Enablement (C&E) is aligned to our Content and Enablement team within the Enterprise of Data Mining and Yield Management. This role will partner will various divisions and levels of leadership within the whole organization. The Business Product Owner (within Payment Policy Operations) will be responsible for leading technology product roadmaps supporting Research operational processes as the business lead working closely with a wide group of stakeholders for solution design and delivery. This position will also support other operational activities on an as needed basis. Responsibilities: • Facilitate cross-functional process gap analysis and recommends future state process enhancements to drive efficiency and quality improvements. • Establishes a product vision and roadmap to help position the organization for growth and scalability, effectively leverages technology to drive automation and innovation. • Works closely with Medical Directors and other stakeholders to ensure requirements are well documented and meets the strategic objectives of the projects. • Collaborates with the IT team to ensure solution architecture and workflow supports both the “what” and the “how” aspects of the work. • Collaborates with the Business Analysts and Solution Architect to continually mature the backlog, focusing on profitability of the product (ROI). • Prioritizes backlog, defines, and decomposes features and epics of the product into User Stories and defines acceptance criteria for features. • Attends all product team events, Sprint Planning and Sprint Demo for each team. • Works directly with the delivery team to set clear expectations, to accept or reject deliverables. • Decides most appropriate release date for content, adjusting features and priorities as needed. • Works with other Product Owners to prioritize feature and stories with external dependencies. • Works effectively with others to remove delivery roadblocks. • Leads business review sessions and user acceptance testing sessions to ensure product design meets requirements reducing rework and accelerating pace of delivery. • Escalates issues requiring executive attention promptly supported by an objective assessment and recommendation. • Identifies risks and implements risk mitigation plans. • Owns end-user communication and training strategy on defined Products. • Works with training development to ensure content effectively maps product capabilities to business process execution. • Participates as required in key management discussions and supports the annual planning process to ensure department goals are aligned with corporate objectives. • Produces work that reflects a focus on quality in consideration of the client’s (internal and external) needs and qualitative self-review process. • Communicates and supports company and departmental goals and objectives. Qualifications: • High school Diploma – Required • Bachelor’s degree (Preferred). • Clinical or product background (Preferred). • 10+ years’ experience in US healthcare; Health plan experience (Preferred). • Experience in product development liaising between business and technical teams. • Experience in Agile and Scrum development methodologies. • Experience in process definition and continuous quality improvement. Flexibility in thought and approach to problem solving. • Experience in consulting within a healthcare coding and reimbursement. • Ability to understand process inputs/outputs and effects of all. Strong understanding of system or product development lifecycle. • Builds credibility and establishes influence with internal team members and client team members in a way that leads individuals to solicit and follow advice or direction. • Strong focus on detail, root-cause analysis, and change management. • Strong knowledge and capability for process improvement, process management, and measurement. • Experience in private sector/ Health plan operations, with focus on reimbursement, medical coding (CPT, ICD-10). • Strong analytical, problem solving and conflict resolution skills. • Proficiency in presentation, facilitation, and negotiation. • Excellent written and verbal communication 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. • Ability to work within a matrix organization. • Must have ability to positively handle/manage stress, such as high work volume and frequent change. • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. • 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 $115,000 to $145,000. 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: 11/10/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/10/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-KB1 #LI-Remote #senior

Product Ownership
Agile and Scrum
Backlog Prioritization
Stakeholder Management
Process Improvement
User Story Creation
Jira
Confluence
Figma
Business Requirements Gathering
Verified Source
Posted 10 days ago
CO

Data Engineer AI

CotivitiAnywhereother
View Job
Compensation$105K - 125K a year

Manage and optimize data pipelines and ETL processes using big data technologies, perform data validation and analysis, and collaborate with cross-functional teams to ensure data integrity and operational efficiency. | Bachelor's degree or equivalent experience, 3+ years with big data technologies (Spark, Hadoop), cloud platforms (AWS, Azure, GCP), RDBMS and SQL, data analysis experience preferably in healthcare, and familiarity with project management tools. | Overview At Cotiviti, we are custodians of data for our clients. Using their technical experience in ETL processes, Data Engineers ensure operational functions are occurring as expected. This includes but is not limited to managing data implementations, data integrations, data production, data quality, and data security. Responsibilities · Create, maintain and execute intermediate to advanced Spark scripts for data management and data validation, and data integration · Create, maintain and execute basic to intermediate SQL scripts for data management and data validation. · Optimize the queries to improve the efficiency of daily tasks. · Perform data analysis and identify any issues. · Work with other groups such as Engineering team, DBA, Cloud ops, etc. to troubleshoot and resolve any environmental or network issues that impact your work. Extend your support to after – hours or weekends as needed. · Create and maintain data pipelines as needed · Validates the tasks results to ensure that all the requirements are met. · Adhere to all the industry level and organization level compliance rules and regulations to maintain data integrity. · Complete individual productivity tracking · Complete task assignments using department ticketing system within assigned deadline. · Achieve organizational and individual goals as identified in performance reviews and goal setting exercises. · 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 equivalent work experience. · 3+ years of working knowledge of big data technologies (Spark, S3, Kafka, Ray, Hadoop, etc.) · 3+ years of working knowledge of cloud (AWS, Azure, GCP, OCI etc.) · 3+ years of working knowledge of RDBMS (Oracle, MS SQL, Vertica, etc.) and experience using SQL, PL/SQL or other data integration/ETL tools. · 3+ years of data analysis. Preferably in the Healthcare industry of enrollment, medical claims and/or pharmacy claims. · Proficient in Microsoft Office Suite applications PowerPoint, Word, Excel and Outlook. · Flexible work schedule. · Experience with project management tools like JIRA. · Databricks and/or Snowflake environment familiarity a plus Mental Requirements: · Strong analytical skills · Excellent verbal, listening and written communication skills. · Ability to multitask and prioritize projects to meet scheduled deadlines and tight turnaround times. · Ability to work well independently or in a team environment. 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. Pay Transparency: Base compensation ranges from $105,000.00 to $125,000.00. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 11/10/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/10/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-remote #senior

Spark
SQL
AWS
Data Integration
ETL
Kafka
Hadoop
Data Analysis
Project Management (JIRA)
Direct Apply
Posted 10 days ago
CO

Business Product Owner CE - DM

CotivitiAnywherefull-time
View Job
Compensation$115K - 145K a year

Lead product roadmap and backlog management for payment policy operations, collaborating with stakeholders and IT to deliver efficient, scalable solutions. | 10+ years healthcare experience preferred, product development with business and technical teams, Agile methodologies, process improvement, healthcare coding knowledge, strong communication and analytical skills. | Overview The Business Product Owner - Content & Enablement (C&E) is aligned to our Content and Enablement team within the Enterprise of Data Mining and Yield Management. This role will partner will various divisions and levels of leadership within the whole organization. The Business Product Owner (within Payment Policy Operations) will be responsible for leading technology product roadmaps supporting Research operational processes as the business lead working closely with a wide group of stakeholders for solution design and delivery. This position will also support other operational activities on an as needed basis. Responsibilities • Facilitate cross-functional process gap analysis and recommends future state process enhancements to drive efficiency and quality improvements. • Establishes a product vision and roadmap to help position the organization for growth and scalability, effectively leverages technology to drive automation and innovation. • Works closely with Medical Directors and other stakeholders to ensure requirements are well documented and meets the strategic objectives of the projects. • Collaborates with the IT team to ensure solution architecture and workflow supports both the “what” and the “how” aspects of the work. • Collaborates with the Business Analysts and Solution Architect to continually mature the backlog, focusing on profitability of the product (ROI). • Prioritizes backlog, defines, and decomposes features and epics of the product into User Stories and defines acceptance criteria for features. • Attends all product team events, Sprint Planning and Sprint Demo for each team. • Works directly with the delivery team to set clear expectations, to accept or reject deliverables. • Decides most appropriate release date for content, adjusting features and priorities as needed. • Works with other Product Owners to prioritize feature and stories with external dependencies. • Works effectively with others to remove delivery roadblocks. • Leads business review sessions and user acceptance testing sessions to ensure product design meets requirements reducing rework and accelerating pace of delivery. • Escalates issues requiring executive attention promptly supported by an objective assessment and recommendation. • Identifies risks and implements risk mitigation plans. • Owns end-user communication and training strategy on defined Products. • Works with training development to ensure content effectively maps product capabilities to business process execution. • Participates as required in key management discussions and supports the annual planning process to ensure department goals are aligned with corporate objectives. • Produces work that reflects a focus on quality in consideration of the client’s (internal and external) needs and qualitative self-review process. • Communicates and supports company and departmental goals and objectives. Qualifications • High school Diploma – Required • Bachelor’s degree (Preferred). • Clinical or product background (Preferred). • 10+ years’ experience in US healthcare; Health plan experience (Preferred). • Experience in product development liaising between business and technical teams. • Experience in Agile and Scrum development methodologies. • Experience in process definition and continuous quality improvement. Flexibility in thought and approach to problem solving. • Experience in consulting within a healthcare coding and reimbursement. • Ability to understand process inputs/outputs and effects of all. Strong understanding of system or product development lifecycle. • Builds credibility and establishes influence with internal team members and client team members in a way that leads individuals to solicit and follow advice or direction. • Strong focus on detail, root-cause analysis, and change management. • Strong knowledge and capability for process improvement, process management, and measurement. • Experience in private sector/ Health plan operations, with focus on reimbursement, medical coding (CPT, ICD-10). • Strong analytical, problem solving and conflict resolution skills. • Proficiency in presentation, facilitation, and negotiation. • Excellent written and verbal communication 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. • Ability to work within a matrix organization. • Must have ability to positively handle/manage stress, such as high work volume and frequent change. • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. • 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 $115,000 to $145,000. 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: 11/10/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/10/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-KB1 #LI-Remote #senior

Product Ownership
Agile and Scrum
Project Management
Process Improvement
Stakeholder Collaboration
Change Management
Digital Marketing
Leadership
Communication
Risk Management
Verified Source
Posted 11 days ago
CO

Senior Manager Production Operations

CotivitiAnywherefull-time
View Job
Compensation$128K - 160K a year

Manage IAM program delivery including Okta SSO migration, lead teams of developers and engineers, oversee project execution, and ensure compliance with security policies. | 8+ years IT services with IAM solutions including Okta, 3+ years managing teams, strong communication and problem-solving skills, and a BS in Computer Science or related field. | Overview The Senior Manager Production Operations will be responsible for overseeing the delivery of the Identity and Access Management (IAM) program at Cotiviti. They manage a team of IAM staff with expertise in migrating Cotiviti production applications to Okta SSO, working with internal clients teams to migrate the client users to okta authentication and executing a roadmap with the Application owners to get Production apps IAM ready. The team consists of Okta Developers, Engineers, and Technical Support staff. The incumbent will also assist in overseeing performance by external contractors engaged for project and development work. They advise the executive team on this roadmap with a focus on keeping the applications current and supported. They also interact with other Cotiviti technical, business and security teams to ensure delivery of excellent service to support the Identity management domain while adhering to the corporate security policy. Responsibilities Managing different platforms for Identity management, Automation, BI Technologies like – Okta, Azure AD, M365, DOMO, Power Platform, etc. Strategies and design the platform to adopt the Cotiviti requirements. Lead project efforts in defining scope, planning, executing, and reporting to stakeholders on strategic initiatives. Design, implementation, and testing for onboarding Production applications to OKTA using SAML 2.0, OAuth and OpenID Develop dashboards based on wireframes, Design end to end reporting solution sufficing business needs. Strategic and technical Manager for teams like – Okta, M365, DOMO, etc. Designing & Implementing workflows for orchestration of User life cycle management and user access with data management. Manage Cotiviti Client Integration for different custom In-House Production applications with Org-to-Org connection. Manage APIs for different Okta Integration for Applications, Analytics and Automation. Configure and setup the UAT environment to test all tasks and projects work before going live in production. Designing a flow for Integrating data coming from different sources ADs, schemas and store and maintain its correctness in Okta Identify the task to automate to avoid human errors and save time. Maintain the documentation for architecture level changes Document and communicate solution functions and benefits to the customer, identify and recommend additional solution components, product customization, enhancements, and/or workarounds to meet customer requirements. Function as integrator between business needs and technology solutions, helping to create technology solutions to meet clients’ business needs · Understanding the overall Change Management process followed at Cotiviti for various technologies. Creation/Review of deployment document depicting the Change Request steps to be followed for deployment of application to higher environment. Following ticketing system for Change Management and gathering approvals from required stakeholders Management of Production Outages during validity support duration for IdP Platforms Interview, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Complete all responsibilities as outlined 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 BS degree in Computer Science, Information Systems, or Information Technology. 8+ Years of IT services experience with managing Identity management solutions – AD, Azure AD, OKTA, ADFS, M365, BI Analytics. 3+ Years of experience in managing a team. Excellent written communication skills, demonstrating the ability to write with purpose, clarity, and accuracy to both technical and non-technical audiences. Excellent aptitude for problem solving. Self-starter, team player, personable, enthusiastic, hardworking, and enjoy interfacing with external and internal customers on a day-to-day basis. Mental Requirements: Demonstrated ability to handle multiple assignments and tasks simultaneously. An extremely motivated, results-oriented individual that is very self-directed and comfortable thinking and reacting quickly. Excellent written and verbal communication skills and ability to influence at all levels of the organization. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $128,000 to $160,000 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: 11/6/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/30/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-RA1 #manager

Identity and Access Management (IAM)
Okta
Azure AD
M365
SAML 2.0
OAuth
OpenID
API Management
BI Technologies
Team Management
Project Management
Technical Support
mySQL
BASH
APIs
Python (foundational)
Direct Apply
Posted 14 days ago
CO

Recovery Resolution Specialist (Collections)

CotivitiAnywhereother
View Job
Compensation$16 - 19 hour

The Recovery Resolution Specialist will facilitate the collection of funds for clients while maintaining exceptional provider relations. This role involves preparing collection letters, following up on outstanding claims, and investigating claim disputes. | Candidates must have a high school diploma or equivalent and 1 to 3 years of prior collections or customer service experience. Strong oral and written communication skills and knowledge of Microsoft applications are required. | Overview We are looking for an Recovery Resolution Specialist (Collections) to join our Yield Management team! This role will facilitate the collection of funds for the client and maintains exceptional provider relations. Works closely with audit team, payers and providers to understand claims and or concepts to facilitate effective communication and collection. Engages in verbal and written communication involving the provider, audit staff and client. Identifies problems in the collection process for escalation to the appropriate parties. Responsibilities Prepares Collections Letters. Prepares collection letters in accordance with policy and ensure they are sent out to providers within established guidelines. Follow-up on Outstanding Claims. Follows established policies and procedures to collect identified claims. This includes contacting the providers to verify receipt of the claims and to obtain the status of any outstanding claims. Responsible for responding to correspondence, requesting additional information from providers, preparing documents, and other administrative tasks. Investigates Claim Disputes. Investigates claim disputes as required. Identifies issues timely and escalate to appropriate parties. Provides accurate information, supporting documentation, and effective communication to complete recovery process. Documents Activities Utilizing Established Tools and Systems. Documents details in the system. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties. Meets or Exceed Standards for Productivity. Maintains productivity goals and standards set by the department. Insures all department rules and processes are followed. Alerts manager of system issues or other issues impacting productivity. Meets or Exceeds Standards for Quality. Achieves the expected level of quality set by the department. Verifies completeness and accuracy of work. Alerts manager of issues or concerns impacting quality of work. Qualifications High School graduate or equivalent education. 1 to 3 years prior collections or customer service experience required. Billing or coding experience preferred. Strong oral and written communication. Required knowledge of Microsoft applications. 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 $16.00 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: 10/6/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/13/2025, 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

Collections
Customer Service
Communication
Billing
Coding
Documentation
Problem Solving
Proficiency in Microsoft Applications
Direct Apply
Posted 14 days ago
CO

Principal Interoperability Engineer

CotivitiAnywherefull-time
View Job
Compensation$140K - 165K a year

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

FHIR
CQL
.NET
Healthcare Interoperability
Data Integration
API Development
Stakeholder Collaboration
Technical Mentorship
Software Engineering
Quality Measures
HL7 Standards
RESTful APIs
Data Security
Agile Development
Problem Solving
Leadership
Direct Apply
Posted about 1 month ago
Cotiviti

Software Engineer*

CotivitiAnywherefull-time
View Job
Compensation$100K - 125K a year

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

Java
Spring Boot
Data ingestion
Software testing
Machine learning coursework
REST API
Cloud (AWS, Azure)
SQL/NoSQL
Microservices
Verified Source
Posted about 1 month ago
CO

Data Engineer AI II

CotivitiAnywhereother
View Job
Compensation$120K - 145K a year

Create, maintain, and optimize Spark and SQL scripts for data management, perform data analysis, maintain data pipelines, and collaborate with cross-functional teams to ensure data integrity and operational efficiency. | 6+ years experience with big data technologies, cloud platforms, RDBMS and SQL, data analysis preferably in healthcare, familiarity with Databricks/Snowflake, certifications a plus, and strong communication and multitasking skills. | Overview At Cotiviti, we are custodians of data for our clients. Using their technical experience in ETL processes, Data Engineers ensure operational functions are occurring as expected. This includes but is not limited to managing data implementations, data integrations, data production, data quality, and data security. Responsibilities Create, maintain and execute intermediate to advanced Spark scripts for data management and data validation, and data integration. Create, maintain and execute basic to intermediate SQL scripts for data management and data validation. Optimize the queries to improve the efficiency of daily tasks. Perform data analysis and identify any issues. Work with other groups such as Engineering team, DBA, Cloud ops, etc. to troubleshoot and resolve any environmental or network issues that impact your work. Extend your support to after – hours or weekends as needed. Create and maintain data pipelines as needed. Validates the tasks results to ensure that all the requirements are met. Adhere to all the industry level and organization level compliance rules and regulations to maintain data integrity. Complete individual productivity tracking. Complete task assignments using department ticketing system within assigned deadline. Achieve organizational and individual goals as identified in performance reviews and goal setting exercises. 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 equivalent work experience. 6+ years of working knowledge of big data technologies (Spark, S3, Kafka, Ray, Hadoop, etc.). 6+ years of working knowledge of cloud (Databricks, AWS, Azure, GCP, OCI etc.). 6+ years of working knowledge of RDBMS (Oracle, MS SQL, Vertica, etc.) and experience using SQL, PL/SQL or other data integration/ETL tools. 6+ years of data analysis. Preferably in the Healthcare industry of enrollment, medical claims and/or pharmacy claims. Databricks and/or Snowflake environment familiarity a big plus. Any Databricks / AWS certifications is a big plus. Familiarity with data pipeline orchestration tools (e.g., Airflow, Databricks Workflows). Proficient in Microsoft Office Suite applications PowerPoint, Word, Excel and Outlook. Flexible work schedule. Experience with project management tools like JIRA. Strong analytical skills. Excellent verbal, listening and written communication skills. Cognitive/Mental Requirements: Ability to multitask and prioritize projects to meet scheduled deadlines and tight turnaround times. Ability to work well independently or in a team environment. Communicating with others to exchange information. Assessing the accuracy, neatness and thoroughness of the work assigned. 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. 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 $120,000 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 10/07/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/07/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LT1 #LI-remote #senior

Spark
SQL
Data Integration
Cloud (AWS, Azure, GCP)
Kafka
Data Analysis
Databricks
ETL
Project Management (JIRA)
Direct Apply
Posted about 1 month ago
CO

Client Services Manager

CotivitiAnywherefull-time
View Job
Compensation$78K - 105K a year

Lead client teams to manage healthcare claims product delivery, coordinate meetings, resolve operational issues, and ensure client success with Cotiviti products. | 5-10 years experience including 2+ years in healthcare operations and client relationship management, project management skills, and ability to work remotely. | Overview The Client Services Manager is responsible for leading the cross-functional client team and providing the highest level of service to our clients. The role serves as both internal and external client liaison, including triaging, managing, monitoring, and support of a client-related activity, primarily related to Cotiviti Prospective Claims Accuracy products. Responsibilities • Assist clients in succeeding with Cotiviti through understanding clients' needs and unique business situations, identifying solutions, proactively identifying potential issues that could impair success, and ensuring that the appropriate resources are working to resolve any issues. • Serves as the account manager and trusted adviser for client operational contacts; establishes and cultivates relationships with client contacts to identify needs & generate and implement solutions. • Manages the operational implementation and execution of client payment policy decisions by working with health plan operations managers in Network Operations, Provider Relations, Member Services, Grievance and Appeals, Call Center, Claims, and IT services. • Coordinates and manages joint meetings with client and internal staff including scheduling, facilitation, meeting agenda and material preparation/coordination, meeting logistics and travel, etc. • Coordinates and manages client-related internal meetings including scheduling, facilitation, meeting agenda/material preparation, meeting minutes/action item tracking, etc. • Records and distributes meeting minutes and action items and follows up on action items to ensure satisfactory and timely completion. • Posts and maintains accurate, up-to-date client documentation in the library. • Coordinates the internal and external aspects of internal and client initiatives and joint projects to ensure that Cotiviti and client objectives are met and that the team is making progress towards goals. • Includes internal team management along with coordination within the client. • Identifies performs root cause analysis and develops action plans to remedy interface-related issues, (e.g., data anomalies, failed claim lines, etc.) and unintended operational issues (e.g., claims adjustments, unapplied recommendations, unreturned history, etc.) to optimize program performance and consistency. • Provides client testing support and coordination for system enhancements, upgrades, corrections, batch support, new policy logic, data mapping, parser changes, etc. • Maintains escalation plans and monitors file processing statistics and provides production reporting as necessary to quickly identify provider negative impact, data anomalies, etc. • Develops and executes action plans to remedy. • Analyzes monthly results and draft monthly performance summary for a client, providing insight and observations on drivers of trends and status of initiatives. • Ensures client success with Cotiviti customer service tools: administer user accounts to ensure data accuracy (e.g., an employee adds/terms/transfers), monitor usage, identify gaps, and deliver training programs and reporting. • Monitor and manage user access. • Identifies client education needs and develops and delivers client training programs for implementing and active clients. • Enters all client inquiries and requests in the appropriate application. Qualifications • Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels. • Project Management skills - Strong organizational and planning skills. • Results driven with a focus on producing high-quality, error-free service and deliverables. • Industry knowledge & experience - Understanding of healthcare claims adjudication and support processes. • Proficient with Microsoft Office Suite (Word, Excel, PowerPoint). • Ability to work within a matrix organization. • Professional with the 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. • Excellent written and verbal communication skills, including public speaking. Minimum Qualifications: • Bachelor’s Degree (or higher) preferred. • Total of 5-10 years of working experience with a minimum of 2+ years of healthcare operations (particularly healthcare consulting), provider relations, network management, or claims operations experience. • 2+ years of project or team management experience, including meeting facilitation and following through on deliverables. • 2+ years of client relationship management experience, interacting with various roles and levels. Job Demands: • Travel requirement up to 10%. • After hours and/or weekend work may be required where necessary for major deliverables /deadlines. • Must be able to sit and use a computer keyboard for extended periods. • 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: • Ability to work in a fast-paced environment, effectively organize, plan, prioritize, and meet deadlines; • producing high-quality, error-free deliverables. • Effective analytical and problem-solving skills and financial acumen. • Professional with the ability to properly handle confidential information. • Ability to work with on-site and remote cross-functional product teams and customers. Physical Requirements and Working Conditions: • This remote role can be located anywhere in the continental US. • Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. • After hours and/or weekend work may be required where necessary for major deliverables/deadlines (not consistent). • Remaining in a stationary position, often standing or sitting for prolonged periods. • Must be able to provide a dedicated, secure work area. • Must be able to provide high-speed internet access/connectivity and office setup and maintenance. • No adverse environmental conditions expected. Base compensation ranges from $78,000 to $105,000 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: 09/13/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/13/2025, 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-JB1 #senior

Client Relationship Management
Project Management
Healthcare Claims Adjudication
Meeting Facilitation
Microsoft Office Suite
Root Cause Analysis
Training Delivery
Verified Source
Posted about 2 months ago

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