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.   This role is remote in Australia. 

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Implementation 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...

Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Implementation 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...

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 client-specific requirements, development, and...

Lead Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. 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...

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....

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....

We lead the industry in the breadth and depth of how we support our customers—by becoming an extension of their internal team. Helping our customers deliver world-class care and service is the Services Team. The Services team is seeking a Business Analyst, who will operate as a spokesperson for the client’s business needs as they interact with the IS and IT groups to determine appropriate computer-related solutions to business problems.  The Business Analyst provides analysis, definition and direction to computer-related development and maintenance activities, and assists with ensuring that correct business functionality, requirements, and industry standards are addressed...

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...

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.

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.

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 components, as well as develop new components. Successful candidate must have strong Java knowledge, experience working with server-side software for functionality across multiple browser platforms.

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 components, as well as develop new components. Successful candidate must have strong Java knowledge, experience working with server-side software for functionality across multiple browser platforms.

We are seeking an experienced Business Intelligence (BI) Developer to lead the design, development, and optimization of scalable BI solutions that empower our teams and customers with data-driven insights. The BI Developer II will be responsible for developing self-service dashboards, automated reports, extracts and other highly scalable analytics that deliver data-driven insights to customers.  This role implements best practices in data visualization and user interface/user experience design to build interactive, highly consumable dashboards to embedded insights and decision-analytics into customers’ workflows. The BI Developer II also contributes to the development of data product training...

We are seeking a skilled and experienced Data Scientist II to join our growing analytics team. This role is ideal for someone with a strong foundation in data science who has demonstrated success independently executing complex analytics projects and developing production-grade machine learning solutions. As a Data Scientist II, you will take a lead role in designing analytical approaches, delivering impactful insights, mentoring junior team members, and contributing strategically to cross-functional initiatives. You will work closely with internal stakeholders and external customers to solve real-world problems, with a strong emphasis on healthcare and insurance analytics.

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 data infrastructure, enforce best practices in data architecture and governance, and collaborate cross-functionally to deliver reliable, high-quality data products.  

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...

The Data Scientist will join a highly skilled data science team and work directly with a talented team of software engineers, auditors, product managers and customer experience managers to analyze healthcare data and deliver value for our clients.   This role is located in Australia.  

The Data & Insight Analyst is responsible for architecting and developing best-in-class and innovative analytics and reporting solutions. This role will have responsibility for establishing and sustaining processes and practices that support Big Data, Analytics, and Reporting solutions and applications in an Open Source environment. The Data & Insight Analyst should have a passion for data, working with business people, and creating solutions and driving innovation with a keen interest in mentoring and elevating other technical resources. Will spend time working

POSITION DESCRIPTION Senior Application Support Analyst   PRINCIPLE PURPOSE OF JOB:   Senior Application Support Analyst will be responsible for providing operational support for enterprise applications and database systems. This role oversees the daily requirements for support of the systems leveraged by Business Operations teams to provide support for critical production processes working with engineering and operations teams to identify and fulfill support requirements. Primary...

As a Senior Software Engineer on the AI Engineering Team at Cotiviti, you will be a leading force in developing robust, scalable machine learning solutions for healthcare applications. This senior-level position involves significant responsibility, including leading design and development efforts, mentoring junior engineers, and ensuring the delivery of high-quality solutions.   Basic Qualifications:   - Bachelor’s degree in Computer Science, Engineering, Math, or a related field, or equivalent experience - 7+...

As a Senior Software Engineer on the AI Engineering Team at Cotiviti, you will be a leading force in developing robust, scalable machine learning solutions for healthcare applications. This senior-level position involves significant responsibility, including leading design and development efforts, mentoring junior engineers, and ensuring the delivery of high-quality solutions.   Basic Qualifications:   - Bachelor’s degree in Computer Science, Engineering, Math, or a related field, or equivalent experience - 7+...

- Develops and maintains positive working relationships with others - Passionate about technology and enjoys continuously learning - Proactively takes up the tasks and assists colleagues unprompted - Shares ideas and information - Takes pride in the achievement of team objectives - Self-motivated – driven to achieve results - Handles confidential information with sensitivity - Should have good communication and interpersonal skill   JOB RESPONSIBILITIES - Hands on experience with analysis, designing and developing solutions on BPM technologies. - Proficiency of working on various Appian components i.e., SAIL, Process Model, Records,...

We are 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 contributing to improving our retail clients’ profitability and want to be part of a team that provides opportunities for career growth. If you want to make a difference and contribute to the service we provide our Retail clients, consider an opportunity to join our global retail recovery team as an Auditor.   The critical function of a Contract Compliance Auditor I is to audit billings from our clients’ suppliers in...

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...

Working in an agile software development environment, the CI-CD Automation Engineer is responsible for automating build-test-deploy lifecycle for wide variety of applications. The candidate will work as a member of the DevOps team to focus on enhancing Groovy / Shell / Perl scripts and testing, platform services and contributing code to multiple automation projects. The automation engineer will work collaboratively with the Development, IT Operations, and QA teams both onshore and offshore in implementing software configuration management best practices to accelerate and optimize delivery methodologies. The ideal candidate will be a team player and...

We are seeking a results-driven associate technical architect to lead our application development team. You will be consulting with senior managers on application requirements, incorporating desired functionalities into application development plans, and supervising application development stages. To ensure success as an associate technical architect, you should exhibit extensive application development knowledge and experience in evaluating business needs. A top-notch technical architect will be someone whose expertise in application architecture translates into optimized business operations.

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.   En espanol Garantizar la recaudación efectiva de las reclamaciones presentadas por el equipo de auditoría de conformidad con las directrices establecidas a tal efecto y coordinar los esfuerzos de recaudación para cumplir los objetivos de...

The Technical Lead - Backend is primarily responsible for the implementation of scalable, resilient back-end data services for mission critical applications. You will be expected to implement backend services for applications used by external and internal customers. You will develop them using node.js JavaScript on AWS Lambda and should also have experience connecting AWSLambda with other AWS Services such as Kinesis, AWS AppSync, DynamoDB, Elastic Map Reduce, SQS, and SNS. You will provide technical guidance to and mentor other developers. You will support technical architects in...

Cloud & Information security Engineer Job description Title – Senior Security Engineer. Experience: - 

POSITION DESCRIPTION JOB TITLE: Operations Manager REPORTS TO: AVP/VP We are currently seeking an Ops Manager to support a growing client base and manage the dayto-day operational activities of the production team and to help stabilization of the process combining their clinical and/or coding expertise with payment accuracy. This includes ensuring that the team delivers as per set expectations while maintaining the required quality standards. The role involves day to day coordination with internal as well external teams JOB RESPONSIBILITIES • Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project • Ensure team delivers 100% on projects...