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.

Read About Us

Talent on the Move
February 19, 2016

Blog

December 11, 2019
Achieving HEDIS® certification means a vendor’s software code stands up against the rigorous quality tests of the National Committee for Quality Assurance (NCQA). But continuously meeting NCQA’s standards can be challenging and often leads to measure recertification mid-season, which can impact a health plan's processes. Watch our new video as Branka Sustic, Cotiviti vice president of quality, explains the basics of the HEDIS certification and recertification processes—and Cot...
December 9, 2019
For health plans, managing payment recovery is very challenging and hard to accomplish without increasing provider abrasion. And this proves especially difficult when using collection agencies that are not experts in claims payment and the plan’s individual overpayment concepts. On this episode of our “From the Trenches” podcast, Cotiviti’s Chris Mastro, vice president of operations, joins Jeremy Bamford, senior product director for payment accuracy, to examine the keys to su...
December 5, 2019
The increasing digitization of healthcare data has set the stage for the industry to adopt artificial intelligence on a much wider scale than before. In a new interview with Integrated Healthcare Executive, Cotiviti CEO Emad Rizk, M.D., explains how AI improves healthcare quality across the entire population and reduces administrative burden, waste, and fraud. He also emphasizes the importance of protecting privacy and security as AI is implemented. ...
November 26, 2019
Performing statistical analysis on claims data is a vital component of catching healthcare fraud, waste, and abuse. But just figuring out where to start in your analysis can be overwhelming. Watch our new video offering practical statistical sampling tips that many health plans have used to generate investigations using a tool we’ve all worked with before: Excel. You'll learn how to build a bell curve, work with pivot tables, and take full advantage of several functions that save v...
November 20, 2019
Payer organizations have a lot to consider when they merge, but one critical element that shouldn’t be overlooked is data management. Health plans need a strategy for how to combine data sets, standardize workflows, and ensure alignment on all aspects of data management as early as possible. In a new article for FierceHealthcare, Jordan Bazinsky, Cotiviti executive vice president and administrative officer, draws upon the experience of merging Verscend Technologies and Cotiviti Hol...