CotivitiCO

Technical Specialist (Healthcare)*

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: 68k-80k USD

United States only

Overview

The Technical Specialist role is aligned to our Content and Enablement team focusing on Content Optimization. This role will partner will various divisions and levels of leadership within the whole organization.

A Technical Specialist is accountable to internal customers in the pursuit of implementing new and recurring projects. Manages milestone and task execution within assigned projects and internal process improvement efforts. Directly works with product managers and internal cross-functional counterparts to ensure timely and quality output of project deliverables including but not limited to documentation, data analysis, product status reporting, performance metrics, business requirements & grooming, and other operational functions. Document, organize, and share feedback (issues/risks) associated with assigned tasks via applicable project management software and reporting mechanisms. Project management rigor and best practices application of process excellence, as well as questioning previously established processes and providing creative solutions to achieve time / cost savings, will be of paramount importance in succeeding in this role.

Responsibilities

  • Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep.
  • Investigates and responds to questions for assigned projects.
  • Contributes and collaborates to generates project status updates.
  • Monitor’s quality of product usage post-implementation and pro-actively partners with Business Operations, Research & Development (R&D), and steering committee members on observations relating to success of implementation.
  • Interacts directly with internal stakeholders via calls and meetings, documents meeting notes and action items and follows up accordingly to ensure project objectives remain on task.
  • Identifies unmet business needs and/or requirements and works collaboratively with Senior Technical Specialist, Team Leads and Managers to investigate process improvement opportunities.
  • Complete all responsibilities and tasks as outlined and in conjunction with our department goals.

Qualifications

  • High School Diploma Required.
  • B.S., B.A, or advanced degree in business or related field, or equivalent experience (Preferred).
  • Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry.

  • Proven ability to handle stressful situations, multiple tasks, and deadline pressures.

  • Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required.

  • Process improvement skill set required.

  • Excellent oral, written, and technical skills are required.

  • Preference for some experience with agile methodologies.
  • Strong preference for SQL, Tableau, PowerBI or other data visualization tools.
  • Excellent organization skills, with ability to track multiple projects simultaneously.

  • Strong interpersonal and cross-functional skills required.

  • Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.

  • Strong technical skills, with proven track-record of working across multiple technology platforms.

  • Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred.

  • Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.

  • At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

Mental Requirements:

  • Troubleshooting: The ability to diagnose and solve complex technical issues, often under pressure. Technical Specialists must quickly identify the root cause of problems and find effective solutions.
  • Critical Thinking: Specialists are expected to assess a situation, evaluate possible solutions, and make decisions based on logic and data analysis, rather than assumptions or intuition.
  • Complex Analysis: Some technical problems require the specialist to break down complicated systems or data into manageable parts to analyze and understand them.
  • Industry-Specific Knowledge: A deep understanding of the specific technologies, systems, or products relevant to the role. This could range from IT systems and programming languages to mechanical engineering or network architecture.
  • Systems Thinking: Understanding how different components of a system interact with each other and being able to foresee how changes to one part of the system may affect others.
  • Pattern Recognition: Identifying patterns in complex data or recurring problems to develop effective solutions, both in day-to-day tasks and long-term projects.
  • Prioritization: The ability to determine which technical issues are the most pressing and need immediate attention versus those that can be addressed later, often in high-pressure environments.
  • Empathy and Patience: In cases where the technical specialist interacts directly with customers, the ability to listen carefully, understand concerns, and provide solutions in a way that’s considerate of the customer’s needs is important.
  • Clear Explanations: A mindset of simplifying complex technical issues and presenting them in a way that the customer or user can understand.

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.
  • No adverse environmental conditions are expected.

Base compensation ranges from $68,000 to $80,000 per year. 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.

Date of posting: 6/30/2025Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/30/2025, 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

Full Time

Experience level

Mid-level

Salary

Salary: 68k-80k 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 Technical Specialist (Healthcare)* • Remote (Work from Home) | Himalayas