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

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.

 
3 Jobs Listed
Clear Filters
Waltham
Program Design Foster the ongoing development and maturation of the Compliance Program to promote a culture of ethical and compliant behavior in accordance with laws and regulatory requirements and ensure internal controls and compliance that adapt to changes in laws, regulations and business products. Develop, initiate, maintain, and revise policies and procedures for the general operation of the Compliance Program and its related activities to prevent illegal, unethical, or improper conduct. Program Execution Manage day-...
Corporate Functions
Waltham
Key Responsibilities Drives Business Development Process Identify and convert sales opportunities in new accounts into closed business. Identifies new market/customer opportunities for growth through prospecting, growth and competitive displacement. Establish multi-level relationships with potential customer decision makers and meet regularly to manage the sales process and reinforce Cotiviti relationship with the prospects. Maintain a target list of opportunities, update customer profiles and provide accurate forecasts/pipeline tracking within the Cotiviti sales...
Sales & Business Development
Waltham
Data Engineering as a function sets the foundation to successfully data intake, data management and data transformation. The foundational infrastructure helps drive quality and timely processing. Principal Responsibilities and Essential Duties: Data Mapping and Programming Work as a team member in creation and maintenance of ETL scripts used for healthcare data management, data validation, statistical report generation, and program validation. Work as a team member to develop tools and techniques for improving process efficiencies and query performance. Program per data...
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

August 22, 2019
What qualities do today's healthcare leaders need to succeed in driving innovation and solving the challenges of value-based reimbursement? Cotiviti chairman, president, and CEO Dr. Emad Rizk joined Scott Becker, founder and publisher of Becker's Healthcare, to discuss that topic and more on the Becker's Healthcare Podcast. Listen right here....
August 20, 2019
From hfm magazine: Moving from theory to practice in value-based payment has proven more difficult than was originally anticipated. Although the promise of a focus on value—higher-quality, more cost-effective and efficient care—remains compelling, progress has been hampered by the sheer complexity of the steps required to achieve that promise....
August 14, 2019
The Centers for Medicare & Medicaid Services (CMS) recently released the health plan-specific 2018 benefit year risk adjustment transfer payments. As part of the Affordable Care Act (ACA), these payments move money from health plans that serve healthier populations to those with sicker members. Based on last year’s results, these transfers total $10.4 billion ($5.2 billion in payments and $5.2 billion in charges), nearly the exact amount as the 2017 benefit year. Here, we break...
July 18, 2019
A “brazen” alleged drug fraud scheme and indictments related to home healthcare, compounded medications, and portable x-rays make up some of the most prominent fraud busts of the second quarter of 2019. With help from the National Health Care Anti-Fraud Association (NHCAA), we’ve rounded up some of the top healthcare fraud allegations reported from April through June....
July 9, 2019
Amid frequent regulatory and structural shifts, healthcare delivery and payment models in the United States are likely to be disrupted well into the future. But as Cotiviti president, chief executive officer, and chairman of the board Emad Rizk, M.D., writes in a new article for HIT Consultant, payers can protect themselves against this uncertainty by strategically leveraging one of their greatest assets: claims data....