Cotiviti

Manage and support data-related projects, ensure process efficiency, and collaborate across teams to deliver high-quality data solutions. | Requires 2+ years in business analysis, working with client data, relational databases, SQL, and project management tools, all of which match your experience. | Overview The Data Solution Specialist role is aligned to our Implementation team and will partner will various divisions and levels of leadership within the whole organization. They will be accountable to internal stakeholders for the successful implementation of both new and recurring projects. They will manage milestone tracking and task execution for assigned projects and internal process improvement initiatives. This role involves close collaboration with Product Managers and cross-functional teams to ensure the timely and high-quality delivery of project outputs, such as documentation, data analysis, status reports, performance metrics, business requirements, backlog grooming, and other operational deliverables. Key responsibilities include: Documenting, organizing, and reporting issues and risks related to assigned tasks using appropriate project management tools and reporting systems. Applying project management rigor and process excellence best practices to enhance project efficiency. Challenging established processes and proposing creative solutions to drive cost and time savings. Success in this role requires strong analytical, organizational, and problem-solving skills, with a focus on driving continuous improvement and achieving operational excellence. Responsibilities Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep. Manage projects to ensure delivery expectations are met and proper approvals are obtained for release. Actively working on becoming a company-wide subject matter expert (SME) for all client data file layouts and various enterprise level projects. Investigates and responds to questions for assigned projects. Host and facilitate discussions internally to (1) manage data intake, and (2) ensure all client data requirements are discussed and confirmed. Partner with internal product development, operations, and client services groups to ensure that all parties are engaged and notified as to the implementation process and operational status. Perform data quality checks verifying that data provided is consistent with the requirements to build Healthcare Data Warehouse. Write data transformation specifications to load source data into target data warehouse tables. Analyze client interface requirements, identify gaps and handle all questions related to the client’s specific file layout. Identify data requirements to integrate new data sources and perform technical analytics to confirm data integration results meet or exceed defined expectations. Create and maintain all documentation needed for client interfaces and layouts. Evaluate data and provide insights and recommendations to stakeholders. Effectively communicate technical / analytic information to business partners. Provide qualitative and quantitative analysis of medical claims data sets. Other Related Responsibilities Actively promote and participate in process improvement and adoption of new technologies. Conduct detailed claims analysis and ad-hoc reporting as prioritized by management. Produce work that reflects a focus on quality in consideration of the client's (internal and external) needs. Produce, validate and deliver regularly scheduled reports on a timely basis. Identify all data issues and coordinate a resolution with the respective client team. Set appropriate expectations with internal and external clients while cultivating an image of professionalism and excellence. Available for occasional off-hours support as required. Ability to occasionally travel as needed for team collaboration and special projects. Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This 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 High School Diploma Required. Bachelor's degree in Computer Science, Information Systems, Data Management, or a related field or higher or equivalent experience preferred. 2+ years of Business Analyst experience (Preferred). 2+ years working with client data and client interfaces. 2+ years working with relational databases and SQL. 2+ years working with Smartsheet At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally. Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred. Proficiency in JIRA and Agile processes Intermediate Smartsheet knowledge required. Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required. Process improvement skill set required. Excellent oral, written, and technical skills are required. Excellent organization skills, with ability to track multiple projects simultaneously. Strong interpersonal and cross-functional skills required. Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision. Strong technical skills, with proven track-record of working across multiple technology platforms. Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally. Comfortable speaking in front of a group, with clients, and leading meetings. Desire and capacity to learn new concepts and software. Mental Requirements: Critical Thinking: Ability to think critically and evaluate information objectively, considering different perspectives and potential implications before drawing conclusions or making recommendations. Attention to Detail: must have a keen eye for detail to ensure accuracy in data analysis, interpretation, and reporting. Quantitative Aptitude: Strong numerical skills are essential for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations. Data Interpretation: skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation to extract meaningful insights and communicate findings effectively. Communication Skills: Effective communication skills are crucial for conveying complex technical concepts and insights to non-technical stakeholders clearly and understandably through written reports, presentations, and verbal discussions. Curiosity and Learning Agility: A strong desire to learn and explore new methodologies, techniques, and tools in the field of data analysis and insights generation is essential for staying current with industry trends and best practices. Resilience: The ability to handle pressure, adapt to changing priorities, and overcome setbacks is important in a fast-paced and sometimes ambiguous analytical environment. Ethical and Integrity: Upholding ethical standards and maintaining integrity in handling sensitive data and information is paramount for building trust and credibility in the insights provided Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. be able to provide high-speed internet access / connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $70,000 to $90,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 11/07/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 01/07/2026, 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

Leading or supervising audit recovery projects, analyzing healthcare claim data, and identifying incorrect payments. | Requires 4+ years of healthcare claims processing or reimbursement experience, knowledge of medical contracts and fee schedules, and strong communication skills. | Overview Cotiviti Healthcare is the payment accuracy expert! We work with healthcare organizations to recover money, improve processes, strengthen relationships and maximize their value. As we continue to grow, we are seeking experienced Payment Accuracy Specialists to join our team. This is a great opportunity to join a well-established company with competitive pay, opportunities to develop professionally and excellent benefits. This is a Senior Payment Accuracy Specialist with responsibility for leading or supervising a team within an audit engagement and is considered a mentor, trainer, developer of less tenured Audit team members. As a successful Payment Accuracy Specialist you will identify, develop, and implement new concepts that will recognize incorrect payments. Concepts are developed based on your industry experience, regulatory research, and your ability to analyze medical claim data to discover incorrect payments. You will be responsible for analyzing client data and generating high quality recoverable claims for the benefit of Cotiviti and our clients. You will assist in the identification, validation and documentation of moderate to more complex recovery projects. You will also be responsible for executing more independent projects assigned by your Operations Manager. If you are successful at thinking “outside of the box”, very analytical and love problem/puzzle solving complex medical claims, then look no further, review the position and requirements below and apply now! Responsibilities Utilizing healthcare experience to perform audit recovery procedures Identifying and validating incorrect claim payments Identifying and defining issues, developing criteria, reviewing and analyzing contracts and Health Plan reimbursement regulations Entering and documenting the incorrect payment issue into Cotiviti’s systems accurately and in accordance with standard procedures Updating and developing new and current audit recovery reports, developing and running custom queries Researching reimbursement regulations for claim payment compliance reviews and documentation to support current audit findings Qualifications Bachelor’s Degree preferred 4+ year’s knowledge of direct claim processing/reimbursement, medical facility contracts, fee schedules, inpatient/outpatient/physician Claims required Certified Professional / Hospital Coder Certification (CCS, CPC, CPC-H, CCS-P, CCRC, CCS-A, RHIA, RHIT ) preferred Prior claims auditing or consulting experience desirable in either a provider or payer environment Excellent communication skills both oral and written Strong interpersonal skills that will support collaborative team work Microsoft Office Proficient: Word and Excel; Access – highly preferred Mental Requirements: Occasional Travel (5% - 10%) as directed by Senior Leadership. 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 $80,000 to $95,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for 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: 2/22/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/22/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote

Manage and coordinate cross-functional projects from initiation to completion, ensuring milestones are met and stakeholders are informed. | Requires 5+ years of project management experience, certification (PMP or similar), and experience managing cross-functional projects, preferably in product development or technology. | Overview The Project Manager is a role within the Retail business unit who will work cross-function to help manage projects within this business unit. The role is responsible for managing the project from initiation to completion, plus defining ingestion, prioritization and reporting processes. In this role you will partner with a cross functional team, including Marketing, Go-to-Market Effectiveness, Product, R&D, Operations, and other players to plan, organize and execute project plans. The Project Manager will track all milestones and operational readiness, as well as post launch performance tracking. S/he will be the point of contact for the day-to-day activities facilitating weekly status meetings with internal teams and bi-weekly/monthly executive readouts. This role will routinely create project plans, status decks and executive updates. Responsibilities Create project ingestion process – what projects get picked, how are they picked and how are projects prioritized Track and ensure projects are hitting key milestones and making progress towards completion Create a reporting system that provides transparency to multiple parties to ensure coordination across the business unit Ensure all internal teams needed to support the projects are identified, needs and dependencies are documented, and the project is tracked to completion, including formal post-completion monitoring. Facilitate weekly/bi-weekly, monthly status meetings, meeting minutes, status reports, and project plans. Identify any potential risks and mitigate/escalate as needed. Effectively communicate in cross-departmental or cross-functional situations. Able to conduct peer training within the department. See emerging patterns and opportunities, adapting quickly and easily to new information, changing conditions, or unexpected events. Facilitate and communicate change across the team or organization to drive adoption. Set clear priorities, take action, stay focused, and overcome barriers to deliver expected results. Evaluate critical information needed to understand problems, determine probable causes, and develop workable solutions. Accurately assess the costs, benefits, and risks associated with alternative courses of action and make high quality and timely decisions. Ability to manage development of the project plan and manage issues and risks by facilitating mitigation and contingency planning with key stakeholders. Apply project management knowledge, skills, tools, and techniques to execute projects effectively and efficiently in alignment with organizational competencies and strategic business goals. May manage vendors as part of project team. Behave in a way that consistently demonstrates commitment to Cotiviti values of Integrity, Passionate Client Service, Teamwork, Accountability, Performance Excellence, and Continuous Improvement. Demonstrate understanding of Cotiviti policies, procedures, and external regulatory requirements, and perform duties in accordance with such regulatory requirements. Assure confidentiality and security of all data. Demonstrate the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. Effectively utilize and convey concepts within the team's specialty area; some exposure to "the big picture" horizontally and vertically; demonstrate knowledge of managed care and program integrity role. Can determine appropriate channels, cadence, and audiences for communications. Able to adapt written and verbal communications to various audiences. Able to define and document business processes and create process flows or playbooks with Microsoft Office, Visio, or other project management tools. 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 or equivalent experience required. 5+ years of project management experience required. Experience in product development or project management in Source-2-Pay or R&D/Technology/AI is preferred but not required. Yellow belt Six Sigma or other Quality program training. Certification in Project Management (PMP, CAPM, or equivalent). Experience with managing cross-functional projects. Strong interpersonal skills with the ability to build consensus and develop solid relationships. Must be detail-oriented with strong communication and organizational skills. Problem solver who identifies better ways to meet customer needs. Ability to work well independently and in a team environment. Ability to handle multiple tasks, prioritize, and meet deadlines. Proficient with Microsoft Office Suite (Word, Excel, PowerPoint). Professional with the ability to properly handle confidential information. Ability to work within a matrix organization. Excellent written and verbal communication skills. MENTAL REQUIREMENTS: The intellect and energy to excel in a complex and ever-changing environment, coupled with the poise and ability to act calmly in high-pressure, high-stress situations. 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. 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 $115,000 to $145,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 1/21/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/21/2026, 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-JB1 #LI-Remote #senior

Support the development and delivery of retail payment accuracy products by translating customer needs into detailed requirements and collaborating with engineering teams. | 3-5 years in Source-to-Pay or payment solutions, 1-3 years in product management, strong communication and project management skills. | Overview We are seeking a talented individual for the Associate Product Manager role which will directly support the P&L for Cotiviti’s retail payment accuracy solution areas. Reporting to the Senior Product Director, this individual will have an understanding of the Source-to-Pay ecosystem and a passion for product development. S/he will have the capability to lead within a matrixed environment – to take the “voice of the customer” and translate that into market-driven, detail-oriented requirements for engineering teams that yield best-in-class products. This role will work with the Senior Product Director to deliver innovation and revenue growth for new elements of Cotiviti’s retail payment accuracy portfolio including direct ownership of one or more retail products. The successful candidate will demonstrate a unique blend of leadership, creativity, business judgment, industry knowledge, and execution-oriented thinking in the context of solution design and delivery. The Associate Product Manager will work closely with software development teams to ensure product solutions meet market requirements. A customer focus is required supported by executive presentation skills, emotional intelligence, financial acumen, and creativity. Responsibilities Product Attributes: Develop market and business requirements for acceptance into the baseline product, as well as maintaining detailed user personas and scenarios; maintain a groomed backlog and detailed BRDs. Provide solution guidance and support for other departments including but not limited to Engineering, Operations, Technical Writing, IT/Release, Training, as well as sales support when appropriate. Prioritization: Assist in driving strategic direction of products through prioritization based on sound business cases and thorough understanding of market/customer needs and direct interaction/feedback with clients. Voice of Customer: Attend all required meetings with engineering teams (e.g., sprint planning, grooming, sprint review, etc.) to ensure that market and customer needs are fully understood by all product development stakeholders and final user story outputs meet customer requirements. Quality: Evaluate software and services relative to market requirements, user stories, and end-customer needs to ensure high quality, effective software and solutions. Prove training and mentoring to the QA organization on process, methodologies, and planning as needed. Research: Conduct product research with both current clients and competitors to further understand the solution profile and market requirements. Communications: Provide product input to internal and external communications, release notes, documentation, training, and implementation collateral. Collaboration: Promote a professional model that encourages collaboration across many teams (engineering, client management, operations, marketing, etc.) in the development and alignment of the product and its future direction. 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 or Finance; or an equivalent combination of experience and education. 3-5 years’ experience in Source-To-Pay or payment accuracy solutions in the retail industry or equivalent industry. 1-3 years product management experience – conceiving, socializing, creating, and delivering products or solutions. Equivalent experience with software and product development lifecycles will be considered. Strong ability to provide and coordinate subject matter expertise to establish product direction and Roadmaps, both internally and externally with clients. Ability to work in a matrix organization to set and drive a strategic vision. Ability to influence other departments to ensure deliverables are accomplished Must be self-motivated and passionate about creating application and workflow solutions for diverse and challenging problems. Excellent written and verbal communication skills; experience communicating with individuals of all backgrounds and areas of expertise. Experience managing projects with an eye towards budget and timeline constraints, with results orientation Team-player, with strong communication, motivational, and mentoring skills. Mental Requirements: Strong presentation and customer (internal/external) engagement skills. Strategic thinker with ability to identify novel product opportunities and problem-solving and implementation skills to operationalize them. Strong project management, interpersonal, communication, negotiation and problem-solving skills. 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. Travel – at least 10% of the time Base compensation ranges from $90,000 to $110,000 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: 1/21/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/21/2026, 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-JB1 #LI-Remote #junior

Supports client-facing teams through report generation, analysis, and communication of policy and operational inquiries. | Requires a bachelor's degree, advanced Excel skills, healthcare claims analysis experience, and strong communication and organizational skills. | Overview The Client Service Analyst (CSA) role ensures adequate support for the client-facing team on coding and policy as well as operational related activities. The CSA must be familiar with the day-to-day activities of the Client Policy Manager (CPM), Client Service Manager (CSM) and client-facing Medical Directors. Responsibilities Supports Client Policy Manager (CPM) through various aspects of the Periodic Update, Prior Approval, and New Policy processes: Generates policy maintenance presentations, assists in the analysis, assists with decision capture, and pulls necessary reports. Generates New Policy Presentations, the associated decision matrices, and pulls all Business Objects (BO) and Presentation Manager (PM) reports for analysis. Assists in formatting both Periodic Update and New Policy Presentation documents for client presentation by the CPM and Medical Director. Generates presentations for client and internal ad hoc change requests. For ad hoc requests the CSA documents and finalizes decisions in the appropriate application and creates the Project Request, attaching all documents and assigning to appropriate Operations Team member(s). Runs reports to identify and close Project Requests as defined by CPM/CSM after the production release lockdown each month. Reviews, analyzes, and responds to Policy and Operational Inquiries by defined desired completion date. Communicates to the client team when the desired completion date needs to be adjusted due to complexity and/or additional research. Performs multi-faceted data and report analytics. Determines the applicable BO reports to run based on the client team inquiry. Analyzes the report output and provides accurate client or policy information based on thorough report analytics. Generates, modifies, and formats Web Intelligence (Webi) reports for ad hoc purposes which includes determining the necessary parameters and building the report, performing analysis and summarizes findings to the client team. Validates the Project Release Validation Report (RVR) report for the client team on an ad hoc or recurring basis. Enters client inquiries, report requests, and research requests into the designed software application (i.e., JIRA) for routing, tracking, and completion. Manages Client Inquiry Log entries and provides reporting to the client team. Researches and examines client questions and drafts an accurate response to the client. Actively participates in team, department, business unit, and corporate meetings. 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 B.S., B.A, in business or healthcare related field, or equivalent experience preferred. Requires less than 1 year of related experience. Advanced knowledge of Excel (pivot tables, complex formulas, VLOOKUPs, statistical functions). US Healthcare industry and claims analysis experience. Excellent analytical skills with ability to troubleshoot problems and find root causes. Effective problem-solving skills. 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. Excellent written and verbal communication skills. Attention to detail and accuracy. Organizational skills. Works with a sense of urgency. Ability to follow defined policies and procedures. Strong interpersonal skills. Desire and capacity to learn new concepts and software. Exhibits behaviors consistent with Cotiviti Values. Customer Driven. Accountable. Open. Collaborative. Cognitive/Mental Requirements: Ability to work in a fast-paced environment, effectively organize, plan, prioritize, and meet deadlines, producing high-quality, error-free deliverables. Excellent written and verbal communication and interpersonal skills. Demonstrated success in developing strong, trust-based professional relationships with clients in multiple roles and levels. 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. 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 $20.50 to $24.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 1/21/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/21/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #junior

Automating build-test-deploy lifecycle, managing enterprise automation projects, and supporting cloud-based applications. | 5+ years of enterprise DevOps experience, proficiency with CI/CD, cloud deployment, configuration management, and scripting. | Overview Working in an agile software development environment, the DevOps / CI-CD Automation Engineer is responsible for automating build-test-deploy lifecycle for wide variety of applications/services in the cloud. As part of the Advanced Solutions Group team you will focus on enhancing platform services and contributing code to multiple automation projects. You will also utilize engineering and programming skills focused on enabling a DevOps model, participating with Architecture, Operations and Engineering teams within Agile processes. The role will include systems and solution design within the existing architecture, as well as design/implementation of improvements to meet business needs. The Senior DevOps engineer will work collaboratively with the Development, IT Operations, and QA teams both onshore and offshore in implementing software configuration management best practices to accelerate and optimize delivery methodologies. Responsibilities Responsible for maintaining the tools and processes for a large, enterprise level system in a fast-paced, agile, service-oriented environment. Good understanding of the full stack software development (databases, services, REST, client-side, user interface). Work with team members to manage and administer enterprise-wide development tools. Automate build, packaging, testing and deployment processes using tools and/or scripts. Responsible for continuous integration and continuous deployment for multiple initiatives across all products. Work with the Configuration team to enable regular, independent audits of environment profiles and build and release activities. Work with the production release team to identify and implement a methodology for highly flexible, responsive releases (weekly, biweekly, monthly, and bimonthly). Automate end-to-end build processes, patching, and production product deployments. Structure and maintain the software configuration management to build very secure and high availability systems. Scale infrastructure to meet rapidly increasing demand. Monitor site stability and performance and troubleshoot site issues. Build and maintain a resilient, secure, and efficient SaaS application platform to meet established SLAs. Provide support to development teams that use the automated infrastructure. Collaborate with developers to bring new features and services into production. Working closely with Delivery teams to engineer solutions for production/enterprise automation efforts across all lines of business within Enterprise Client Engineering. Work with various stakeholders to set-up required lower level and production environments including the deployment of applications, artifacts and tools. Review deployment procedures and execute deployments that ensure environment reproducibility. Incorporate software testing automation at multiple levels (component, configuration item, subsystem, system) and monitor results. Emphasize automation, implement processes, procedures, and best practice guidelines for code management. Manage cross-functional requirements working with Engineering, Product, Services, and other departments. Guide teams with DevOps best practices, including improved scalability, performance, reliability, and speed to market. Interface with leadership, Group Leads, and Lead Architects to convey infrastructure requirements, plan, and schedule deployment of tasks, and resolve any issues that impact deployment of the Application delivery systems. Complete all responsibilities as outlined in the 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 Master's or Bachelor’s in Computer Science or equivalent. 5+ years of work experience in the field or in a related area with proven enterprise level experience in a software configuration management role, application stack deployment and support experience, and experience being a member of a software project life cycle team. 2+ years of hands on experience deploying/monitoring cloud-based applications in Azure or AWS. Experience in Microsoft Azure preferred. Experience with Continuous Integration/Continuous Delivery (CI/CD). Experience with Deployment Automation & Orchestration platform (Jenkins). Experience with collaborative version control systems (Git/ GitHub/ Subversion/ Bitbucket). Experience with configuration management tools like Chef, Ansible, Puppet. Knowledge of basic Java/Python deployment constructs in both web and thick client applications. Experience with virtualization technologies. CI/CD Project Management Tools: JIRA, Confluence. Experience with cloud computing and container solutions such as Amazon EC2, Docker. Experience with managing code repositories and best practices as it relates to DevOps. Experience in Orchestration platform (Kubernetes, Mesos, Swarm). Experience with scripting languages (Perl, Python) to develop automation tools. Experience developing applications embracing Agile principles. Strong understanding of software project release automation. Familiarity with Enterprise Oracle DB deployments. Professional with ability to properly handle confidential information. Excellent written and verbal communication skills. Ability to learn and quickly absorb new material, Strong troubleshooting skills. Excellent verbal and written communication skills. Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads. Ability to work well independently and maintain focus in a highly dynamic work environment. Comfort in working with team members that are remote and located in the US, India or other geographies. Ability to work within a matrix organization. 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 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: 09/30/2025. 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. Since this job will be based remotely, all interviews will be conducted virtually. #LI-REMOTE #LI-AK1 #senior

Interpret and develop medical policies and rules, conduct research, and ensure policy accuracy and updates. | Requires a medical degree, 10+ years of research experience, and healthcare policy expertise, none of which are in your background. | Overview The Research Medical Director is a key member of the Clinical and Policy research development area at Cotiviti. The Research Medical Director is responsible for providing leadership guidance to the clinical teams and ensuring the Rules and policies are accurately interpreted and developed. This role is also responsible for analyzing, interpreting, and developing additional policies that will allow us to enhance our medical policy library. The Medical Director will guide both internal and external processes as related to Payment Policy Management polices and rules. This is a full-time role and can work remotely in the US. Target start date for this position is 5/1/2026. Responsibilities Interpret and assess payment policy and medical coding information / guidelines against our policy library for maintenance of existing policy and development of new policy. Conducts thorough research and analysis for medical policy items. Performs multi-faceted analytics for data and report analysis. Responsible for translating industry references into Cotiviti policy. Reviews and identifies changes to medical policies in order to maintain an accurate and current medical policy library. Identifies new opportunities as appropriate from both clinical reference and analytical sources. Analyze research inquiries from a multitude of sources and apply solid clinical judgment to determine potential impact to medical policies. Ability to determine if an update to existing policy logic or content is warranted based on changes to industry. Perform QA of policy reviews, logic revisions, and research requests performed by others to ensure accuracy. In addition to QA, provides feedback to the originator as needed. Educates client-facing MDs and Client Policy Managers (CPMs) on new changes and policy updates by actively participating in monthly meetings for client facing MDs and CPMs. Ensures work is accurate, complete and finished in a timely manner including documentation of notable changes. Maintains current knowledgebase of industry and content, best practices, applications, procedures and policies. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This 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 A United States MD or DO degree is required. Additionally, an MBA degree is preferred. 10+ years of Research experience. Experience working with a Medicaid payer preferred. Knowledge of healthcare payers, policy payment and correct coding knowledge (preferred). Possess in depth knowledge of claims, claims adjudication, medical policy rules and edits. Strong organizational and project management experience preferred. Proven success as a manager in a scalable organization that has significant scope, complexity and breadth. Strong personal leadership – in terms of the role of a leader, the impact on the company and creating. momentum for culture and accelerating the strategy. Relationship development skills to forge positive and lasting relationships with key business partners and clients. Ability to achieve sustainable results through others, including the development and assignment of other MDs and administrative staff as leaders, mentors, trainers, etc. Mental Requirements: Ability to work well independently and in a team environment. Ability to handle multiple tasks, prioritize and meet deadlines. Highly organized. Excellent written and verbal communication skills, strong listening skills. Ability to work in a fast paced, entrepreneurial environment with a strong bias for deep analysis, timely action and thorough execution. Understanding of and ability to lead and manage in a matrix environment where team work is essential. Ability to make good decisions that are strategically relevant to the company’s goals and objectives. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Base compensation ranges from $225,000 to $275,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 01/15/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/15/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-JB1 #LI-Remote #director

Create and maintain complex data pipelines, monitor data quality, and collaborate with stakeholders. | Requires 8+ years of experience in data analysis and engineering, proficiency in SQL, Spark, Scala, and cloud technologies, with certifications preferred. | 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 complex SQL queries for data management and data validation. Demonstrates subject matter expertise in relation to data mapping, transformations, validations, and ingestion workflows. Monitor data processes, analyze data trends and identify anomalies or issues. Immediately report issues regarding quality of/or interruption of data processes following standard operating procedures. Perform production solutions and services configurations as needed. Serve as a change agent to identify organizational improvements and make recommendations to improve business processes. Create and maintain SOP documents. Train and mentor new members of the team as needed. Participate in meetings with clients and/or stakeholders. Troubleshoot issues and provide recommendations for remediation. Demonstrate sound judgment in selecting methods and techniques for obtaining solutions. Completes work as assigned. Participate in customer testing, as needed, for new technology or changes to existing. Provide after-hours or weekend support as needed. Demonstrate an ability to work independently. Adhere to all the industry level and organization level compliance rules and regulations to maintain data integrity. Complete task assignments using department ticketing/productivity systems 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. 8+ years of working knowledge of big data / cloud technologies (Databricks, AWS, Azure, Hadoop, Spark, Snowflake etc.). Experienced in implementing data pipelines with data engineering best practices in SQL, Spark and Scala, implementation in a Databricks environment a plus. 8+ years of data analysis. Preferably in the Healthcare industry of enrollment, medical claims and/or pharmacy claims. Any Databricks / AWS certifications is a big plus. Strong SQL and data modeling skills. Experience with data pipeline orchestration tools (e.g., Airflow, Databricks Workflows). Expertise 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 $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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting:1/14/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 3/14/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-LL1 #LI-remote #senior

Design, implement, and troubleshoot complex F5 infrastructure, including traffic management, security, and automation. | Extensive experience with F5 BIG-IP systems, networking fundamentals, certificate management, scripting, and cross-platform system knowledge. | Overview As a Senior Systems Engineer you will be responsible for resolving escalated service issues, coaching other engineers to resolutions, engineering and implementing complex projects, and for maintaining and overseeing the technology of their assigned areas. This includes VMWare, Windows, and Linux environments. We are seeking a highly skilled Senior F5 Engineer with a proven track record in enterprise-scale application delivery, load balancing, and secure traffic management. This role requires deep expertise in F5 BIG-IP LTM, iRules scripting, TLS/SSL configurations, DNS infrastructure, certificate lifecycle management, and cross-platform systems knowledge. The ideal candidate will also possess work experience with F5 APM to support future authentication initiatives. A successful candidate will have the demonstrated ability to adapt to evolving requirements, devise innovative solutions in dynamic environments, work in high-pressure environments, collaborate effectively with diverse teams, and maintain focus on delivering secure and optimized application traffic solutions. We are looking for an individual with a Level III Engineer mindset—someone who takes ownership, operates at a strategic level, and delivers robust, scalable solutions in complex technical ecosystems. Responsibilities Works with project team to plan and engineer the organization's systems infrastructure utilizing extensive experience. Ensure that the various components of the enterprise infrastructure architecture are consistent and coherent, designed at an appropriate level of detail, and that changes are controlled so as to maintain consistency. Serve as a subject matter expert for infrastructure architectural frameworks, methods and tools. Perform a variety of complicated tasks such as implementation or upgrade of designed hardware and software solutions. Works both independently and coordinates the activities of System Administrators, DBA's and development teams. Troubleshoot performance and technical issues with systems infrastructure. Assist development team with troubleshooting application and systems performance issues. Advise on performance and monitoring tools. Design, implement, and maintain F5 BIG-IP systems (LTM, APM) across diverse, enterprise environments. Develop and maintain advanced iRules and traffic policies to support custom application logic, security enforcement, and traffic optimization. Configure and support F5 APM for application access control, including authentication policy design and integration with identity providers. Troubleshoot and resolve complex issues related to SSL/TLS handshakes, load balancing behavior, session persistence, and backend server interactions. Perform packet capture analysis (tcpdump, Wireshark) to diagnose network performance, latency, or connectivity issues at a deep protocol level. Manage all aspects of certificate lifecycle, including issuance, renewal, deployment, and chain validation across F5 systems. Optimize TLS configurations in alignment with current best practices (TLS 1.2/1.3, strong cipher suites, forward secrecy). Design and maintain DNS architectures, including split-horizon DNS, GSLB, TTL tuning, and resolution flow optimization. Collaborate with cross-functional teams, including system and application owners, to ensure F5 infrastructure aligns with application, security, and business requirements. Provide guidance and mentorship to junior engineers and act as a subject matter expert in F5 technologies. Support automation initiatives using scripting tools such as Python, Ansible, or shell scripting for consistency and efficiency. Maintain accurate documentation of configurations, standards, procedures, and troubleshooting guides. Participate in on-call rotations and provide support during critical incidents or planned maintenance windows. Completes all responsibilities as outlined on annual Performance Plan. Completes all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. Complete all responsibilities as outlined on annual Performance Plan. 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 MIS, computer science, or 4+ years related work experience required. A blended 8+ years architecture, engineering, implementing and administering highly available web server, application server, networking and storage infrastructures required. Minimum 4 years of hands-on experience with F5 BIG-IP LTM in enterprise environments. 3+ Years of experience with Certificate management. Proficient in iRules (TCL), traffic manipulation techniques, and F5 CLI/tmsh. Strong understanding of TCP/IP networking, including SNAT, NAT, VLANs, and routing fundamentals. A deep working knowledge VMware, Linux, Windows, .Net, Java, SAN and databases required. Knowledge of one or more RDBMS required. Oracle Enterprise Database environments preferred. Deep expertise in TLS/SSL, including cipher suite configuration, certificate deployment, and troubleshooting. Proficient in DNS principles and troubleshooting, including experience with TTL management, and DNS flow. Experience in Hadoop and Big Data technologies preferred. Minimum of 3 years mentoring and directing the work of other systems administrators and/or engineers. Experience with packet capture tools (tcpdump, Wireshark) for detailed traffic analysis. Familiarity with F5 APM, including policy creation for Kerberos, SAML, and OAuth2 authentication methods. Working knowledge of PKI infrastructure and tools for certificate management. Strong experience with all major Windows Server platforms (2008–2022) and Linux distributions (RHEL, CentOS) to design F5 configurations that align with application needs. CCNA-level networking knowledge or higher. Experience with monitoring solutions (e.g., Splunk, SolarWinds, Grafana) for F5 performance and availability. Ability to pivot quickly, think creatively, and engineer robust solutions under changing conditions. A proactive Level III Engineer mindset, owning problems end-to-end and delivering enterprise-grade solutions. Outstanding written and verbal communication skills are required. Strong time management skills, including the ability to work independently and balance daily operations and projects. Ability to independently prioritize and re-prioritize tasks required. Ability to perform multiple tasks at one time, required. Ability to work as a team lead, and assist in any IT area is required. Ability to occasionally work early, late or on weekends as work demands is required. Solid foundation with security principles including HIPAA and SOX compliance preferred. Preferred Qualifications: Experience with multi-datacenter F5 deployments and global traffic management. Familiarity with firewall and security platforms (Palo Alto, Fortinet, F5 AFM). Experience with certificate lifecycle management platforms (e.g., AppViewX). Competency in automation scripting (Python, Bash, and nice to have Ansible). Cognitive/Mental Requirements: Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Communicating with others to exchange information. Repeating motions that may include the wrists, hands, and/or fingers. Assessing the accuracy, neatness and thoroughness of the work assigned. No adverse environmental conditions expected. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $115,000 to $150,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for 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: 09/29/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/29/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-AK1 #senior

Collaborate with sales and clients to define and document high-level solution architectures, coordinate solutioning sessions, and ensure client needs are met through tailored technical solutions. | Requires a bachelor's degree in a related field, 12+ years of solutioning or product delivery experience, and excellent communication skills; Six Sigma Green Belt is preferred. | Overview The Senior Solution Architect is responsible for creating best-in-class business offerings. This is accomplished through collaboration with business leaders, sales and support teams, and client conversations. The Senior Solution Architect will have responsibility for establishing and sustaining processes and practices that support present and future sales and implementations, ensuring sales are aligned with current technical offering and capabilities, and that custom client requests are substantiated and well understood. The Senior Solution Architect should have a passion for helping others understand our technical solutions and architecture, creating well defined solutions, and driving innovation with a keen interest in mentoring and elevating resources in client facing positions, as well as Engineering positions. This role will involve some time working independently, but most of the time will be spent as part of client focused cross functional teams. This person will have to manage their time and clearly communicate expectations on work products and timeframes. Responsibilities Collaborate with Sales and Client Engagement regarding new opportunities, new clients, expanding current client’s products, and custom client needs. Talk with clients about the specifics of our technology integration capabilities including our integrated testing solutions. In support of client conversations, create appropriate documents to describe to clients our current high-level product architecture and technology. Participate in the scoping of needs, such as unique workflow, data flow, reporting, and invoicing. Coordinate the definition of custom technology solutions (including architecture, design, and the technology components of the solution cost). This includes documenting the high-level solution, vetting it internally and then presenting it to the client. Review and contribute to Statement of Work content when required in terms of assuring alignment with scoped opportunity prior to SOW delivery to clients. For complex client implementations that may include new platform capabilities, vendor capabilities, data processing requirements, or reporting requirements, the Senior Solution Architect may coordinate solutioning session with clients, Client Services Management, Operations, and Engineering, and then document the solution architecture. Participate in solution development planning and execution, bringing client insight to the delivery teams, and ensuring the client needs are met (inc. custom solutions). This includes understanding of the client's intent, not just the documented requirements. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This 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 Engineering, Information Management, Computer Science, Software Engineering, MIS or related degree. 12 years prior work experience as a Solution Architect, Technical Product Owner, Product Implementations, or other solutioning role in a complex multi-system environment; or a Master's degree and 8 years related experience. 5 years’ project and/or product delivery experience in the healthcare space. Must have excellent written, spoken, and interpersonal communication skills as this role will interact with internal and external stakeholders. Six Sigma Green Belt certification. 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. 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. No adverse environmental conditions expected. Base compensation ranges from $145,000 to $185,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. This role is based remotely and all interviews will be conducted virtually. Date of posting: 01/13/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 04/12/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-RA1 #senior

Lead the design and development of AI platforms and machine learning applications, manage and grow a top-tier AI/ML team, and drive innovative AI solutions across business units. | Requires a Ph.D. or MS in a quantitative field, 10+ years in machine learning/data science, 5+ years in management, and experience with large language models and cloud-based ML products. | Overview The Director of Engineering AI will drive our AI Platform design across all lines of business. The Director will be responsible for the development and execution of the AI platform and machine learning applications that will empower Cotiviti's Product Groups to deliver innovative AI-powered experiences to our customers. Responsibilities Driven with sense of urgency and vision for AI, Advanced Statistics, LLM/VectorDB design across all lines of business. Enthusiastic and have advanced knowledge and know-how of latest and greatest in AI. Build machine learning foundation and deliver AI/ML projects through the entire development lifecycle. Extract and transform business requirements into trackable requirements, success criteria, and deliver large-scale machine learning models/services into production. Work with product and infrastructure teams on how applied machine learning can make their product or system better. Grow and expand expertise and team with an eye toward diverse and forward-looking skills that span advanced statistics, AI/Machine Learning/Deep Learning, Probabilistic and Generative AI. Ability to define and connect the product end to end, enabling conceptualization, development and production. Represent Cotiviti at academic and industrial conferences & events. Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Just be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. Qualifications MS or Ph.D. in quantitative domain (CS + Computational Physics/Math’s). 10+ years of machine learning and data science experience in high velocity, high-growth companies. 5+ years of management experience hiring and developing AI/ML teams. An innovative background with patents and publications in Tier1/2 journals and conferences. Experience with large-language models (LLMs) a big plus. Experience building and leading expert machine learning teams that have routinely launched new products and features, driving significant revenue. Comprehensive technical background, spanning multiple areas including software/systems engineering, machine learning, and computational physics/math with GPU based systems. Experience developing machine learning products and capabilities in a cloud environment. Strong communication skills to explain and evangelize machine learning to executives and the senior management team. Bias to action and passion for delivering high-quality data solutions. Mental Requirements: Enthusiastic and driven with a sense of urgency and vision for AI, Advanced Statistics, LLM/VectorDB design. Strong communication skills to explain and evangelize machine learning to executives and the senior management team. Bias to action and passion for delivering high-quality data solutions. Strong strategic thinking and problem-solving capabilities, with a focus on delivering high-impact, high-quality solutions. Working Conditions and Physical Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Occasional travel for conferences and events required (up to 10%). Base compensation ranges from $200,000 to $240,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: 1/14/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/14/2025, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-LL1#Director

Lead product strategy, define market requirements, oversee product lifecycle, and coordinate cross-functional teams to deliver healthcare analytics solutions. | Minimum 6 years in product management or related roles, healthcare industry experience preferred, strong data analysis skills, Agile experience, and excellent communication skills. | Overview The Product Director will drive strategy for Cotiviti’s Payment Integrity Client platform product roadmap. This individual will have responsibility and leadership for understanding and prioritizing market needs, performing competitive analysis, performing product discovery, supporting design, delivering business cases and leading delivery and commercial product launches for new products and capabilities. Reporting to the VP of Enterprise Product, this individual will have ownership and accountability for product vision, features and functions, packaging, and market impact for enhancements to client-facing platforms and future modules. This includes dashboarding, analytics and reporting capabilities delivered through the platform. They will work closely with development teams to ensure product solutions meet market requirements. The successful candidate will demonstrate a unique blend of leadership, product and market domain expertise, business acumen, creativity, business judgment, entrepreneurial spirit, industry knowledge, and analytical knowledge. This individual will have an understanding of the healthcare system and payer environment and possess a passion for analysis, analytics and defining new solutions. Responsibilities The Product Management Director will lead a cross-sectional, matrixed team in implementing and overseeing a customer- and sales-driven approach to building and launching new features, capabilities and offerings into the marketplace. Key responsibilities include: Vision: Leverages his/her subject matter expertise to provide input into Cotiviti’s strategic plan for our client-facing platforms; collaborates with executive leadership to develop and track financial and non-financial success measurements. Is an evangelist for the Voice of the Customer in product management. Represent Market Needs: Work with Marketing, Product Strategy and GTM teams to understand market needs for Analytics solutions. Work with internal and external customers to gather requirements that address their market problems and challenges and ensure requirements are well documented in epics and features. Work with engineering teams to ensure that the market and customer needs are fully understood by development stakeholders and final outputs meet customer requirements. Manage and Perform Analysis: Perform detailed product and content analysis to support exploration, evaluation and development of new solutions. Triage requests and distribute across internal analysis resources. Combining data, operational and technical insights to answer difficult questions to drive product strategy. Define Product Solutions: Conduct product research to further understand the solution profile and market requirements. Develop market and business requirements for acceptance into products, as well as maintaining detailed user personas and scenarios; maintain a groomed backlog and detailed BRDs. Provide solution guidance and support for other departments including but not limited to Engineering, Operations, Technical Writing, IT/Release, Training, Client Services as well as sales support when appropriate. Conceive analytic-driven methods to improve the precision, value or efficiency of our products or processes. Product Launch: Support operational and technical teams in delivering targeted outcomes via Agile development process. Ensure new analytics capabilities and solutions meet business and product requirements. Work across the enterprise to coordinate analytics activities and spread knowledge to other teams, including implementations, client services, sales, etc. Provide product input to internal and external communications, including release notes, user guides and marketing material. Author, edit and post relevant product launch documentation in on-line tools to document processes and results of analysis. Go to Market: Establishes overall Go-to-Market strategy for all products within the strategic solutions set (DM/CC, COB.) Owns definition of customer experience for End-to-End solutions. Leads completion and upkeep of R2M (Ready to Market) and R2S (Ready to Sell) deliverables and supports GTM training with Marketing. Team leadership: Collaborates with Launch Project Managers to ensure delivery of operational aspects of programs. Evaluates launch programs and assists SVP, Product Management in continuously improving processes for Product Management. Assists BU leaders in defining core processes and staffing needs to support new solutions. Quality: Works closely with technology, operations, and senior leadership to ensure releases are of the highest quality, and that his/her team can demonstrate progress against quality goals through clear metrics. 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, computer science, information technology, or equivalent professional experience required; Master of Business Administration degree preferred. Strong understanding of claims data, how data is stored in analytical platforms, and how to use and apply claims data in the validation of payment accuracy concepts and other projects. Must be self-motivated and passionate about creating solutions for diverse and challenging healthcare problems, including the ability to understand data, analytics and user needs across different client types and translate those needs into specific product requirements that will deliver customer value. Demonstrated success defining market strategy and leading product management for successful market-facing products. Pragmatic Marketing or other similar certification strongly desired. Demonstrated success defining product roadmaps, prioritizing features based on market value and leading development and launch of new products and product enhancements. Strong understanding of the tenets of health insurance, the managed care model, Commercial, Medicare & Medicaid rules, industry coding/policy standards, the claim adjudication process, and issues related to fraud waste and abuse; Ability to apply this knowledge to the development & evaluation of new initiatives and lead the team strategy toward best practices. OR, Developing and maintaining and understanding of the basic tenets of retail auditing and our clients to develop and evaluate new initiatives and best practices. Experience working in a software development environment; healthcare experience preferred. Agile experience preferred. Experience with software and product development lifecycles. Proactive leader with proven experience in strategic and tactical leadership with the ability to to create momentum for a team with minimal oversight and direction. Applies knowledge, skills, tools and techniques to execute projects effectively and efficiently in alignment with organizational competencies and strategic business goals. Ability to articulate and document a scope, process, accountable owners and project milestones and timelines. Includes summarizing project health and outcomes at any point in the project lifecycle. Strong ability to appropriately summarize and effectively communicate complex concepts & varied data sets to inform stakeholders, gain approval, or prompt actions; Applies to multiple audiences ranging from the analyst to executive level; Includes oral & written communication and multimedia presentation. Excellent written and verbal communication skills; experience communicating with individuals of all backgrounds and areas of expertise. Ability to influence other departments to ensure deliverables are accomplished. MINIMUM QUALIFICATIONS: Minimum 6 years’ experience, with increasing levels of responsibility and oversight, managing Product Management, Operations, or Professional Services teams. Minimum 4 years’ experience preferred in healthcare industry with previous leadership experience in appropriate domain, strong personnel management, presentation skills, customer (internal/external) problem diagnostics and solution design. 3+ years’ experience with healthcare data and analysis including business intelligence (data visualization and dashboarding, Tableau, etc.). Experience working in a software development environment; healthcare experience preferred. Agile experience preferred. Experience with software and product development lifecycles. Proficient with Microsoft Office Suite (Word, Excel, Power Point). Strong analytical and problem solving ability. 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. Willingness to travel up to 15-20% of the time. Must be able to sit and use a computer keyboard for extended periods of time. Must be able to lift up to 20 lbs. without assistance. After hours / weekend work required where necessary for major deliverables / deadlines (not consistent). Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. MENTAL REQUIREMENTS: The intellect and energy to excel in a complex and ever-changing environment, coupled with the poise and ability to act calmly in high-pressure, high-stress situations. 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. 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 $135,000 to $180,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 10/29/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 12/29/2025, 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-AK1 #LI-Remote #senior

Support development and implementation of integrated health technology solutions through requirements gathering, stakeholder coordination, and process documentation. | Requires 8+ years in business analysis, healthcare or risk adjustment experience, and knowledge of healthcare data standards and system integrations. | Overview The Integration Business Analyst will play a key role in supporting the successful development and implementation of integrated health enablement technology solutions. This position will be responsible for requirements gathering, cross-team coordination, and ensuring seamless integration between multiple technology platforms and services. Together with the project lead and multiple workstream teams, you will be responsible for ensuring a smooth design, build and implement process for our risk adjustment solution initiatives. Responsibilities Gather, analyze, and document complex business requirements across risk adjustment workflows (prospective, concurrent, retrospective). Translate business needs into detailed functional specifications, user stories, and acceptance criteria for development teams. Conduct stakeholder interviews and workshops to identify integration touchpoints, dependencies, and workflow requirements across multiple platforms. Create and maintain requirements traceability matrices and change control documentation. Analyze current data structures, workflow models, and system architecture to define integration and data model requirements. Facilitate communication and validation sessions across product, engineering, legal, compliance, and operational teams. Lead cross-functional requirements review meetings and support project planning, timelines, and implementation activities. Document as-is and to-be business processes, ensuring alignment with compliance and market requirements. Develop test scenarios and support user acceptance testing to validate 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 consitute 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 Administration, Information Systems, Healthcare Administration, or related field, plus 8 years’ related experience (or a master’s degree with 6 years’ experience, or equivalent), required. 3-5 years of experience in business analysis, ideally in healthcare technology, risk adjustment, or similar regulatory environments. Advanced certifications such as CBAP, preferred. Experience with complex system integrations, API integrations, cross-platform requirements gathering, and data mapping. Proficiency with requirements management and documentation tools (e.g., JIRA, Azure DevOps, Confluence; preferred: Excel, SQL basics). Strong analytical and problem-solving skills with experience in process mapping, workflow documentation, and data analysis. Knowledge of healthcare data standards (HIPAA, HL7), risk adjustment methodologies, and healthcare technology platforms/integration solutions (preferred). Exceptional communication and interpersonal skills with the ability to facilitate meetings and workshops across diverse business and technical stakeholders. Strong attention to detail, ability to work independently, and capacity to manage multiple priorities in a fast-paced environment. Solid understanding of the software development lifecycle and agile methodologies. Excellent written and verbal communication skills. Cognitive/Mental Requirements Ability to analyze and interpret complex business processes, workflows, and data. Skill in synthesizing information and translating business needs into clear. Strong critical thinking and problem-solving abilities to evaluate options and recommend solutions. Capacity to maintain attention to detail while multiple priorities and deadlines. Proficiency in organizing and presenting information for documentation and stakeholder communication. Ability to facilitate discussions, capture input, and build consensus among stakeholders. Ability to change information, technology, and regulatory requirements. Effective decision-making under time constraints with consideration of business and technical impacts. Clear and effective verbal and written communication of complex concepts. 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 $100,00 to $125,000 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: 11/12/2025 Applications are assessed on a rolling basis. We anticipate that the application window will close on 02/12/2025 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-MW1#senior

Leading a team of analysts and technical specialists to oversee audit operations, deploy new technology, and optimize workflows, while partnering with stakeholders. | Minimum 5 years of healthcare operations or audit experience, proven leadership, proficiency in project management tools like JIRA, and strong communication skills. | Overview Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare team as an Operations Manager. This role will lead a team of analysts, technical specialists and supporting audit operations. This leader will oversee the development and deployment of new audit technology, applications, and workflows, including the curation and optimization of content. This role will serve as a Business Partner to our operational Leaders, key project stakeholders and Research and Development (R&D) teams. Additionally, as a manager, fundamentals of new year budget and forecasting may be required in partnership with Senior Leadership, including Directors up through VPs. Responsibilities Analytics: Performs complex operation, financial, and statistical analysis, synthesizes and communicates results to stake holders. Analysis to include operations, statistics, financial Return on Investment (ROI), inventory, and aging. Produces results to identify indicators of inadequate performance and communicate findings to Senior Leadership and stakeholders. Quality Assurance: Directly accountable for the successful deployment and integration of new technology, content, and training. Demonstrates ability to define user acceptance criteria and maintain above acceptable standards for production launch. Content Management: Provides day-to-day supervision and direction to assigned C&E team. Ensures specialists and analysts are focused on right responsibilities and driving value for operations teams. Ensures appropriate staffing levels and to plan and organize workloads and assignments according to the needs of the Business Unit. Project Management: Manages expectations of external stakeholders via clear communication with R&D and business unit leadership. Partners with other business units and data/analytics teams to identify new opportunities or dependencies to create efficiencies or drive value. Grasps internal operational cycles and processes as well as their impact upon delivery. Understands project scope, schedule, and resources. Anticipates disconnects and identifies solutions. People Management: Consistent with excellent people management practices and company values. Provides managerial leadership and direct the selection, supervision, evaluation, and development of team members. Sets objectives, goals, and conducts performance reviews for direct reports and oversees the remaining evaluations indirect team members. Performance Management: Works with Human Resources to recommend and implement performance management, progression, and compensation actions as warranted. Resolves employee concerns and other sensitive people issues consistent with Human Resources policies and guidelines. Staff Training & Development: Follows established processes for training and career progression to enable revenue growth and specialist, analyst, and support staff development and engagement. Promotes & participates in knowledge sharing activities such as best practices, reporting and IT tools enhancement. Ensures that all levels of team members are properly trained on policies, procedures and best practices and that proper training, education and required certifications are maintained as required. Follows guidelines to ensure compliance with HIPAA and PHI while respecting company access to specific technology and platforms, as well as ensuring team members follow the same compliance standards. 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. Qualifications High School Diploma Required. Bachelor’s degree or equivalent experience (Preferred). Minimum of five (5) years of specialized Cotiviti audit experience or seven (7) years of comprehensive healthcare financial operations experience, including healthcare billing, medical claims processing, reimbursement strategies, and data-driven analytics. Minimum of one (1) year proven leadership experience, with a strong preference for candidates who have demonstrated excellence in people management, team development, and creating high-performance collaborative environments. Prior Experience with product management (Strongly Preferred). Experience with project management software such as JIRA or Asana strongly preferred. Computer proficiency in Microsoft Excel is required. Experience working in a SAFe (Scaled Agile Framework) environment. Proven ability to lead multiple project tasks across business units and stakeholders. Requires working knowledge of and applicable industry-based standards. Excellent verbal and written communication skills. Ability to work well as an individual and in a team environment. Excellent organizational skills are required to balance multiple priorities. Strong attention to detail and accuracy. Ability to mentor staff and enhance performance. Some travel may be required at times for this role (10-15%). Must have the ability to positively handle/manage stress, such as high work volume and frequent changes. Must be flexible and able to work across different time zones, including participating in international conference calls and global work processes. 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. At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally. Mental Requirements: Demonstrates high emotional intelligence by understanding and managing personal and team emotions. Leads with empathy, especially when addressing team conflicts or individual challenges. Exhibits strong decision-making skills, making sound judgments based on data, team input, and business priorities. Capable of solving complex problems and guiding teams through difficult situations. Possesses the ability to lead teams through change, maintaining stability and morale during times of uncertainty. Demonstrates flexibility in adjusting strategies to meet evolving goals and challenges. Skilled in managing and resolving conflicts, whether between team members or external stakeholders. Able to mediate difficult conversations, find common ground, and maintain positive working relationships. Maintains composure and resilience under pressure, modeling healthy stress management techniques for the team. Able to manage competing priorities without compromising mental well-being or performance. Ability to coach and develop team members, providing constructive feedback and guidance to help them grow professionally. Fosters a culture of continuous improvement and learning within the team. Able to provide timely and constructive feedback to help team members improve performance, setting clear expectations and goals. Effectively conducts performance reviews and recognizes accomplishments. Physical Requirements and Working Conditions: Some travel may be required at times for this role (10-15%). Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $115,000 to $135,000 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: 1/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/8/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote##LI-KB1#manager

Developing and executing product strategy, managing roadmaps, prioritizing features, and collaborating across teams to deliver healthcare payment integrity solutions. | Minimum 5-7 years as a product manager, experience with healthcare IT, claims processing, data analytics, and familiarity with COB, payer rules, and SDLC. | Overview Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our team as a Product Manager. This is a key role within that is responsible for the development, strategy, and performance of our Coordination of Benefit product line and plays a critical role in driving the success by defining its vision, strategy, and execution plan, and collaborating with cross-functional teams to bring it to life. Successful Product Managers possess a combination of technical expertise, analytical acumen, communication skills, leadership abilities, customer focus, strategic thinking, and collaboration skills. They play a critical role in driving the success of a product and delivering value to customers and stakeholders. Responsibilities Product Strategy: Developing and executing a comprehensive product strategy aligned with the company's overall goals and objectives. This involves conducting market research, analyzing customer needs and preferences, and identifying opportunities for product innovation and improvement. Roadmap Planning: Creating and maintaining a product roadmap that outlines the short-term and long-term goals, milestones, and deliverables for the product. This roadmap serves as a guiding document for the product development team and other stakeholders. Feature Prioritization: Collaborating with cross-functional teams, including engineering, design, marketing, and sales, to prioritize product features and enhancements based on customer feedback, market trends, and business priorities. Requirements Gathering: Working closely with stakeholders to gather and document product requirements, ensuring that the product meets the needs of both internal and external users. Project Management: Overseeing the entire product development lifecycle, from ideation to launch and beyond. This includes defining project timelines, managing resources, and coordinating efforts across different teams to ensure timely delivery of high-quality products. Market Analysis: Monitoring market trends, competitor activities, and industry developments to identify new opportunities and potential threats to the product's success. Using this information to make informed decisions about the product's direction and positioning in the market. Metrics Tracking: Establishing key performance indicators (KPIs) and metrics to measure the success of the product. Regularly tracking and analyzing these metrics to evaluate the product's performance and identify areas for improvement. Stakeholder Communication: Serving as the primary point of contact for all matters related to the product, both internally and externally. Communicating product updates, progress, and challenges to stakeholders and addressing any questions or concerns they may have. Cross-functional Collaboration: Collaborating with various teams and departments within the organization, such as engineering, design, marketing, sales, and customer support, to ensure alignment and integration across all aspects of the product development and delivery process. Continuous Improvement: Continuously seeking opportunities to enhance the product and improve its performance, usability, and overall user experience. This may involve gathering feedback from users conducting usability testing, and iterating on the product based on insights gained. Qualifications A bachelor's degree with a degree in business administration, marketing, computer science, engineering, or a related field. Minimum 5 -7 years of experience as a product manager driving the product development strategy and lifecycle (iterating on product roadmap and prioritizing backlog) Experience with Healthcare IT, claims processing and data analytics domains. Knowledge of COB, including primary and secondary payer rules, and related regulatory guidelines (CMS, Medicaid, Medicare) strongly preferred. Familiarity with claims adjudication, reimbursement methodologies and payer-provider dynamics. Strong technical aptitude and familiarity with software development processes are often necessary for Product Managers, especially in technology-driven industries. Knowledge of agile development methodologies, software development life cycle (SDLC), and project management tools is highly beneficial. Strong analytical skills to gather and interpret data, analyze market trends, and make informed decisions about product strategy and roadmap prioritization. Proficiency in data analysis tools and techniques is desirable. Excellent written and verbal communication skills are essential for Product Managers to effectively communicate with cross-functional teams, stakeholders, and customers. This includes the ability to articulate complex ideas clearly and concisely, as well as strong presentation skills. Individuals who can inspire and motivate cross-functional teams to work towards a common goal. They should be able to influence stakeholders, resolve conflicts, and drive decision-making processes effectively. A deep understanding of customer needs, preferences, and pain points is crucial for Product Managers to develop products that meet customer expectations and deliver value. Experience with user research, customer interviews, and usability testing is beneficial. Must collaborate effectively with cross-functional teams, including engineering, design, marketing, sales, and customer support, to ensure alignment and integration across all aspects of the product development and delivery process. Mental Requirements: Entrepreneurial Mindset: be comfortable taking calculated risks, experimenting with new ideas, and iterating on products based on feedback and market validation. Strategic Thinking & Execution: ability to develop and execute a comprehensive product strategy aligned with the company's overall goals and objectives. They should be able to anticipate market trends and identify opportunities for product innovation and growth. Stress Management: should have effective stress management techniques to stay calm under pressure and maintain productivity. Adaptability: need to be adaptable and flexible, capable of adjusting plans and strategies in response to evolving circumstances while maintaining focus on project objectives. Resilience: ability to bounce back from disappointments, learn from mistakes, and continue driving the product forward with determination and optimism. Attention to Detail: must pay close attention to detail to ensure that all project requirements are met, deliverables are of high quality, and risks are adequately addressed. Time Management: skilled at organizing their own time and the time of their team members to maximize efficiency and productivity. Physical Requirements and Working Conditions: Travel as assigned by Leadership (10 -15%). Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Moving (carrying, lifting, pushing, etc.) equipment weighing up to 10 lbs. for presentations set up, etc. Exposure to moderate noise intensity is expected. No adverse environmental conditions are expected. Base compensation ranges from $100,000 to $130,000 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: 1/8/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/6/2026 but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1#senior

Lead sophisticated data analysis, generate insights, and collaborate across teams to support strategic decision-making in healthcare payment accuracy. | Requires 8-10 years in data analytics or related fields, proficiency in SQL, Python, R, BI tools, and experience in healthcare or payment accuracy industries. | Overview Cotiviti Healthcare is a leader in payment accuracy services, serving top-tier companies in healthcare and retail. We're actively seeking exceptional tech talents who are passionate about driving innovation, transforming healthcare systems, and accelerating their professional growth. Join our dynamic team of problem solvers and make a meaningful impact in healthcare payment integrity as a Principal Insights Analyst. This role is a key contributor to healthcare team, playing a crucial role in supporting the Payment Integrity area, and will partner closely with other business units, providing both project-based work and on-demand support. This position serves as a senior analytical leader and trusted advisor to the business, responsible for translating complex data into actionable insights that drive strategic decision-making, operational performance, and revenue growth. This role combines advanced data analysis, market and competitive intelligence, cross-functional partnership, and mentorship to elevate both business outcomes and analytical maturity across the organization. Responsibilities Strategic Data Analysis & Insight Generation Lead sophisticated data analysis, modeling, and diagnostic/prescriptive insight generation across complex and diverse datasets to uncover trends, risks, and opportunities. Interpret analytical findings within business and industry context to deliver clear, actionable recommendations to stakeholders. Conduct deep-dive analyses and root cause investigations to address operational bottlenecks, performance gaps, and growth opportunities. Design, develop, and maintain intuitive dashboards, automated tools, templates, and KPI reporting products to support data-driven decision-making. Design data models and complex analytical tools that support broad trend analysis and scalable insight generation. Conduct ROI, opportunity cost, and resource allocation analyses to inform capital investments, operational priorities, and new business opportunities. Lead monthly and quarterly business reviews, benchmarking financial performance, productivity, cost trends, and overall business health. Market Research & Competitive Intelligence Conduct market research and competitive analysis to identify industry trends, emerging best practices, and opportunities for differentiation. Synthesize external market intelligence with internal data to inform strategic initiatives and business planning. Stay current on advancements in analytics, business intelligence, and industry-specific methodologies, leading adoption of new tools and approaches as appropriate. Cross-Functional Collaboration & Stakeholder Engagement Lead consultative requirements-gathering sessions with internal stakeholders to scope analytical needs and define solutions aligned with business objectives. Partner closely with marketing, sales, product, operations, finance, clinical, and technology teams to define KPIs and prioritize analytical initiatives. Collaborate with data scientists and engineers on planning, testing, QA, and deployment of analytical and software solutions. Present insights, recommendations, and narratives to senior leadership in a clear, concise, and compelling manner. Solicit and manage requirements and service-level expectations for ad hoc and complex reporting requests. Process Optimization & Business Transformation Lead process optimization initiatives to reduce time-to-value in analytics and reporting while maximizing organizational efficiency. Assist leadership in executing transformational business practices and strengthening operational rigor and accountability. Own and drive strategic initiatives that have direct impact on in-year revenue and operational performance. Mentorship, Enablement & Knowledge Sharing Provide strategic mentorship and guidance to junior analysts, supporting professional growth and skill development. Serve as a subject matter expert in data analysis tools, methodologies, and database schema across enterprise data environments. Create, document, and maintain training materials, best practices, and standard operating procedures; monitor and update SOPs as needed. Train and coach analysts and business partners on analytical best practices, data storytelling, and tool adoption. Data Governance & Compliance Ensure adherence to data governance policies, data privacy regulations, and industry standards. Safeguard sensitive data through appropriate access controls and data integrity practices. Complete all responsibilities as outlined in the annual performance review and/or goal setting. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This 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 with quantitative focus (Economics, Engineering, Computer Science, Mathematics, Statistics or Accounting) or equivalent practical experience. 8 - 10 years experience in data analytics, business analytics, data science, management consulting, investment banking, business strategy, operational excellence/process improvement, and/or Finance. Deep expertise in advanced data analysis, statistical modeling, and data visualization, with strong proficiency in SQL and database management, and experience using tools such as Python, R, Tableau, Power BI, MicroStrategy, Power Pivot, or similar BI platforms. Demonstrated ability to manipulate and analyze large, complex, and diverse datasets (structured and unstructured) to generate predictive, prescriptive, and diagnostic insights. Expert-level data storytelling skills, with the ability to translate complex technical and analytical concepts into clear, compelling narratives for non-technical and executive audiences. Strong business acumen, including experience conducting business optimization, ROI analysis, financial modeling, and opportunity cost evaluations aligned to organizational objectives. Proven experience managing multiple complex projects and ad hoc analytical requests simultaneously in fast-paced, ambiguous environments with minimal direction. Experience with data governance, data quality management, and data security best practices. Prior experience leading or mentoring analysts, with the ability to provide technical guidance, coaching, and professional development. Proficiency in Microsoft Office Suite (Excel, PowerPoint, Visio, Access) with advanced modeling and executive presentation capabilities. Familiarity with Lean principles, process improvement methodologies, and project management frameworks such as Agile or Scrum. Experience in healthcare, healthcare payment accuracy, and/or software industries strongly preferred. Certifications in data analytics, business intelligence, project management, or related disciplines are a plus. Demonstrated alignment with organizational core values, strategic pillars, and operational disciplines in delivering results and collaborating across the enterprise. Cognitive/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 are 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. 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. No adverse environmental conditions expected. Base compensation ranges from $95,000 to $115,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. 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: 1/7/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/7/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1#senior

Conducts research and develops AI models for healthcare applications, collaborates with teams, and supports educational and research initiatives. | Currently pursuing or recently completed an advanced degree in healthcare, technology, or related field, with experience or interest in AI, healthcare tech, or informatics. | Overview The Generative AI Research Engineer Intern conducts primary and secondary research of advanced and emerging healthcare informatics technology with a focus on Generative AI and emerging Artificial General Intelligence technology for healthcare treatment, payment, and operations use cases. Creates research papers, analytical reports, proposals, and educational material. Maintains a deep understanding of technology trends and hands-on experience with relevant technologies. Develops generative AI models, architectures, databases, and systems to improve healthcare solutions. We are currently looking for interns who can start in January 2026. If you are looking for a Summer start date, please keep an eye on our website for openings early next year. Responsibilities NOTE: There are multiple open intern positions. Hours and length of assignment will be at the intern's choice from 20 - 40 hours per week with a minimum of one semester up to one year. Technical Expertise Demonstrates a strong understanding of technology trends, research, and emerging technologies relevant to the healthcare industry, particularly in Generative AI. Assists in developing and improving LLMs and ML tools used across the organization. Assists in establishing and maintaining an Artificial Intelligence Governance Program. Communication & Collaboration Communicates technology-related updates and requirements to other departments and contributes to presentations for senior management. Collaborates with research and development teams, product management, and strategic analysts to support ongoing projects. Leadership & Management Partners with Business Units to provide reliable intelligence, validated technology options, and insights on enterprise and industry trends. Supports technology project teams by coordinating specific tasks, assisting with day-to-day operations, and contributing to the successful delivery of solutions. Assists in collaborative efforts with academic research teams, practicums, internships, and vendor POCs. External Relationships & Partnerships Supports vendor evaluations and contributes to collaborations with vendors. Assists as a liaison between academic institutions, professional organizations, and research groups as needed. Other Support the Academic Corporate Engagement efforts to develop research and educational talent, with a focus on enhancing health tech knowledge and skills. Complete all responsibilities and goals outlined in the internship program. Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed in this internship. It is not an exhaustive list of responsibilities, duties, and skills required and does not constitute an employment agreement. This job description is subject to change as Cotiviti’s needs and requirements of the internship evolve. Qualifications Currently pursuing or recently completed an advanced degree in healthcare, technology, or a related field (e.g., Biomedical Informatics, Computer Science) with preference of a PhD. Demonstrated interest or experience in AI, healthcare technology, or informatics research. Strong foundational knowledge in generative AI model development, architectures, and vector databases. Hands-on experience with working with Machine Learning and Deep Learning models. Experience with LLM/RAG models and LLM fine-tuning is a plus. Hands-on experience working with cloud services (AWS/Azure), large data sets, and building data pipelines for ML solutions. Experience with vector embeddings and databases is a plus. Ability to work collaboratively and communicate effectively with cross-functional teams. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions are expected. Base compensation ranges from $32.00 to $40.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Date of posting: 1/7/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/7/2026, 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 #intern

Perform auditing, data validation, and process optimization within healthcare COB processes, acting as a subject matter expert. | Requires healthcare industry experience, knowledge of COB, and proficiency with Cotiviti tools, which are not present in your background. | Overview A Payment Accuracy, Coordination of Benefits (COB) Senior Specialist, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist role are passionate about what they do and are subject matter experts (SMEs) at identifying opportunities for strategic growth, reviewing, discovering, and validating substantial amounts of data, to deliver results and insights for our clients. The Payment Accuracy, Coordination of Benefits (COB) Senior Specialist is a subject matter expert (SME) which encompasses knowledge of all levels of auditing from low to complex situations. Additionally, this individual will hold many responsibilities including but not limited to acting as a mentor to other members of the team and developing and facilitating audit enhancements. Supports an expanding portfolio-wide impact to cross-audit concepts in strategy dissemination and implementation to identify optimizations. Responsibilities This individual will work with a high degree of autonomy including independent thinking and responsibility for individual workflow and assignments. Acts as a mentor to all team members within the Business Unit. May assist with new hire onboarding and training of employees within the Business Unit. Collaborates when available with all levels of the business upon assigned projects and deliverables. Produces knowledge as a Subject Matter Expert (SME) in a multi-functional aspect for auditing as well as business optimization and innovation. Responsible for a portfolio-wide impact for the entirety of the business units and client partnerships. Develop and facilitates audit enhancements of new tools to aid in team members’ ability to perform their assigned responsibilities within the databases. Optimization to innovate new opportunities and discovery of the business, new concepts, recoveries, and the growth of the overall Business Unit. Multi–functional in strategizing, disseminating, and implementing cross-audit concepts. Performs quality control to thoroughly validate submissions prior to Client exportation of team members and own work outputs. Understands Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability. Has the ability to independently member select in Cotiviti tools, with a full understanding of client parameters. Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunities. Demonstrates high level of organization and can pivot as needed per the business requirements. Utilizes Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) to complete member investigations. Creates detail-oriented, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation. Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Team Lead and/or Manager when reviewing concept and claim identifications for the client. Prepares and evaluates responses to client disputes both internally and externally within the Business Unit as needed. Identify and solve problems by identifying errors and overpayments for our healthcare clients Learn and use multiple computer software, systems, and technology. Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes. Has an in depth understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results. Assures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable. Integrates information from various sources and considers broader context Creates innovation to enhance the standard operating rhythm finding new pathways to complete work expectations. Actively seeks information to understand rationale and provide exceptional results beyond basic standards. Qualifications High School Diploma - Required Bachelor’s degree (Preferred) and/or a minimum of at least five (5) years of related experience in healthcare. At least 2 – 3 years Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: Employees in current COB Specialist 2, Technical Specialist and/or Payment Accuracy Specialist 2 roles). Healthcare industry experience, including knowledge of Coordination of Benefits. (Required). Computer proficiency including Microsoft Office (Word, Excel, Outlook) Excellent verbal and written communication skills. Strong interest in working with large data sets and various databases. Ability to work well in an individual and team environment demonstrating self–motivation to deliver success. 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 $36.50 to $38.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 12/30/25 Applications are assessed on a rolling basis. We anticipate that the application window will close on 1/30/26, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

Drive product development and improvement of healthcare audit platforms through collaboration, agile execution, and stakeholder management. | 8+ years in operations with technical proficiency, experience in SaaS/Healthtech, and familiarity with healthcare payment processes. | Overview Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our team as Platform Product Manager. The Platform Product Manager is responsible for driving the development and improvement of the audit platforms used to support Data Mining, Subrogation, and other future RCA products. In this role, they will partner closely with business stakeholders to integrate their requirements into the platform product vision and are accountable for development roadmaps within their area of focus. Additionally, they will work alongside engineering teams to establish the scope and acceptance criteria, ensuring the successful delivery of these requirements. The collaboration will extend to Technical Product Owners, Scrum Masters, and Delivery Managers, aligning product and feature delivery with project milestones and strategic objectives, thereby guaranteeing high satisfaction levels among internal customers. Responsibilities Platform Product Development and Agile Execution: Champion the entire product lifecycle from visionary feature ideation to successful launch, ensuring the timely release of high-quality, innovative solutions through agile methodologies. Work with engineering teams to translate product requirements into technical specifications, features, and actionable tasks. Vision and Roadmap: Develop and articulate a clear product vision and roadmap. Create and maintain a feature backlog, prioritizing features based on value, impact, and technical feasibility. Partner with project manager to ensure status and metrics are accurate and up to date. Cross-Functional Collaboration: Work collaboratively within cross-functional teams including business operations, engineering, architecture, and design. Foster a culture of collaboration, innovation, accountability, and continuous improvement. Stakeholder Management: Cultivate and nurture collaborative relationships with internal stakeholders, including customers, engineering teams, and support partners to drive success. Gather feedback, listen to concerns, and address stakeholder needs and expectations effectively. Decision Making: Make data-driven decisions based on customer feedback, and business insights to prioritize features, allocate resources, and mitigate risks. Exercise sound judgment and problem-solving skills to navigate complex challenges and make timely decisions that drive product success. Communicate decisions effectively, providing rationale and context to stakeholders and team members to ensure alignment and understanding. Product Launch: Coordinate the successful launch of new platforms and features, including all required training and support during the implementation phase. Identify the milestones and requirements to deliver product through the lifecycle of POC, pilot/beta, production release (general availability). Participate and perform business validation during production deployment sessions (off hours). Performance Monitoring: Establish key performance indicators (KPIs) and metrics to measure the success of products post-launch and iterate based on data-driven insights. Coordinate and partner with Data Analysts to deliver KPI metrics in a repeatable manner and in line with dashboard reporting. Coordinate KPI measures with leadership to ensure alignment to overall project and business objectives. Complete all responsibilities as outlined in the annual performance review and/or goal setting Complete all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications Bachelor’s degree in Computer Science, Engineering, Business Administration, or a related field (Required). Industry and Experience: 3-5 years of experience in the US healthcare industry, specifically in healthcare payment analytics, coordination of benefits, or payment integrity. Experience (1-3 years) in product management, preferably in the healthcare industry, with a focus on subrogation audit solutions or related products. Basic understanding of healthcare compliance, auditing processes, and regulatory requirements (e.g., HIPAA). Preferred Technical Proficiencies: Strong Technical Foundation: Deep understanding of software development methodologies, technology stacks, and product lifecycle management. Agile Methodologies: Proficient in agile methodologies and tools, such as Scrum, JIRA, and Confluence. Ability to manage feature backlogs in JIRA and perform JQL queries. Data Analysis: Experience in working with and writing SQL queries. Familiarity with Microsoft SQL Server Management Studio, HUE, DBeaver, and Datameer is beneficial. MS Office and Visualization Tools: Proficient with Microsoft Office Suite (Word, Excel, PowerPoint, Power Query) and data visualization tools like MS Power BI, and Tableau. Preferred Technical Knowledge: Advanced Technology Knowledge: Familiarity with data analytics, machine learning, AI, and other emerging technologies relevant to healthcare audit products. Programming and Big Data Tools: Experience with Python, Spark, Hadoop, Tableau, and similar big data technologies. Application and Tool Experience: Proficiency with Appian technology, Drools business rule management system (BRMS), and using Postman for interfacing with API endpoints. Automation and Product Management Tools: Experience in process automation and managing program goals utilizing agile tools such as Jira Align. Performance Monitoring: Experience with tools and techniques for monitoring the performance of applications, identifying bottlenecks, and making necessary optimizations to improve efficiency and user experience. Flexibility and Adaptability: Ability to prioritize tasks and manage competing priorities in a dynamic, fast-paced environment. Willingness to participate in global work processes, including accommodating different time zones. Mental Requirements: Analytical Skills: Strong analytical and problem-solving skills with the ability to make data-driven decisions. Communication Skills: Excellent communication and interpersonal skills, capable of engaging effectively with both technical and non-technical stakeholders. Making timely decisions in the context of a workflow. Maintaining focus. Assessing the accuracy, neatness, and thoroughness of the work assigned. Working Conditions and Physical Requirements: Must have the ability to travel throughout the year (approx. 10 – 15%). Remaining in a stationary position, often standing, or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. No adverse environmental conditions expected. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Must be able to provide a dedicated, secure work area. Base compensation ranges from $84,000 to $105,000 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: 1/5/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/5/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1#Senior

Leading and managing a team to meet performance goals, coaching, and ensuring quality and compliance in healthcare-related processes. | Experience in healthcare, team leadership, proficiency in Microsoft Office, and knowledge of Coordination of Benefits and healthcare regulations. | Overview The Team Lead is a member of the Coordination of Benefits team, involving situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist Team Lead role are passionate about leading a team to accomplish the identified goals for the success of the team, Cotiviti, and client partnerships. This role is responsible for leading a team of individuals to meet established goals and deliver on both internal and external client requirements. This individual will have responsibilities including but not limited to performance management, interviewing, forecast, and planning as well as fostering a culture aligned with Cotiviti’s values of Collaboration, Openness, Accountability, and Customer – Driven. Responsibilities • Empowered to lead your assigned team with strategic autonomy, making critical operational decisions and working closely with Senior Leadership to drive team performance and innovation. • Recruit, develop, coach, lead and retain diverse talent from varied backgrounds, with a focus on building an inclusive team and culture that employs equitable practices to support and drive high levels of internal and external customer satisfaction. • Performs time management reviews for payroll processing utilizing a time management system, ensuring employees are working an approved schedule by leadership, applying necessary time off codes, and adhering to company policies for timely approval. • Performs performance management of employees to ensure employees are meeting and achieving work expectations and deliverables. • Performs goal planning and distribution, 30/60/90-day onboarding reviews for new hires and/or individuals newly promoted in a role, performance review check-ins and annual performance reviews. • Participates in assigned leadership training as assigned as well as enhances individual leadership skills by participating in LinkedIn Learning self–directed sessions. • Creates and maintains standard operating procedures as well as training manual and materials. • Provides mentorship and guidance to team members through coaching, training and/or 1:1s. • Completes bi – weekly or monthly 1:1 meetings/team meetings with team members to review individual and team performance. • Participates in functional leadership presentations for townhalls, clients and/or other projects as assigned, internally and externally. • A subject matter expert on all levels of work scope and clients reporting into Team Lead. • Forecasts projected productivity to review financial targets with Senior Leadership and identify solutions should projects demonstrate a deviance to the target. • Creates and assigns work as required to team members for each level within their scope. • Has subject matter expertise in understanding of Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability. • Has full understanding of client parameters and can communicate these effectively to team members and others throughout the organization. • Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunity. • Performs additional quality control review of team members work, as well as assists with senior management in quality review summary. • Has advanced level of knowledge of Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) and can articulate to team members when to utilize various systems. • Monitors production of team members against established goals; assists with formulating plan if goals are not being consistently met. • Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Manager when reviewing concept and claim identifications for the client. • Prepares and evaluates responses to client disputes both internally and externally within the Business Unit. • Displays ability to use multiple computer software, systems, and technology. • Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes. • Has an in depth understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. • Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results. • Assures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards. • Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable. • Integrates information from various sources and considers broader context. • Drive transformative innovation by developing creative solutions that optimize operational workflows and exceed traditional performance benchmarks. • Actively seeks information to understand rationale and provide exceptional results beyond basic standards. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. Qualifications • High School Diploma - Required. • Bachelor’s degree (Preferred) and/or a minimum of at least five (5) years related experience in healthcare. • At least 3- 4 years Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: COB Specialist 2, COB Senior, Senior Technical Specialist, Payment Accuracy Specialist 2, Senior Payment Accuracy Specialist). • Prior exposure mentoring, leading a team, and responsibility for team outcomes in addition to individual outcomes (Preferred). • Healthcare industry experience, including knowledge of Coordination of Benefits. (Required). • Computer proficiency including Microsoft office (Word, Excel, Outlook). Mental Requirements: • Communicating with others to exchange information. • Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: • Remaining in a stationary position, often standing or sitting for prolonged periods. • Repeating motions that may include the wrists, hands, and/or fingers. • Must be able to provide a dedicated, secure work area. • Must be able to provide high-speed internet access/connectivity and office setup and maintenance. Base compensation ranges from $80,000 to $95,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for 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: 1/7/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/7/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1 #junior