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. 

The trainer will oversee developing, managing, and delivering training programs that provide employees with the necessary skills to perform their work in the different audits.

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+...

The Senior 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 is a remote position in Australia. 

- 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,...

Working in an agile software development environment, the Oracle Sr.PL/SQL developer is responsible designand documentation at an application level for wide variety of applications/services. The candidate would utilize engineering and programming skills focused on participating with Architecture, Operations and Enterprise Delivery PPM teams within Agile processes. The role will include systems and solution design within the existing architecture, as well as design/implementation of improvements to meet business needs. The candidate will work collaboratively with the Development, IT Operations, and QA teams both onshore and offshore in implementing software configuration management best...

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...

Core Technical (Hands-on) Skill-set - Should have 3+ Yrs of strong UI/UX experience - Design and deliver wireframes, user stories, user journeys, and mockups optimized for a wide range of devices and interfaces. - Identify design problems and devise elegant solutions. -

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...

Technical Lead The purpose of this position is to provide technical leadership, guidance to team and work independently as well to build and integrate robust, fault-tolerant backend services and angular frontend for information processing requirements to payment accuracy products. This includes collaboration in requirements definition, prototyping, design, coding, testing and deployment. Person in this position would exhibit the following behaviours:

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...

POSITION DESCRIPTION JOB TITLE: Delivery Manager    DEPARTMENT: Research & Development PRINCIPLE PURPOSE OF JOB Delivery Manager is responsible for serving as the strategic interface with assigned business units for the purpose of business/IT strategy planning, development, solution discovery, service management, risk management and relationship management.   JOB RESPONSIBILITIES - Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and...

The Technical Lead is primarily responsible for the implementation of scalable, resilient back-end data services for mission critical applications. You will design the conceptual, logical, and physical data model, data flow, and implement. You will be expected to implement backend services for the data stores and related APIs; the applications are used by external and internal customers. You will store data using a variety of technologies including AWS DynamoDB, AWS RDS, and AWS HealthLake (FHIR). You will implement the APIs using cloud-native AWS services including AWS API Gateway, Lambda (node.js JavaScript and NestJS), AWS Elastic Map Reduce. You will...