1,000+ Employees
Private Equity
B2B
Big Data & Analytics
Healthcare & Pharma
SaaS

Cotiviti, Inc. Company Overview

Cotiviti (fka Verscend Technologies) is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality.

We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and then helping our clients discover ways they can improve efficiency and quality. In addition, we support retail and life/legal industries with data management and recovery audit services.

Cotiviti applies deep data science and market expertise to help healthcare organizations in three critical areas:

  • Payment Accuracy: analyzing data flowing between payers and providers to ensure that claims are paid appropriately
  • Risk Adjustment: ensuring that health plans accurately capture and report how sick their members are so that plans are appropriately reimbursed for the healthcare services their members receive
  • Quality and Performance: evaluating healthcare cost, quality, and utilization at individual, provider, and population levels to identify the best opportunities for financial and clinical performance improvement

Our success is the product of our talented staff. We offer employees great growth opportunities, a team environment, and a chance to work at one of the fastest growing healthcare information companies. From clinical and medical experts to information technologists, developers, data scientists, account managers, retrieval agents, and more, we’re continually looking for top talent to fill the many positions in offices around the country.

Jobs at Cotiviti, Inc.

 
5 Jobs Listed
Clear Filters
Waltham
Sr. Business Analyst As a member of an Agile development and/or support team for one or more business applications, the Senior Business Analyst is responsible for developing solutions that support business ideas and product concepts through gathering and translating testable requirements into application software solutions. The Senior Business Analyst is a critical thinker capable of contributing independently, mentoring business analysts, collaborating with and driving a sound solution with a diverse team including product managers, software developers, testers, project...
Product Management
Waltham
At Cotiviti, we are custodians of data for our clients. This requires efficient processes to manage data implementations, data production, data quality and data security.  Data Program Management as a function ties these aspects together with the client's interests as the highest priority. Responsibilities: Program Solution Design Understand client’s business model and work closely with internal stakeholders to ensure objectives are being met. Responsible for definition of end to end process map for each solution that is a part of the client’s program....
Other
Waltham
The Database Administrator (DBA) is the custodian of technical database resources on a set of products. You will work with a distributed team of DBAs to manage and support key enterprise database systems that provide critical data processing services to internal and client-facing business applications and services. Our database systems include Oracle and Microsoft technologies but may evolve to include other data warehousing solutions in the near future. This role will focus on both Oracle and MS SQL Server.  You will work with  internal and external stakeholders to ensure that these...
IT/Systems/Networking
Waltham
We are currently looking for an Agile Release Train Engineer to oversee SDLC projects in our SAFe environment.   Responsibilities: Manage and optimize flow of value through ART and Solution Train Facilitate PI planning events Track and Publish track PI Objectives/Team progress for visibility and transparency Facilitate Agile ceremonies such as Scrum of Scrums, Inspect & Adapt, System/PI demo Assist with economic decision-making by facilitating feature and capability estimation by teams and the roll-up to Epics, where necessary Coach leaders, teams,...
Other
Waltham
As a Business Development Representative (“BDR”), you will support the growth of the sales pipeline and expands target account intelligence for Cotiviti.  The BDR frequently is the voice of Cotiviti, which sets the tone of the customer experience, particularly in first-contact situations.  You will support the management of sales territories by establishing relationships, conducting introductory conversations and gathering intelligence that enables Cotiviti to favorably compete for the prospects’ business.  BDRs support analysis and reporting needs of sales operations by developing...
Sales & Business Development
201 Jones Road, 4th Floor
Waltham, MA 02451

How You'll Grow

Health

As a healthcare analytics company, we place a premium on the health of our own employees. We offer comprehensive medical benefits in a range of plan options. We also offer dental and vision coverage, disability benefits, and health savings options.

Financial

Cotiviti is a home for some of the best talent in the healthcare IT field. We offer competitive salaries, a 401k plan with company matching, and generous paid time off programs.

Career

We’re looking for colleagues who want to make an impact. We invest in those who want to carve a career in healthcare and help them realize those ambitions. Our tuition reimbursement program is designed to support lifelong learning.

Community

We encourage volunteerism through company-sponsored events as well as a matching donations program. Foundations like the Susan G. Komen Race for the Cure and Salvation Army: Adopt a Family are just a few of the charities we're passionate about.

Blog

March 22, 2019
Automated claim editing systems are a crucial component of accurate and efficient claims payment. But there will always be claims that are too complex to be auto-adjudicated and need a human touch. So, what exactly do you need to clinically validate a claim? In this episode of Cotiviti’s “From the Trenches” podcast, we talk with Kris Jensen, registered nurse and clinical consultant for Cotiviti's Payment Accuracy solutions....
March 20, 2019
The HEDIS® 2019 season is close to halfway done. Are you on track for the reporting deadline? Jenna Fitcher, product director for Cotiviti’s Quality and Performance solutions, discusses best practices for tracking retrieval, abstraction, and measure rates in the latest edition of our blog series, "from the HEDIS 2019 trenches."...
March 12, 2019
The longstanding barriers to data sharing between healthcare organizations have been breaking down over the past decade, removing a major obstacle to partnerships between payers and providers. But major challenges remain, as data management only continues to grow in complexity and healthcare organizations try to make sense of a flood of information. On the latest episode of our “From the Trenches” podcast, we speak with Cotiviti chief analytics officer David Costello, who will jo...
March 6, 2019
As part of its annual update process, the National Committee for Quality Assurance (NCQA) is accepting comments on proposed changes for next year’s HEDIS season from health plans and other stakeholders. Jamison Gillitzer, product manager for Cotiviti’s Quality and Performance solutions, offers a summary of the important details for plans that report HEDIS data....
February 28, 2019
As the commercial risk adjustment season launches, health plans face the challenge of ensuring appropriate reimbursement while also maintaining compliance. But by fully understanding your members as well as the various data exchanges that take place along the risk adjustment continuum, you’ll have a sharp tool set at your disposal to manage this effectively. ...