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
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
Two week temporary full-time assignment covering our Front Desk in Waltham, MA., to assist in a variety of office management activities in addition to greeting visitors and answering phones at our busy front desk. December 17 - December 31 -- Closed on Christmas Day. Responsibilities: Provide receptionist duties. Manage incoming calls with a friendly and pleasant phone voice. Greet and direct all visitors, including vendors, clients, job candidates and customers with a high degree of quality communication and decorum. Ensure visitors are properly checked in,...
Corporate Functions
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

December 13, 2018
Last week, I attended the Medicare Star Ratings & Quality Assurance Summit in Miami, Florida, where more than 100 attendees met to discuss Medicare Advantage Star Ratings, sharing case studies and best practices on how to achieve the coveted five-star rating. With numerous presentations from a wide variety of health plans who shared their opinions and recommended courses of action, three overall trends stood out....
November 6, 2018
Healthcare organizations must constantly improve their technologies and processes to stay one step ahead of healthcare fraud. So, what does the leading national organization focused on the fight against healthcare fraud see on the horizon in this ongoing battle? On the latest episode of our “From the Trenches” podcast, we sit down with Louis Saccoccio, CEO of the National Health Care Anti-Fraud Association (NHCAA), at the organization’s 2018 Annual Training Conference....
October 23, 2018
Everyone likes a good blog post about math, right? (Cue the chirping crickets.) Okay, maybe not. But here is some pretty simple arithmetic for you to consider: What do you get when you combine two industry leaders in payment accuracy?...
October 15, 2018
The Centers for Medicare & Medicaid Services (CMS) last week published its 2019 Part C and Part D Medicare Star Ratings data and, along with it, the Technical Notes describing the methodology for the Star Ratings. Here, Ashley McNairy, product director for Cotiviti’s Government Quality solutions, breaks down the changes to the cut points, which can have a significant impact on a health plan’s score....
September 27, 2018
When a health plan denies a claim, the provider wants to know why it was denied. Sometimes, the answer is that a modifier appears to have been used inappropriately, which Verscend detects using a process we call Clinical Validation. And as we hear from John Neumann, registered nurse and clinical consultant for Verscend's Payment Accuracy solutions, Clinical Validation doesn’t just lead to better outcomes for the payer, but also the members and providers that it serves. Listen to th...