HimalayasHimalayas logo
CotivitiCO

Senior Auditor - Special Projects (Retail)

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: 86k-120k USD

United States only

Stay safe on Himalayas

Never send money to companies. Jobs on Himalayas will never require payment from applicants.

Overview

The Senior Retail Auditor position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts with the goal of auditing client data generating high quality recoverable claims for the benefit of Cotiviti and our clients. This specific position will entail multiple audit engagements per year to facilitate audit acceleration, process improvements, audit development, and new client onboarding.

Responsibilities

  • Generate and Develop New Audit Concepts - Utilizes retail and auditing experience to perform audit procedures that include analyzing, identifying and defining issues, developing criteria, reviewing and analyzing evidence with the intent to audit standard medium - complex reports. Leader in concept development across multiple audit verticals. This includes evaluating and specifying the concept, interacting with the client to test and gain acceptance. Will execute on the expansion of the concept based on customer requirements. Focused on growing concept approval.
  • Develops New Tools and Processes- Collaborates with Business Optimization and audit team in developing new tools and reports. Fosters and implements new ideas, approaches, and technological improvements to support and enhance audit production, communication and client satisfaction.
  • Direct Ownership for Quality Control - Reviews all level auditor claims prior to and after client submission. Set by the audit: for the auditing concept, audit against the expected level of quality and quantity (i.e. fees per hour, vendor/project volume completion, claims written). Makes decisions on audit work completed after the various possibilities have been considered.
  • Prepare Response to Client Disputes - Provide oversight to audit team for verification of claims validation in concise written or oral manner. Makes determinations based on advanced experience of client knowledge of contract terms and likelihood of acceptance recovery.
  • Review Client Transactions - Demonstrates high level of expertise in reviewing transaction types, client contracts/vendor agreements, and client data with minimal supervision of how to identify potential over/under payments. Ability to serve as a Subject Matter Expert in a specific claim and/or business type. Participate in knowledge sharing with audit, region, & division.
  • Meets or Exceeds Productivity & Quality Standards.

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 required (accounting or financial related field preferred).
  • 5+ years of related experience in the retail payment accuracy space.
  • Experience with multiple clients (grocery, home improvement, mass merchandise)
  • Excellent verbal and written communication skills.
  • Advanced computer skills in Excel & Access.
  • The ability to analyze data and to interact frequently with our engineering team.
  • Strong working knowledge and understanding of retail industries.
  • Ability to successfully lead in a team environment and collaborate with others, while also able to work independently is required.

Mental Requirements:

  • Communicating with others to exchange information.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.

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 a dedicated, secure work area.
  • Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $41.50 to $57.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

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.

Posting Date: 5/8/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/8/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

#senior

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 86k-120k USD

Education

Bachelor degree

Experience

5 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Cotiviti

Learn more about Cotiviti and their company culture.

View company profile

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.

Claim this profileCotiviti logoCO

Cotiviti

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

85 remote jobs at Cotiviti

Explore the variety of open remote roles at Cotiviti, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Cotiviti

Remote companies like Cotiviti

Find your next opportunity by exploring profiles of companies that are similar to Cotiviti. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan