Cotiviti

• Provide technical leadership in a team of Software Engineers, providing guidance, support, and technical expertise • Act as a key influencer in technical decision-making and driving architectural improvements • Collaborate with Principal Software Engineers, Architects, and Leadership to design, develop, and implement high-quality software solutions • Drive technical initiatives and projects, ensuring alignment with company goals and objectives • Conduct code reviews, provide constructive feedback, and ensure adherence to best practices and coding standards • Identify and address technical debt, performance bottlenecks, and other areas for improvement • Stay up to date with industry trends, emerging technologies, and best practices to continuously enhance the team's capabilities • Foster a culture of innovation, collaboration, and continuous learning within the team • Experience with performance tuning and optimization of large-scale, complex systems

• Systematically maintain pricing content and tools, including company price book, pricing contract terms and pricing market insights • Manage process of ongoing pricing updates across company portfolio based on latest market and competitive shifts • Support GTM and Pricing Execution team in complex and non-standard deal pricing • Identify pricing opportunities to support upsell/cross-sell initiatives and other key growth initiatives • Define KPIs and dashboards to track pricing effectiveness, discount levels, and impact on business performance • Analyze new sales and renewals trends to understand buyer price sensitivity, buying factors and pricing execution including win/loss analysis, discount trends, etc. • Partner with Product Marketing, Product Management, GTM, and BU to inform new product pricing requirements, and to ensure methodical roll-out of new pricing models • Partner with Product, Sales, and Finance to ensure pricing strategies are executable, scalable, and aligned with go-to-market plans • Support the creation of executive communications related to strategy and strategic pricing • Complete all responsibilities as outlined in the annual performance review and/or goal setting • Complete all special projects and other duties as assigned

Role Description The Corporate Development Associate is a member of the Corporate Development and Strategy team at Cotiviti. This person will be responsible for evaluating strategic acquisitions for Cotiviti, as well as supporting end-to-end M&A execution and corporate development initiatives across Cotiviti’s portfolio of products. They will identify and evaluate new opportunities, conduct due diligence, and collaborate with cross-functional teams to execute complex projects. Additionally, they will collaborate with senior leaders and stakeholders across the organization to align priorities and communicate progress and outcomes. - Identify and evaluate new strategic acquisition and investment opportunities - Contribute to deal process management, including coordination with legal, accounting, tax and third-party diligence advisors - Conduct commercial, financial and operational due diligence workstreams with internal stakeholders and external advisors - Support detailed financial modeling, valuation and other relevant diligence analyses - Lead diligence discussions with external advisors and target management teams, in collaboration with senior leadership and cross-functional teams - Prepare Board/executive-level materials, including transaction memos (e.g., merits and considerations) - Manage data rooms, diligence trackers and transaction process timelines - Perform competitive analyses of current and adjacent markets, other ad-hoc strategic analyses such as whitespace / TAM analyses, buy vs. build, and scenario analyses - Develop deep understanding of Cotiviti’s business units and near adjacent markets - 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 Qualifications - Bachelor’s Degree in Finance, Economics, Business Administration or related degree - 2-4+ years of total experience, including experience in investment banking, private equity, or corporate development experience - Experience leading or supporting M&A transactions from diligence through closing - Strong financial modeling, valuation and analytical skills (e.g., leverage buyouts, accretion / dilution analysis, analysis at various prices, comparable company analysis, discounted cashflow, revenue growth opportunity analyses) - Ability to manage multiple priorities and projects in a fast-paced environment - Strong written and verbal communication skills, including ability to synthesize data and concepts to support executive level communications - Proficiency in Microsoft Excel and PowerPoint Requirements - Healthcare experience with payer, provider or healthcare data / analytics businesses a strong plus - Prior corporate development, strategy or operating experience a plus - Experience sourcing and maintaining a robust pipeline of potential M&A targets a plus - Strong people-influence skills, especially in a matrixed organization - Demonstrated ability to learn quickly within a new domain - MBA, MPH, or MHA welcomed, but not required Benefits - Base compensation ranges from $95,000 to $125,000 per year - Cotiviti offers a competitive benefits package including: - Medical, dental, vision, disability, and life insurance coverage - 401(k) savings plans - Paid family leave - 9 paid holidays per year - 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti

• Focus on auditing Coding & Clinical Chart Validation for Outpatient and Specialty audits • Audits Outpatient and Specialty Claims using medical chart coding principles • Utilizes advanced proficiency in Cotiviti encoder and audit tools for duties • Maintains productivity, accuracy, and quality standards for auditing • Identifies potential claims for additional recoveries and suggests process improvements • Completes all responsibilities outlined in the annual Performance Plan

Role Description The Business Systems Analyst role is aligned to our Content and Enablement team within the Enterprise of Data Mining and Yield Management. This role will partner with various divisions and levels of leadership within the whole organization. - Work alongside Technical Specialists, Analysts, Content and Datameer Managers, and external departments. - Collaborate in achieving the goals established by the department and organization. - Knowledge of product management, healthcare, and experience as an Agile Product Owner will be critical for success. - Responsible for planning and execution throughout the Engineering and Research & Development (R&D) lifecycles. - Gather and prioritize product and customer requirements. - Work closely with Developers, Sales, Product, and Support teams to ensure revenue and customer satisfaction goals are met. - Deliver functional specifications and business requirements with prioritized features and corresponding justification. - Run beta and pilot programs with early-stage products and samples. - Act as a domain expert within the organization. - Collaborate with other Business Analysts and Product Managers to understand and write reporting specific user personas. - Assist report development teams in sizing and estimation of product features. - Participate in planning activities to help development teams understand user personas and product features. - Support Recovery Operations team to build proof of concepts. - Present outcomes to stakeholders for feedback and provide additional recommendations to improve user experience. - Assist in Product releases and new client system implementations, including user setup and training. - Complete all responsibilities as outlined on annual Performance Plan. - Complete all special projects and other duties as assigned. - Must be able to perform duties with or without reasonable accommodation. Qualifications - High School Diploma. - Bachelor's degree in Healthcare Informatics, Computer Science, Information Technology, Science, Public Health, or a related field. - Minimum of 5 years’ experience partnering with internal and external customers. - Strong presentation and communication skills to demonstrate reporting solutions to external customers. - Proven ability to lead initiatives, plan activities and resources, work hands-on, and mentor junior team members. - 1 year of experience as Agile Product Owner (Preferred). - Previous experience with JIRA (Strongly preferred). - Extensive experience and judgment to plan and accomplish goals. - Well-organized with the ability to identify priorities and handle several projects simultaneously. - Proven ability to work closely with internal and external customers to understand and translate business needs and requirements into technical reporting specifications. - Proven ability to work with report development teams to ensure technical requirements are satisfied. - Strong analytical and problem-solving skills. - Experience in converting reporting requirements to visualized prototypes, preferred. - Must be self-motivated and passionate about delivering creative and value-driven reporting solutions. - Ability to work in a fast-paced, time-sensitive environment with competing priorities and ongoing deliverables. - Strong interpersonal, written, and oral communication skills. - Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines. - At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally. Requirements - Problem-Solving: must be able to analyze complex business problems and determine the most effective technical solutions. - Attention to Detail: must spot discrepancies or inefficiencies in systems and processes. - Data Interpretation: must interpret business data, identify trends, and transform that data into actionable insights. - Requirement Gathering: need strong communication skills to effectively gather requirements from non-technical stakeholders. - Managing Multiple Tasks: must juggle multiple projects or workstreams. - Empathy: high level of emotional intelligence to understand and manage the emotions and concerns of stakeholders. - Conflict Resolution: must manage disputes or differing opinions between business teams and IT teams professionally. Benefits - Base compensation ranges from $33.50 to $40.50 per hour. - Cotiviti offers a competitive benefits package including medical, dental, vision, disability, and life insurance coverage. - 401(k) savings plans. - Paid family leave. - 9 paid holidays per year. - 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. Company Description 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 the requirements of the job change.

Role Description This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and Specialty audits. The ideal candidate for this position needs to have both a clinical (nurse) and a coding/auditing background focused on one of the following disciplines from a coding and billing perspective: SNF, IRF, Home Health, APC, ER, Diagnostics and Professional Service. This position is responsible for auditing outpatient/specialty claims and documenting the results of those audits, with a focus on clinical review, coding accuracy, medical necessity, and the appropriateness of treatment setting and services delivered. Responsibilities - Audits Outpatient and Specialty Claims: - Utilizes medical chart coding principles and client specific guidelines in performance of medical audit activities with Outpatient (APC, PNPP), Pharmacy and/or Inpatient DRG claims. - Draws on advanced coding expertise and industry knowledge to substantiate conclusions. - Performs work independently, reviews and interprets medical records and applies in-depth knowledge of coding principles to determine potential billing/coding issues. - Effectively Utilizes Audit Tools: - Utilizes advanced proficiency, Cotiviti encoder and audit tools required to perform duties. - Enters claim into Cotiviti system accurately and in accordance with standard procedures. - Meets or Exceeds Standards/Guidelines for Productivity: - Maintains production goals, accuracy and quality standards set by the audit for the auditing concept. - Meets or Exceeds Standards/Guidelines for Quality: - Achieves the expected level of quality set by the audit for the auditing concept, for valid claim identification and documentation. - Identifies New Claim Types: - Identifies potential claims outside of the concept where additional recoveries may be available. - Suggests and develops high quality, high value concepts and/or processes improvement, tools, etc. - Recommends New Concepts and Processes: - Has broad in-depth knowledge of client, contract terms and complex claim types gained from extensive healthcare auditing experience. - Suggests, develops and implements new ideas, approaches and/or technological improvements that will support and enhance audit production, communication and client satisfaction. - Evaluates information and draws logical conclusions. - Complete all responsibilities as outlined on annual Performance Plan. - Complete all special projects and other duties as assigned. - Must be able to perform duties with or without reasonable accommodation. Qualifications - Education (required): - Associate or bachelor’s degree in nursing (active/unrestricted license) AND Certifications/Licenses (required). - Coding Certification required and maintained i.e. CPC, CIC, CCS, CCS-P, RHIA or RHIT. - 5 to 7 years of experience with clinical medical record coding or auditing and a working knowledge of HIPAA Privacy and Security Rules and CMS security requirements. - A broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, medical necessity criteria and coding terminology. - Ability and desire to utilize base coding and clinical auditing knowledge to learn and become proficient in a variety of outpatient and specialty review types. - Adherence to official coding guidelines, coding clinic determinations and CMS and other regulatory compliance guidelines and mandates. Requires expert coding knowledge - DRG, ICD-10, CPT, HCPCS codes. - Excellent verbal and written communication skills. - Ability to work well in an individual and team environment. Requirements - 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. - No adverse environmental conditions expected. Benefits - Base compensation is paid hourly at $45.67/hour (95k annualized). 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. - Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. - 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. - 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

Title: Senior Investigator - Pre-Pay (Healthcare FWA) Location: Remote, United States Work Type: Remote, Full Time Department: Fraud, Waste, & Abuse Job Description: Responsibilities - Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse. - Proactively monitors provider activity to identify patterns, anomalies, and emerging trends that may warrant further investigation. - Utilizes data analytics, claims review, and industry intelligence to detect potential fraud, waste, abuse, or non-compliance. - Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potential fraud, waste, and abuse. - Analyze information gathered by investigation and report findings and recommendations as a written summary and/or presentation. - Conducts investigation-related training. - Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions. - Maintain current knowledge of relevant laws, regulations and standards. - Complete all responsibilities as outlined on annual Performance Plan. - 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 in related discipline, or the equivalent combination of education, professional training and work experience. - 5-8 years of related healthcare FWA investigative experience. - Experience in proactive data mining. - Advanced level skills in Excel required. - Experience using Cotiviti FWA tools (preferred) - Sentinel, Commander, and/or Informant (Stars Solutions). - Excellent verbal and written communication skills. - Strong listening and observation skills. - Attention to detail and high level of accuracy. - Effective organizational and prioritization skills with multi-tasking ability. - Preferred certifications: - Accredited Healthcare Fraud Investigator (AHFI), - Certified Fraud Specialist (CFS), - Certified Fraud Examiner (CFE), - Certified Forensic Interviewer (CFI), or - Certified in Healthcare Compliance (CHC). Job Demands: - This is a work-at-home position. Access to high-speed internet is required (all other equipment will be provided). - Must be able to sit and use a computer keyboard for extended periods of time. - Travel up to 15%. - Must have flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones. - After hours and/or weekend work is required where necessary for major deliverables/deadlines (not consistent). 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 $70,000 to $90,000 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. #senior #LI-JB1 #LI-Remote Cotiviti is an equal employment opportunity employer. Cotiviti recruits, hires and promotes individuals based on their qualifications for a specific job. Selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, uniformed service member status, disability, or any other category of class protected by federal, state or local laws. All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity. Pay Transparency Nondiscrimination Provision Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 4

Role Description The Policy Integration Coordinator I position holds the primary responsibility for ensuring that each client’s initially chosen policy set & tables have been configured accurately based on the client’s decisions. Manages lower complexity projects. This includes: - Copy of existing payer data - E&M over code - Payer termination projects Also loads table mappings for Clinical Chart Validation projects. The Policy Integration Coordinator I provides technical support related to payment policies to: - The Implementation MD - The Implementation Service Director (ISD) - The client Provides additional support to the Policy Integration Coordinator II and III as needed. - Pulls presentation, capturing policy-related decisions, specifying their configuration, and ensuring that the policies are set up according to client specification. - Provides support to Medical Directors and Implementation Team during client implementation regarding policy configuration issues, including research and issue management. - Reviews initial testing and production files to determine if policies are functioning as expected to identify any potential issues. - Communicates effectively to internal teams and clients. - Manages project timeline effectively to meet monthly deadlines and notifies the appropriate individual(s) of risks to the timeline. - Attends Policy Committee meetings and facilitates debriefing on client decisions. - Completes all responsibilities as outlined on annual Performance Plan. - Completes 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 preferred or 1 year equivalent work experience. - High standards with extreme attention to detail, and facilitation skills to ensure clear decisions. - Works well under pressure and handles conflict well. - Ability to work well independently and in a team environment. - Ability to work within a matrix organization. - Knowledge of CPT, ICD, HCPCS coding and basic medical terminology. - Excellent verbal and written communication skills, projection of confidence, track record of getting things done through others (even those for whom there is no authority). - Proficient with Microsoft Office Suite (Excel, Outlook, Power Point, Word). - Professional with ability to properly handle confidential information. - Ability to handle multiple tasks, prioritize and meet deadlines. - Must have ability to positively handle/manage stress, such as high work volume and frequent change. Requirements - Communicating with others to exchange information. - Assessing the accuracy, neatness, and thoroughness of the work assigned. - 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 expected. Benefits - Base compensation ranges from $25.50 to $32.50 per hour. - Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. - Cotiviti offers a competitive benefits package including: - Medical, dental, vision, disability, and life insurance coverage - 401(k) savings plans - Paid family leave - 9 paid holidays per year - 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. Company Description Date of posting: 5/14/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/14/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

• Oversee onshore/offshore Coder Coding Validation team(s) in reviewing claims and producing well written appeals • Provide support needed to review quality claims and appeal, utilizing nationally recognized coding standards, proprietary coding validation guidelines and client specific guidelines • Responsible for optimization of team and individual coder performance, including production, accuracy and quality • Work with Quality Assurance to ensure analysts or coders are meeting quality execution of CV audit deliverables • Handles employee reviews, new hire on-boarding, PTO, coaching and mentoring • Ensure operational controls and day-to-day processes are in place • Hire, develop, coach, lead and retain top-tier talent

• Resolve and/or escalate issues in a timely fashion and understand how to communicate difficult/sensitive information • Review deliverables prepared by the team before they are passed to client • Mitigate team conflict and communication problems • Define project scope, critical path, goals and deliverables that support business goals in collaboration with senior management • Create and execute project work plans and revise as appropriate to meet changing needs and requirements • Develop multiple full-scale project plans and associated communication documents identifying needed resources and assigning/ tracking individual responsibilities • Create and maintain project status documents and hold regular status meetings with the project team • Motivate team to work together in the most efficient manner, keeping track of lessons learned and sharing those lessons with team members • Effectively define, document, and apply Cotiviti methodology and enforce project standards • Ensure project documents are complete, current, and stored appropriately • Prepare for engagement reviews and quality assurance procedures • Minimize company exposure and risk on project and identify opportunities for improvement • Make constructive suggestions for change