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.

 
6 Jobs Listed
Clear Filters
Waltham
Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. These insights uncover new opportunities for healthcare organizations to collaborate to improve their financial performance, reduce inefficiency, and improve healthcare quality. Cotiviti’s Consulting and Advisory Services Team develops analytic and advisory solutions to address clients’ most complex healthcare challenges.  This team leverages advanced analytics, proven methodologies, and domain...
Sales & Business Development
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
  Join our growing Inside Sales team! As a Business Development Representative, you will support the growth of the sales pipeline and expand target account intelligence for Cotiviti Retail. The BDR frequently is the voice of Cotiviti Retail, which sets the tone of the customer experience, particularly in first-contact situations. You will support the management of sales for Go-to-Market (GTM) and Centers-of-Excellence (COE) by establishing relationships, conducting introductory conversations and gathering intelligence that enables Cotiviti Retail to favorably compete for the prospects’...
Sales & Business Development
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
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

May 20, 2019
Although the cost of inpatient hospital stays continues to rise, health plans are finding that their inpatient claim auditing programs are returning less value. They’re also facing challenges such as provider abrasion resulting from requesting too many medical charts to validate those claims, which makes it more difficult to successfully retrieve medical records. We talk with Cotiviti product director Jena Reilly about how health plans be more selective and focus on pursuing medica...
May 15, 2019
  The final HEDIS® 2019 submission deadline is just over a month away—are you on track? In the latest edition of our blog series, “from the HEDIS® 2019 trenches,” Jenna Fitcher discusses what Cotiviti did this year to ensure medical record review validation (MRRV) success for our clients, and offers tips for health plans performing their own abstraction and over-read....
April 23, 2019
Several schemes that targeted federal programs including Medicare, Medicaid, and TRICARE while also taking advantage of vulnerable patients are among the top fraud busts of this year’s first quarter. With help from the National Health Care Anti-Fraud Association (NHCAA), we’ve rounded up some of the top healthcare fraud and abuse allegations reported from January through March of 2019....
April 18, 2019
The HEDIS® 2019 season is more than halfway done. Are you on track for the reporting deadline? Our Cotiviti experts are here to share their insights on effectively managing your measurement and reporting process in our monthly blog series, “from the HEDIS 2019 trenches.” Here, Jenna Fitcher, product director for Cotiviti’s Quality and Performance solutions, discusses best practices for performing an administrative refresh....
April 15, 2019
As they look to tame their data and turn it into actionable insights, many payers are significantly ramping up their data analytics strategy by building a data lake, housing both structured and unstructured data. Serving 1.5 million members, Excellus BlueCross BlueShield of New York is making significant progress on its own data lake journey. On the latest episode of our “From the Trenches” podcast, we speak with Tom Morley, manager of analytics and data strategy for Excellus. We...