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CotivitiCO

Principal Business Operations Analyst CCV

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: 95k-125k USD

United States only

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Overview

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, fast learners, comfortable with ambiguity and working independently, and able to focus on details while thinking strategically. He or she will have the ability to solve business problems of moderate scope and deliver insights that enable timely and effective operational decision-making.

Responsibilities

  • Leads consultative requirements gathering sessions with internal operational stakeholders to scope analytical support needs and provide solutions that empower data driven decision making and revenue growth.
  • Conducts sophisticated data analysis, modeling, prescriptive/diagnostic insight generation and data storytelling across all facets of the Clinical Chart Validation (CCV) business.
  • Subject-matter expert in understanding database schema across all company data servers.
  • Works with data scientists/engineers on deployment of software solutions through planning, testing, and QA efforts.
  • Leads process optimization exercises to compress the time-to-value in reporting/production and charged with maximizing the utility of individuals across the organization.
  • Creates intuitive automated business tools, templates, and KPI reporting products that allow departments (operations/yield) to work effectively.
  • Designs data models and creates complex tools for internal team use that can be purposed for a broad range of trend analysis.
  • Conducts ROI and opportunity cost evaluations for the reallocation of resources, capital investments, and sizing new business opportunities for account management teams.
  • Assists management in transformational execution of new business practices and in driving operational accountability/rigor.
  • Leads monthly/quarterly business reviews that benchmarks each CCV departments trending financial performance, evaluates cost, and measures the overall productivity/health of the business.
  • Collaborates cross functionally with other internal departments to solve key business challenges and contributes as needed in executing solutions.
  • When necessary, creates, delivers, and maintains basic client/internal reporting.
  • Owns strategic initiative projects that directly impact in-year revenue.
  • Trains and mentors other analysts on best practices.
  • Self sufficient with minimal direction needed.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

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 with quantitative focus (Economics, Engineering, Computer Science, Mathematics, Statistics or Accounting) or equivalent practical experience.
  • 10+ years experience in data analytics, business analytics, data science, management consulting, investment banking, business strategy, operational excellence/process improvement, and/or Finance.
  • Exceptional analytical, quantitative, written, and interpersonal skills.
  • Expert in data storytelling, predictive/prescriptive analysis and in manipulating large quantities of data with strong spreadsheet and database query experience (e.g. SQL and Oracle).
  • Prior experience leading business optimization, ROI analysis, and financial modeling exercises.
  • Comfortable working in fast-paced environment with limited guidance.
  • Expert level experience in microsoft office suite (Excel, Power Point, Vizio, and Access).
  • Prior experience with BI tools including Microstrategy, Tableau, Power Pivot, and DataMeer.
  • SQL and database management experience.
  • Extremely well-organized and capable of handling multiple projects and ad-hoc requests simultaneously.
  • Lean knowledge/experience to apply lean concepts and principles across respective value streams.
  • Experience in healthcare and/or software industries a plus.
  • 3+ years analytical experience working at a healthcare payment accuracy company (preferred).
  • Project management experience (e.g. Scrum and Agile).

Mental Requirements:

  • Communicating with others to exchange information.
  • Problem-solving and thinking critically.
  • Completing tasks independently.
  • Interpreting data.
  • Maintaining focus.
  • Assessing the accuracy, neatness and thoroughness of the work assigned.
  • Handling multiple tasks simultaneously.

Physical Requirements and Working Conditions:

  • Remaining in a stationary position, often standing or sitting for prolonged periods.
  • Repeating motions that may include the wrists, hands, and/or fingers.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
  • Must be able to provide a dedicated, secure work area.

Base compensation ranges from $95,000 to $125,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is based remotely, and all interviews will be conducted virtually.

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: 03/26/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 05/26/2026, 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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Posted on

Job type

Full Time

Experience level

Salary

Salary: 95k-125k USD

Education

Bachelor degree

Experience

10 years minimum

Experience accepted in place of education

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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