within the Quality/HEDIS Cotiviti Portfolio, requiring the Program Manager to partner very closely with the assigned Operations...’s custom end-to-end process map for the retrieval solution and ensuring compatibility with Cotiviti’s HEDIS/Quality Products...
Cotiviti proprietary auditing systems with a high level of proficiency to make audit determinations and generate audit letters... in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members...
an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change. Qualifications... hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive...
required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the... factors, such as experience, education, skills, certifications, and other business needs. Cotiviti offers team members...
Responsibilities Direct prospecting (hunting) new business for Cotiviti’s Retail Payment Integrity Services... and reinforce Cotiviti’s relationship with the prospects. Maintains a target list of opportunities, updates customer profiles...
by translating industry references into Cotiviti policy Provide input on any new, or complex enhancements to the rule engine... rollout Ensure internal Cotiviti operational teams have a clear vision and understanding of the content solutions roadmap...
required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the..., skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti...
issues of our time. A Data Scientist at Cotiviti will be given the opportunity to work directly with a team of healthcare.... Responsibilities: As a Sr GenAI Scientist within Cotiviti you will be responsible for delivering solutions that help our clients...
Responsibilities As a Sr GenAI Scientist within Cotiviti you will be responsible for delivering solutions that help... in design sessions to continuously develop and improve the Cotiviti machine learning platform. Participate in other data...
consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs... with Cotiviti. For information about our benefits package, please refer to our Date of posting: 1/27/2025 Applications...
. Key responsibilities include: Vision: Leverages his/her subject matter expertise to provide input into Cotiviti... that teams have essential tools, processes, and skill sets to build out product and service roadmaps that align with Cotiviti...
Responsibilities Gather requirements Collaborate with the team to ensure solutions meet the needs of the team Design the layout and gain approval Complete all projects assigned Troubleshoot and fix bugs Qualifications Ability t...
Responsibilities Aid the Innovation Lab and/or Program Managers with project requirements, scope, scheduling, risk management, quality assurance, and project status and health. Strong interpersonal skills to actively listen and communic...
Responsibilities Assess, Design, and Document organizational structure for multi-product data mastering, document mastering, and data availability. Manage calendars and meeting schedules for multiple work groups across RQC to support tw...
, and those knowledgeable of Snowflake, Cotiviti, Epic, and HealthRules/Guiding Care. Why Join Us? At Baylor Scott & White Health, you'll play...
by the individual will include, but is not limited to; correspondence, HQSI/ESMSEF appeals and Cotiviti disputes. Provide... or Cotiviti Review new dispute receipts to confirm request is valid and to identify the appropriate dispute agent. If request...
(claims, encounter, HEDIS, CAHPS, HOS, PDE, Lab, EHR). Familiarity with technologies such as Cotiviti's Star Intelligence...
stratification and intervention design and development. Utilize tools for clinical applications from encounter/claims data (Cotiviti...
top skills required for this role? HRP Or Cotiviti Or ClaimsXten Or med compass Or UM Or Provider contract and provider... with Business team on claim scenarios reviews related to Cotiviti and ClaimsXten o Ensure effective management of test environments...