1,000+ Employees
Private Equity
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.

 
14 Jobs Listed
Clear Filters
Waltham
The healthcare landscape is rapidly changing, and we are looking for a person that wants to help lead that change.  We are looking for a person that wants to work in a fast-paced environment where the collective team emphasis is to generate market driven solutions that work.  The Senior Analytic Scientist works within the Advanced Solutions Group to run analytical experiments, evaluate alternate approaches and deliver on corporate initiatives. We utilize healthcare analytics to develop highly innovative customer facing applications that generate value for our clients. The Advanced...
Data Science / Machine Learning
Blue Bell
  We’re looking for motivated, hardworking Audit Quality Specialists to join our growing Quality team in Blue Bell, PA. This role is an entry level position responsible for supporting a variety of objectives within the Audit Quality team. Under direct supervision, this person supports client requests, overpayment quality review, system reconciliation and Claim Audit requests. Documents relevant facts, information, and conclusions drawn to support the work performed so that supervisors may review and provide feedback. Key Responsibilities: Provides...
HR, Finance, & Operations
Blue Bell
Cotiviti is currently looking to add three (3) industry leading Data Scientists who are focused on machine learning solutions to join a revolution in Healthcare Technology and build value-oriented, production level machine learning solutions. This role is not for the research oriented data scientist, but rather should be of interest to those that want to apply their knowledge and experience to real world problems, and seek to utilize Artificial Intelligence and Machine Learning to reduce the cost of healthcare and improve health quality and outcomes.  Cotiviti’s Machine Learning and...
Data Science / Machine Learning
Blue Bell
The Engineer works independently to build and integrate several robust, fault-tolerant applications solutions for information processing requirements to maximize audit site productivity. This includes collaboration in requirements definition, prototyping, design, coding, testing and deployment Responsibilities: Analyzes and assesses how automated systems can be implemented to solve complex business problems. Applies the principles and practices of software quality assurance throughout the software development life cycle. Documents the specifications, design, features and...
Software Engineering/QA
Blue Bell
We are looking for a full-time Audit Support Assistant to be based out of our Blue Bell, Pennsylvania or Louisville, KY 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.  What will you do?  Perform a variety of support and general administrative assignments in support of the audit or auditors, including filing, data entry, and tracking/correspondence while following established...
HR, Finance, & Operations
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.  What will you do?  Perform a variety of support and general administrative assignments in support of the audit or auditors, including filing, data entry, and tracking/correspondence while following established standards and work processes....
HR, Finance, & Operations
Blue Bell
We are adding an experience Revenue Cycle Manager to our Yield Management team. This role is responsible for the strategic oversight and delivery of recovery and revenue operations for one or more clients across several audit capacities. Oversee the revenue cycle activities for assigned account to maximize valid claim identification and overpayment recoveries, meet contractual commitments, and deliver customer satisfaction consistent with established operating practices and compliance procedures. This will be accomplished through effective operations management, quality and service...
HR, Finance, & Operations
Blue Bell
The Sr. Software Engineer is primarily responsible for the design and development of software applications and reusable software components deployed in the Cotiviti product suite.  You are expected to foster high performing technical teams.  You will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders. Responsibilities: Design and develop high quality software modules for the Cotiviti product suite Collaborate closely with offshore development team to...
Software Engineering/QA
Blue Bell
Cotiviti is looking for an industry leading Data Scientist Team Lead focused on machine learning solutions to join a revolution in Healthcare Technology and build value-oriented, production level machine learning solutions. As a team lead this role should appeal to experienced data scientists who enjoy the role of mentoring data scientists and managing the work effort to make the team successful, while still maintaining a hands on role with their own machine learning initiatives.  This role is not for the research oriented data scientist, but rather should be of interest to those that want...
Data Science / Machine Learning
Blue Bell
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. We are seeking innovative thinkers and creative problem solvers who are interested in contributing to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. This role can be based in any of our Cotiviti office locations. The Director, Audit Operations position is responsible for providing leadership and management for one or more accounts...
HR, Finance, & Operations
Blue Bell
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 recovery team as a Payment Accuracy Specialist.  What does...
HR, Finance, & Operations
Blue Bell
The Continuous Process Improvement Office is being created to manage technology, process and resource changes for Revenue Operations within Cotiviti. This position is being established to research operational efficiencies, provide recommendations for changes, manage monitoring of processes and lead change across all functions in Revenue Operations. This is a shared services function that allows departments to leverage higher level process improvement and drive continuous change, while managing across functions for collaboration and increased business efficiency. Additional independent...
Sales & Business Development
Blue Bell
The Business Operations group works in small project teams to identify and address complex business challenges. The team operates like an internal consulting group to define and drive strategic, operational, and organizational improvements across the business. Successful candidates will be self-motivated, intellectually curious, a fast learner, comfortable with ambiguity and working independently, able to focus on details while thinking strategically. You will have the ability to solve business problems of moderate scope and deliver insights that enable timely and effective operational...
HR, Finance, & Operations
Blue Bell
The Sr. Support Engineer is primarily responsible for the support of the existing software applications and enhance software components deployed in the Cotiviti product suite. The successful candidate will be required to collaborate effectively with senior developers, offshore development team members, business owners, project management, and other internal stakeholders. Responsibilities: Support and Enhance high quality software modules for the Cotiviti product suite Analyze and resolve software related issues originated from internal or external customers...
IT/Systems/Networking
Blue Bell, PA
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

January 23, 2020
All health plans want to improve their efforts to catch inappropriate claims before they’re paid. And before moving concepts from their post-pay programs to pre-pay, payers are best served by first optimizing their retrospective payment accuracy efforts, including contract compliance and clinical chart validation. Register for Cotiviti’s upcoming webinar and learn how to get your retrospective foundation airtight—with the help of a payer-focused partner....
January 17, 2020
The Centers for Medicare & Medicaid Services (CMS) plans to continue its shift toward encounter data for risk adjustment submissions, according to the agency’s recently released Advance Notice (Part I) for the 2021 calendar year. If the proposed plan is ultimately adopted: Encounter data-based scores will comprise 75 percent of a Medicare Advantage (MA) plan’s overall risk score, using the 2020 CMS-HCC model RAPS-based scores will comprise the remaining 25 percent, usin...
January 16, 2020
Special investigative units (SIUs) work diligently to find and prevent healthcare fraud, waste, and abuse (FWA), but getting from an initial tip to a conviction is not easy. The most successful SIUs rely on robust data analysis and reporting tools to build their case before presenting evidence to law enforcement. One major Minnesota health plan leveraged Cotiviti’s FWA Solutions to break down a chiropractor’s unusual billing patterns—such as submitting claims for more than 150 ...
January 15, 2020
Effective HEDIS® reporting starts with preparation and organizational alignment. Solidify working relationships with vendors and auditors, and make sure reporting within your own team internally is airtight well in advance of the June 15 deadline. And remember: first movers have the advantage of requesting records from providers early in the process. Watch our short video to learn what you need to know and do for HEDIS success in 2020. ...
January 9, 2020
As AI transitions from an innovative disruptor to an indispensable tool in healthcare, stakeholders need to align on strategies to maximize its effectiveness. This starts with a commitment to data sharing and interoperability across the healthcare ecosystem. In an article published in HIT Consultant, Cotiviti executive vice president and administrative officer Jordan Bazinsky outlines three ways collaborative data sharing will drive AI’s accelerated presence in healthcare in 2020....