Cotiviti

Lead early-stage solution strategy and innovation for emerging healthcare opportunities by collaborating across teams and aligning with enterprise priorities. | Bachelor's degree and 10+ years in healthcare strategy, innovation, or consulting with strong leadership and executive communication skills. | Overview The Director of Solution Innovation Strategy leads early-stage solution strategy and innovation shaping for emerging healthcare opportunities. This role identifies, frames, and advances high-value solution concepts at the intersection of healthcare business needs, operational realities, market direction, and enabling technology. The role is translational in nature: it is not a pure product role, pure research role, or pure technology strategy role. Instead, it bridges what is technically possible to what is strategically useful, operationally viable, and commercially meaningful for the business. The Director helps the enterprise create solution optionality by preparing credible innovation pathways before demand becomes urgent. This role does not formally set business-unit strategy, own product delivery, or lead engineering execution. Rather, it works across business leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution development teams to shape opportunities that may later become pilots, prototypes, MVPs, partnerships, or broader business investments. The role is initially focused on supporting Project Vanguard, including Validiti 2.0 and Validiti 3.0 diversification of Cotiviti Specialized Domain Agents into new solution areas across Life Science Real-World Evidence and Pharmacovigilance, payer MLR/ALR optimization, provider performance optimization, and patient digital health. The Director will help ensure innovation efforts are aligned to enterprise priorities, real workflow needs, and future healthcare market direction. Responsibilities Identify, frame, and refine high-value innovation opportunities across healthcare solution domains, including payer, provider, life science, and patient-facing markets. Support Project Vanguard by shaping solution pathways for Validiti 2.0 and Validiti 3.0 diversification into adjacent and new healthcare markets. Translate emerging technology capabilities into operationally credible, economically coherent, and commercially meaningful business narratives. Bridge across business-unit leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution builders to shape feasible innovation directions. Work across lines of business to identify linked solution value, cross-business-unit leverage, and broader platform or ecosystem opportunities. Help define solution opportunities that reduce friction between payers and providers and better leverage Cotiviti's position across the healthcare ecosystem. Ensure innovation concepts are grounded in healthcare operational realities, including workflow design, reimbursement dynamics, adoption barriers, staffing constraints, and business economics. Partner with healthcare technology research, advanced AI research, architecture, and solution innovation development leaders to shape opportunities into actionable solution directions. Develop future-facing solution hypotheses informed by healthcare market evolution, workflow change, and enabling technology. Communicate and evangelize innovation opportunities clearly and credibly to executive and functional stakeholders, including building support for opportunities not yet widely understood. Support evaluation of internal development, partnership, and ecosystem pathways for new solution innovation. Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor’s degree in business, healthcare administration, health informatics, information systems, engineering, public health, or a related field. Advanced degree preferred. 10+ years of experience in healthcare strategy, solution strategy, healthcare consulting, innovation strategy, product strategy, healthcare operations, or a closely related field. 5+ years of leadership experience working across cross-functional business and technical teams. Demonstrated fluency across multiple healthcare domains such as payment integrity, risk adjustment, quality, fraud, waste and abuse, value-based care, consumer or patient engagement, payer operations, provider operations, revenue cycle, digital health, or related solution areas. Experience translating between executive priorities, operational realities, technical possibilities, and commercial implications. Experience framing solution opportunities, pilots, prototypes, business cases, or strategic options in complex enterprise environments. Experience evaluating or shaping solutions involving AI, automation, analytics, workflow orchestration, predictive modeling, digital health ecosystems, or related emerging technologies. Strong executive communication skills with the ability to influence business-unit leaders, product stakeholders, researchers, architects, and builders. Strong analytical and synthetic thinking, with the ability to connect disparate signals into coherent opportunity spaces. Experience working across matrixed enterprises and cross-business-unit initiatives preferred. Experience across payer and provider environments preferred. Experience in management consulting, enterprise transformation, or healthcare strategic advisory environments preferred. Cognitive/Mental Requirements: Strong strategic thinking and problem-solving capabilities, with a focus on practical, high-impact solution innovation. Ability to move fluidly between healthcare business economics, workflow realities, market direction, and enabling technology. Strong communication skills with the ability to explain and advocate complex solution concepts to executives and senior leaders. Ability to distinguish between interesting ideas and viable solution pathways. Bias to action with sound judgment in ambiguous and emerging problem spaces. Ability to challenge assumptions, broker alignment, and build credibility across diverse stakeholder groups. Strong innovation mindset balanced by practical discipline, operational realism, and commercial judgment. Working Conditions and Physical Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Occasional travel for conferences, leadership meetings, and strategic planning sessions required. Base compensation ranges from $155,000 to $205,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 8/21/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/21/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-remote #director

Oversee and sustain security authorization and compliance for federal cloud information systems, managing FedRAMP activities and coordinating with stakeholders. | 8+ years in information security with leadership in FISMA authorizations, strong knowledge of FedRAMP, NIST, cloud providers, and relevant certifications. | Overview The Information Systems Security Manager (ISSM), FedRAMP is responsible for overseeing and sustaining the security authorization and continuous compliance of cloud-based information systems supporting United States Federal Government customers. This role is accountable for ensuring the confidentiality, integrity, availability, privacy, auditability, and accountability of government information systems and associated data. The ISSM partners closely with Business Operations, Engineering, R&D, Product, Legal, and Information Security leadership to ensure information systems deliver required business functionality while being designed, implemented, and maintained in accordance with FedRAMP, NIST SP 800-53, the NIST Risk Management Framework (RMF), and all applicable federal and agency-specific requirements. This position owns overall FedRAMP strategy, authorization execution, continuous monitoring, and Authority to Operate (ATO) sustainment, ensuring ongoing compliance and continuous audit readiness throughout the system lifecycle. In addition, the role supports broader Government (GOV) system security and compliance activities, helping ensure consistent governance and adherence to regulatory requirements across all in-scope federal and state environments. Responsibilities Manage and oversee end-to-end FedRAMP authorization activities, including planning, execution, resourcing, and stakeholder coordination. Own the development, maintenance, and quality of all FedRAMP-required security documentation, including the System Security Plan (SSP), Security Assessment Plan (SAP), Security Assessment Report (SAR), Plan of Action & Milestones (POA&M), and Continuous Monitoring artifacts. Oversee monthly POA&M management, including vulnerability prioritization, remediation tracking, and risk acceptance coordination. Lead and coordinate independent security control assessments, vulnerability management, penetration testing, contingency plan testing, and other required security activities. Direct FedRAMP Continuous Monitoring (ConMon) activities, ensuring timely and accurate submission of monthly, quarterly, and annual deliverables, including scan results, incident reports, and compliance attestations. Serve as the primary point of contact for sponsoring agencies, 3PAOs, and internal stakeholders on all FedRAMP-related matters. Oversee research and response efforts related to government security bulletins, vulnerability advisories, and federal data calls, ensuring timely and accurate responses. Ensure accurate and up-to-date system, software, and hardware inventories for government-authorized environments. Provide strategic guidance on secure cloud architecture and compliance-driven design decisions across AWS, Azure, and/or GCP environments. Evaluate system changes for FedRAMP impact and ensure adherence to change management, configuration management, and incident response requirements. Interpret evolving FedRAMP, NIST, and agency-specific requirements and translate them into actionable guidance for technical and business teams. Coach and educate internal teams on FedRAMP obligations, audit expectations, and security best practices. Identify and implement process improvements to enhance compliance efficiency, reduce risk, and strengthen audit readiness. Develop and deliver status reporting and metrics to leadership on authorization posture, risk exposure, and overall compliance health. 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 8+ years of information security, risk, or compliance experience, including interaction with senior leadership, auditors, and regulators. Demonstrated experience leading or managing FISMA Moderate or High authorizations and ongoing ATO maintenance. Strong working knowledge of FedRAMP framework, NIST SP 800-53, and NIST RMF Experience managing SSPs, POA&Ms, vulnerability remediation, audits, and Continuous Monitoring programs. Hands-on experience with cloud service providers (AWS, Azure, GCP) and SaaS environments. Proven ability to lead cross-functional initiatives across technical and non-technical team. Excellent written and verbal communication skills, with the ability to translate complex regulatory requirements for varied audiences. Strong organizational skills and ability to prioritize effectively in a highly regulated environment. Security or compliance certifications (CISSP, CISM, Security+, AWS/Azure Security certifications). 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. Working Conditions and Physical Requirements: Must be able to provide high-speed internet access / connectivity and office setup and maintenance. 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 $135,000 to $155,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of Posting: 8/04/2026 We anticipate that the application window will close on 10/04/2026, 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-MC1 #senior

Lead early-stage solution strategy and innovation in healthcare, collaborating across units to develop actionable concepts and prototypes. | Bachelor's degree with 10+ years in healthcare strategy or consulting, 5+ years leadership, and experience translating emerging technologies like AI into business narratives. | Overview The Director of Solution Innovation Strategy leads early-stage solution strategy and innovation shaping for emerging healthcare opportunities. This role identifies, frames, and advances high-value solution concepts at the intersection of healthcare business needs, operational realities, market direction, and enabling technology. The role is translational in nature: it is not a pure product role, pure research role, or pure technology strategy role. Instead, it bridges what is technically possible to what is strategically useful, operationally viable, and commercially meaningful for the business. The Director helps the enterprise create solution optionality by preparing credible innovation pathways before demand becomes urgent. This role does not formally set business-unit strategy, own product delivery, or lead engineering execution. Rather, it works across business leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution development teams to shape opportunities that may later become pilots, prototypes, MVPs, partnerships, or broader business investments. The role is initially focused on supporting Project Vanguard, including Validiti 2.0 and Validiti 3.0 diversification of Cotiviti Specialized Domain Agents into new solution areas across Life Science Real-World Evidence and Pharmacovigilance, payer MLR/ALR optimization, provider performance optimization, and patient digital health. The Director will help ensure innovation efforts are aligned to enterprise priorities, real workflow needs, and future healthcare market direction. Responsibilities Identify, frame, and refine high-value innovation opportunities across healthcare solution domains, including payer, provider, life science, and patient-facing markets. Support Project Vanguard by shaping solution pathways for Validiti 2.0 and Validiti 3.0 diversification into adjacent and new healthcare markets. Translate emerging technology capabilities into operationally credible, economically coherent, and commercially meaningful business narratives. Bridge across business-unit leaders, product stakeholders, healthcare subject matter experts, researchers, architects, AI specialists, and solution builders to shape feasible innovation directions. Work across lines of business to identify linked solution value, cross-business-unit leverage, and broader platform or ecosystem opportunities. Help define solution opportunities that reduce friction between payers and providers and better leverage Cotiviti's position across the healthcare ecosystem. Ensure innovation concepts are grounded in healthcare operational realities, including workflow design, reimbursement dynamics, adoption barriers, staffing constraints, and business economics. Partner with healthcare technology research, advanced AI research, architecture, and solution innovation development leaders to shape opportunities into actionable solution directions. Develop future-facing solution hypotheses informed by healthcare market evolution, workflow change, and enabling technology. Communicate and evangelize innovation opportunities clearly and credibly to executive and functional stakeholders, including building support for opportunities not yet widely understood. Support evaluation of internal development, partnership, and ecosystem pathways for new solution innovation. Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor’s degree in business, healthcare administration, health informatics, information systems, engineering, public health, or a related field. Advanced degree preferred. 10+ years of experience in healthcare strategy, solution strategy, healthcare consulting, innovation strategy, product strategy, healthcare operations, or a closely related field. 5+ years of leadership experience working across cross-functional business and technical teams. Demonstrated fluency across multiple healthcare domains such as payment integrity, risk adjustment, quality, fraud, waste and abuse, value-based care, consumer or patient engagement, payer operations, provider operations, revenue cycle, digital health, or related solution areas. Experience translating between executive priorities, operational realities, technical possibilities, and commercial implications. Experience framing solution opportunities, pilots, prototypes, business cases, or strategic options in complex enterprise environments. Experience evaluating or shaping solutions involving AI, automation, analytics, workflow orchestration, predictive modeling, digital health ecosystems, or related emerging technologies. Strong executive communication skills with the ability to influence business-unit leaders, product stakeholders, researchers, architects, and builders. Strong analytical and synthetic thinking, with the ability to connect disparate signals into coherent opportunity spaces. Experience working across matrixed enterprises and cross-business-unit initiatives preferred. Experience across payer and provider environments preferred. Experience in management consulting, enterprise transformation, or healthcare strategic advisory environments preferred. Cognitive/Mental Requirements: Strong strategic thinking and problem-solving capabilities, with a focus on practical, high-impact solution innovation. Ability to move fluidly between healthcare business economics, workflow realities, market direction, and enabling technology. Strong communication skills with the ability to explain and advocate complex solution concepts to executives and senior leaders. Ability to distinguish between interesting ideas and viable solution pathways. Bias to action with sound judgment in ambiguous and emerging problem spaces. Ability to challenge assumptions, broker alignment, and build credibility across diverse stakeholder groups. Strong innovation mindset balanced by practical discipline, operational realism, and commercial judgment. Working Conditions and Physical Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Occasional travel for conferences, leadership meetings, and strategic planning sessions required. Base compensation ranges from $155,000 to $205,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 5/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/8/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-remote #director