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

Cotiviti, Inc. Company Overview

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.

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
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Blue Bell
Description Payment Accuracy Specialist - Anthem (RCA)  Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare...
HR, Finance, & Operations
Blue Bell
Description The Technical Product Owner is responsible for driving solution definitions that support business ideas and product concepts at a team and program level through gathering and translating testable requirements into application software solutions. The Business Analyst has deep domain knowledge, and strong experience in collaborating with a diverse team including product managers, software developers, testers, and teams such as Client Services, Operations, Clinical, Data Science, and Marketing. Principal Responsibilities and Essential Duties: Conduct interviews and...
Product Management
Blue Bell
We are looking for a full-time Audit Support Assistant to be based out of our Blue Bell, PA office. In this role, the Audit Support Assistants are directly responsible for serving as the point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external clients. For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually. In addition, the majority of the Cotiviti team is currently working remotely, and we are onboarding new hires remotely as...
Other

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.

201 Jones Road, 4th Floor
Waltham, MA 02451
Blue Bell, PA

Read About Us

Blog

November 3, 2020
Understanding how individuals vary on disease susceptibility is becoming increasingly important for clinicians to deliver effective treatment to their patients. For example, some patients are fortunate to survive cancer multiple times, while others die within a few months of their diagnosis. This variation can be addressed by studying genomic data, which offers precise insights into risk of disease and subsequent prognosis....
October 27, 2020
While the COVID-19 pandemic has challenged providers in significant ways, it unfortunately has also created new opportunities for a small handful of bad actors to take advantage of the outbreak to increase their reimbursement. Here’s how Cotiviti recently worked with MetroPlus Health Plan in New York City to identify inappropriate claims. ...
October 14, 2020
With Medicare open enrollment set to begin this week, the Centers for Medicare & Medicaid Services (CMS) has released the 2021 Star Ratings for Medicare Advantage plans with prescription drug coverage (MA-PD) as well as standalone MA and PD plans, based on data from calendar year 2019. Among Cotiviti’s clients that were eligible to receive a 2021 rating, more than 75 percent earned four stars or above at the plan level compared to 60.2 percent of all eligible MA-PD plans. Here ...
October 6, 2020
Provider access to medical history is crucial for patients diagnosed with COVID-19, which often leads to worse outcomes for those with significant comorbidities. But due to lack of interoperability between healthcare IT systems, patient history can be cumbersome to obtain—and this can hamper a physician's ability to care for patients appropriately when rapid treatment is crucial....
October 2, 2020
Leading health plans know that to stay competitive and meet the demands of the members and employer groups they serve, they must proactively increase the value of care they provide while decreasing costs. That’s why one major health plan in North Carolina, serving nearly 4 million members across the state’s 100 counties, took action in recent years to implement a provider specialty tiering program that helps guide members toward higher-performing, lower-cost providers using Cotiv...