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CotivitiCO

Implementation Consultant

Cotiviti is a solutions and analytics company that leverages clinical and financial datasets to provide insights into the performance of the healthcare system, focusing on payment accuracy, risk adjustment, quality improvement, and consumer engagement. It also serves the retail industry with data management and recovery audit services.

Cotiviti

Employee count: 5000+

Salary: 79k-108k USD

United States only

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Overview

The Implementation Consultant is a post-sales position focused on individual clients and the implementation of Edifecs solutions they have purchased. This role involves installing, configuring, and overseeing the implementation of Edifecs products for the client. Responsibilities include installing products on Edifecs or client hardware, and configuring and developing programs, tasks, and guidelines to fully implement Edifecs solutions based on the client's specific needs. The Implementation Consultant will serve as the primary technical resource for Client Services, interfacing with the client's technical resources. Duties range from delivering product training to developing and deploying new client-specific requirements. This role requires strong client coordination and communication skills, as well as a deep technical understanding of Edifecs solutions and the transactions they handle.

Responsibilities

  • Coordinate and communicate with the client post-sale to develop an implementation plan for configuring a purchased Edifecs solution based on the client’s individual needs.
  • Collaborate with the Edifecs Implementation Architect/Technical Project Manager to formulate the architecture, implementation strategy/schedule, and operational plan.
  • Install, upgrade, and configure Edifecs products for the client.
  • Integrate Edifecs products with other software assets/processes for the client.
  • Coordinate with other Client Services, Product, and Development team members to meet development and configuration milestones, developing guidelines, programs, tasks, reports, etc., to meet the client’s requirements.
  • Provide post-implementation support during the transition from implementation to maintenance.
  • Provide software and client-specific training, and develop training documentation based on current standards and client needs.
  • Mentor and train internal teams on Edifecs products and customer custom components.
  • Work with customers as a Subject Matter Expert (SME) on purchased Edifecs products and solutions.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications

  • Bachelor's degree in Computer Science or a related technology program, or equivalent experience in implementing and operating Java stack-based enterprise applications.
  • 5+ years of experience working in enterprise software solution implementation.
  • 5+ years of experience in managing, developing, and deploying Java or Middleware-based applications, including technologies such as webMethods, IBM WebSphere, TIBCO Business Works, Oracle WebLogic, Oracle GlassFish, Oracle JCaps, and related platforms.
  • 5+ years of experience using software life-cycle methodologies such as waterfall and agile scrum in developing products.
  • 5+ years of experience using software engineering tools for configuration management, defect tracking, and unit testing.
  • 3+ years of experience with Electronic Data Interchange (EDI) mapping and EDI analysis.
  • Domestic travel required up to 10%-15%

Base compensation ranges from $79,000 to $107,500 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 12/11/2025

Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/11/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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About the job

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Job type

Other

Experience level

Mid-level

Salary

Salary: 79k-108k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Cotiviti

Learn more about Cotiviti and their company culture.

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Through groundbreaking technology and profound data analytics, Cotiviti is revolutionizing the economics of healthcare. The company is at the forefront of enabling healthcare organizations to deliver enhanced care at a reduced cost, thereby ensuring the quality and sustainability of the healthcare system in the United States. Cotiviti's innovative solutions are a critical foundation for healthcare payers, empowering them in their mission to lower healthcare expenditures and elevate quality through higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. By processing and analyzing billions of clinical and financial data points, Cotiviti uncovers opportunities for clients to boost efficiency and quality, ultimately leading to better care for their members. The company's commitment to responsible AI implementation is evident in its partnership with the Responsible AI Institute, aiming to develop new ways to leverage artificial intelligence to foster a high-quality and viable healthcare system. This focus on accelerating the development of innovative healthcare technologies drives advancements in data analytics, interoperability, and value-based care solutions.

Cotiviti's expertise extends to serving the retail industry with sophisticated data management and recovery audit services designed to improve business outcomes. The company's approach is rooted in a combination of advanced technology, comprehensive data analytics, and specialized expertise. This synergy allows Cotiviti to provide solutions that address payment accuracy, quality improvement, risk adjustment, and network performance management. Cotiviti's dedication to innovation is further highlighted by its recent technological advancements, such as 360 Pattern Review, which utilizes artificial intelligence to rapidly identify potential healthcare fraud, waste, and abuse, and Zero Hour Alerts, which empowers large retailers to prevent payment errors. With a global team of over 9,000 employees, Cotiviti fosters a collaborative environment where specialized and talented teams work in tandem to ensure operational efficiency and deliver services that exceed industry standards. The company's vision is to enable a high-quality and viable healthcare system, and its mission is to improve this system through its unique blend of technology, analytics, and expertise.

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Cotiviti hiring Implementation Consultant • Remote (Work from Home) | Himalayas