We are eagerly looking for several motivated administrative professionals for our Retail Audit team in our new Mexico City office. In this role, you will efficiently and professionally handle the daily administrative activities within the department, to assist our retail auditor(s), collectors, managers, Business Optimization and others to meet and exceed customer expectations. You will act as a point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external customers. This role is an excellent way to "get your foot in the door" and learn the business so that you can grow with the company as we expand.  Must be...

This role is located in Mexico and can be fully remote if the selected candidate is based outside of a commutable distance to our Mexico City office. We are seeking an experienced Senior Data Engineer to join our multidisciplinary data product team. This role plays a critical part in architecting, developing, and optimizing scalable data pipelines, enabling advanced analytics and machine learning (ML) solutions across the organization. As a Senior Data Engineer, you will design and implement robust...

We are seeking a highly motivated and detail-oriented Associate Data Scientist to join our innovative team. This entry-level role is ideal for recent graduates or individuals with limited experience in data science but with a strong passion for data and a keen interest in the healthcare industry. The Associate Data Scientist will work under the guidance of senior team members to support the development and deployment of data-driven solutions. If you are passionate about data and eager to solve complex problems, we encourage you to apply.

This role is remote in Australia.    Working as a part of our Payment Integrity Practice, the Payment Integrity Specialist provides claims audit and recovery services to our private health insurer clients and provide expert feedback to improve our compliance solutions.    

The Auditor Retail role is an entry level position responsible for auditing client data and/or documentation on behalf of Cotiviti’s clients and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Under direct supervision, identifies and inputs recovery claims, voids, or other over-underpayment types. Documents relevant facts, information, and conclusions drawn to support the work performed so other...

Ensure the effective collection of claims issued by the audit team in accordance with the guidelines established for this purpose and coordinates collection efforts to meet collection objectives.   If you are interested in applying, please submit your resume in English.   En espanol Garantizar la recaudación...

We are eagerly looking for several motivated administrative professionals for our Retail Audit team in our new Mexico City office. In this role, you will efficiently and professionally handle the daily administrative activities within the department, to assist our retail auditor(s), collectors, managers, Business Optimization and others to meet and exceed customer expectations. You will act as a point of contact for the audit team in facilitating responses to general inquiries and data requests from both internal and external customers. This role is an excellent way to "get your foot in the door" and learn the business so that you can grow with the company as we expand.  Must be...

Sr. Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training...

Sr. Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training...

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new...

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new...

  We are seeking a talented and experienced DevOps Engineer to join our team. As a DevOps Engineer, you will play a crucial role in designing, implementing, and maintaining our infrastructure and deployment pipelines. You will work closely with development and professional service teams to streamline our software delivery process, improve scalability, reliability, and security of our systems, and automate repetitive tasks

Product Analyst is responsible for the release planning, status reporting and writing business requirements. The role includes understanding of the products and features, resource allocation, time management and risks’ evaluation.

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from...

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new...

The Cotiviti Retail division are seeking a Senior Insights Analyst to work closely with our Retail operations and R&D teams. In this role, the analyst will design and develop reports and dashboards, provide analysis of complex data sets and provide actionable insights and strategic recommendations that drive business growth and optimize performance. This is a key role in guiding the data analysis process and collaborating with stakeholders to identify opportunities and implement data-driven solutions. This position would act as a subject matter expert to the team. We are looking for a...

We are seeking a Technical team leader overseeing MLOps infrastructure development, integration of toolsets, and deployment automation for ML models.

We are seeking a Veteran software architect designing comprehensive MLOps platform, establishing technical standards, and leading infrastructure integration for ML deployment.

Cotiviti is seeking a Senior Software Engineer to implement and maintain data platform integrations for our machine learning infrastructure. This role will focus on building robust data pipelines, storage solutions, and processing frameworks that support AI/ML workflows across the organization.

We are seeking an Advanced AI researcher directing the development of predictive models and decision systems for Claims Operations, focusing on data driven insights and workflow optimization.

We are seeking for an Experienced data scientist leading Intelligent Claims Routing models, developing scoring algorithms and prioritization systems to optimize claims workflows.

We are seeking a Data scientist focusing on statistical modeling components, building classification, prediction, and optimization systems for the Claims Operations workflows.

The successful candidate will be responsible for testing healthcare software applications and EDI transactions to ensure compliance, accuracy, and reliability. He/She will collaborate with cross-functional teams to identify defects, document test cases, and contribute to the overall quality assurance process.  

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from...

We are seeking a Senior Software Engineer to join our team in building the core backend services for our centralized AI platform. This role will focus on implementing backend APIs and services that power our agentic framework, helping teams across the company securely deploy and use AI agents through unified interfaces. The ideal candidate has strong Python skills, eagerness to learn, and interest in working with cutting-edge AI technologies.

We are seeking a motivated Senior AI Engineer to contribute to the design and development of our agentic framework and centralized AI platform. This role will focus on implementing and integrating AI agents, experimenting with open-source AI tools, and supporting the delivery of customer-facing and internal AI-powered applications. You will work closely with senior AI engineers, backend developers, and product engineers to bring agentic solutions to life, gaining hands-on experience with cutting-edge AI frameworks and infrastructure.

Cotiviti is seeking an experienced Backend Developer to design and build the backend infrastructure for our centralized AI platform. This role will focus on developing robust, scalable backend services that power our agentic framework and enable teams across the company to securely deploy, manage, and access AI agents through unified APIs and user interfaces.  

Cotiviti is seeking an experienced AI Engineer to design, build, and maintain a cutting-edge agentic framework and centralized AI platform that will serve as the backbone of our organization's AI initiatives. This role will be responsible for creating a unified interface that enables teams across the company to securely deploy, manage, and access AI agents while ensuring seamless data integration and platform reliability. The role will work closely with Data Scientists, MLOps engineers, Data Engineers, and Product Engineering teams.  

Cotiviti is seeking an experienced Frontend Developer (IC4) to design and build the user interface for our centralized AI platform. This role will focus on creating an intuitive, responsive frontend that enables teams across the company to build, deploy, and manage AI agents through a seamless web application. You'll also develop reusable chatbot modules that can be integrated into various SaaS products within our ecosystem.

We are seeking a Lead Software Engineer to design and deliver the core backend services for our centralized AI platform. This role bridges hands-on engineering and technical leadership — owning major components of the backend while guiding mid-level engineers. You’ll work closely with senior ICs and cross-functional teams to build scalable, secure, and reliable services that power our agentic framework, enabling teams across the company to deploy and manage AI agents seamlessly.  

Cotiviti is seeking a Data Scientist to lead the development of advanced classification and predictive systems for healthcare risk adjustment and ICD-10 code classification. This role will focus on building intelligent NLP systems that analyze clinical charts and encounters to accurately identify and classify ICD-10 codes through sophisticated pattern recognition, machine learning, and natural language processing techniques.

The Senior Operations Engineer works primarily with enterprise customers of Edifecs Enrollment Management (ENR) products, proactively assisting them with post- implementation support, configuration, upgrade, troubleshooting and day to day operational management. Responsibilities include taking a proactive role working with the Engineering team and Customers to triage and resolve technical, and application-related issues which impact product performance in customer-specific environments, or issues that directly hamper a broader customer adoption of Edifecs products. In addition to working with customers, Senior Operation Engineer will work closely with cross-functional teams, including...

This role will be critical to driving overall business growth. The successful candidate will possess an ability to provide licenses to the customers, Administration of various portals and Releases of Edifecs/Cotiviti Products. Candidate need to interact with various internal teams as well as customers.

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from...

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from...

Edifecs is looking for a proactive Product Analyst with 3+ years of experience to join our Risk Adjustment Product team. In this role you will act as a bridge between business stakeholders and development teams, helping define product requirements, prioritization and feature validation for successful delivery of features in agile environment. 

Edifecs/Cotiviti/Cotiviti is seeking a Data Integration Engineer to join our innovative software teams.In this position, you will be responsible for onboarding customers to the Risk Adjustment workflow applications. As part of this role, you will work with platform engineering, product, and implementation teams. The ideal candidate has experience in building scalable data pipelines that enable workflow applications, reporting, and customer confidence. You must have strong, hands-on technical expertise in big data technologies and communication abilities with non-tech and technical audiences. 

Sr. Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources....

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from...

We are seeking a talented and experienced Sr. DevOps Engineer to join our team. As a DevOps Engineer, you will play a crucial role in designing, implementing, and maintaining our infrastructure and deployment pipelines. You will work closely with development and operations teams to streamline our software delivery process, improve scalability, reliability, and security of our systems, and automate repetitive tasks.

Sr. Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintenance of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new components, as well as develop new components using big data and other emerging technologies. Successful candidates must have strong Java knowledge, experience working with server-side web application software for functionality across multiple browser platforms.

The Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintaining of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new functionality, as well as develop new components using big data and other emerging technologies. We are looking for people who have strong knowledge of Java frameworks, experience in developing server-side and/or based applications.

Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintenance of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new components, as well as develop new components using big data and other emerging technologies.

At Edifecs/Cotiviti, you’ll join the Engineering team responsible for the design and implementation of a multi-tenant SaaS (Software-as-a-Service) platform that is transforming the healthcare space. Your primary responsibility will be the design and implementation of Edifecs/Cotiviti’s payer and provider solutions. Your ability to drive all aspects of development autonomously and proactively is a critical requirement. -

At Edifecs/Cotiviti you’ll be joining the Engineering team responsible for the design & implementation of a multi-tenant SaaS (Software-as-a-Service) platform that is transforming healthcare space. As a member of the engineering team, your primary responsibility will be design and implementation for Edifecs/Cotiviti’ s payer and provider solutions. Your ability to autonomously & proactively drive all aspects of development is a critical requirement. - We primarily work with Java-based solutions and AWS cloud services.

The successful candidate must have solid understanding and experience in test case automation and scripting for web applications and microservices/API testing.

The Software Engineer is an integral part of our engineering team, responsible for the design, implementation, testing, and maintenance of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new functionality, as well as develop new components using big data and other emerging technologies. We are looking for people who have strong knowledge of Java frameworks, and experience in developing server-side and/or client-side web application components.

The Software Engineer is an integral part of our engineering team, responsible for the design, implementation, testing, and maintenance of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new functionality, as well as develop new components using big data and other emerging technologies. We are looking for people who have strong knowledge of Java frameworks, and experience in developing server-side and/or client-side web application components.

At Edifecs/Cotiviti you’ll be joining the Engineering team responsible for the design & implementation of a multi-tenant SaaS (Software-as-a-Service) platform that is transforming healthcare in claims risk capture and adjustment spaces. As a member of the engineering team, your primary responsibility will be design and implementation for Edifecs/Cotiviti’s payer and provider solutions. Your ability to autonomously & proactively drive all aspects of development is a critical requirement. - We use administrative documentation and patient medical...

Sr. Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintaining innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new components, as well as develop new components. Successful candidate must have strong Java knowledge, experience working with server-side web application software for functionality across multiple browser platforms.