Senior Investigator (Healthcare FWA) Job Locations US Remote ID 2024 12512 Category Fraud, Waste, & Abuse Position Type Full Time Overview As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required). This is not a physical investigator role . Responsibili

Sales Manager Job Locations US Remote ID 2024 12350 Category Sales Position Type Full Time Overview Sales Solution Manager Payment Accuracy Reporting to the leader of Cotiviti's Sales Solution Management function, the Sales Solution Manager is a sales support, selling and development role dedicated to supporting Sales VPs in the sale of our Clinical Chart Validation, Coor

Auditor, DRG Coding & Clinical Validation Job Locations US Remote ID 2024 12367 Category Audit Healthcare Position Type Full Time Overview The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility based nursing, clinical documentation, and/or inpatient coding and has a high level of understanding in reimbursement guidelines spec

SVP Client Engagement Job Locations US Remote ID 2024 12342 Category Client Services Position Type Full Time Overview The SVP, Client Engagement leads the relationship between Cotiviti and our clients and prospects. This role serves as the client's/ prospect's advocate, including monitoring and supporting all activity and managing problem resolution, escalating customer i

Senior Software Engineer Job Locations US Remote ID 2023 11694 Category Engineering/IT Position Type Full Time Overview The Sr. Software Engineer is primarily responsible for the performance and stability of critical applications. You will be expected to implement changes, bug fixes that support onboarding of new clients and quick resolution of production issues. You are

Data Scientist II AI/ML Job Locations US Remote ID 2023 11600 Category Engineering/IT Position Type Full Time Overview The Data Scientist II will apply knowledge and experience to real world problems, and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. With access to dedicated on premise and cloud based big data solution

Temporary Records Processing Agent (Mailroom) Onsite Blue Bell, PA Job Locations US PA Blue Bell ID 2024 12118 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining production and

Senior Software Engineer Java Job Locations US Remote ID 2024 12067 Category Engineering/IT Position Type Full Time Overview The Senior Software developer will work with core applications and database in the Payment Policy Management platform to help build and deliver features as a part of the team using SAFe practices. The developer will need to have strong healthcare ba

Client Policy Manager I Job Locations US Remote ID 2024 12637 Category Client Services Position Type Full Time Overview The Client Policy Manager provides expert consultation on coding & clinical policy guidelines . This role works directly with our health plan clients and manages our clients payment policies and ensures they are accurate, up to date, and complete. This r

Temporary Records Processing Agent (Mailroom) Onsite South Jordan, UT Job Locations US UT South Jordan ID 2024 12330 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Records Processing Agent processes incoming and outgoing mail containing medical records and requests for records as well as document reproduction while maintaining producti

Data Engineer Job Locations US Remote ID 2024 12162 Category Engineering/IT Position Type Full Time Overview As a Data Engineer, you will work with the team to build complex data pipelines using a new cutting edge Data Ingestion Platform as well as several new and exciting products in the Big Data/Advanced Analytics space. You will operate in a fast paced environment wher

Quality Assurance Manager Job Locations US Remote ID 2024 12364 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Retrieval Quality Assurance Manager will oversee the daily functioning of the quality department and track the performance and quality of employees' work, primarily in Retrieval Operations, which is our call center for retriev

Technical Writer Retrieval Job Locations US Remote ID 2024 12384 Category Customer Service/Retrieval Operations Position Type Full Time Overview Develop documentation standards and formats for release notes, printed manuals, help files, and other media as needed by the organization. A primary responsibility for design, editing, and upkeep of knowledge management assets. R

Solve problems by identifying errors and over payments for our retail clients. Use your creativity to help generate new ideas for claim concepts and recovery opportunities. Learn and use multiple computer software, systems, and technology. Achieve excellence by meeting and exceeding audit team goals and quality measures. Serve clients by responding to questions or inquiri

Senior Analyst Business Operations Job Locations US Remote ID 2024 12461 Category Reporting and Analytics Position Type Full Time Overview The Business Operations group works in small project teams to identify and address complex business challenges. The team operates like an internal consulting group to define and drive strategic, operational, and organizational improvem