Overview Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Payment Accuracy Specialist 2. Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies across product, market, and provider types. This role is responsible for developing new and existing audit concepts, gaining client acceptance, training all Specialist levels to execute audit projects, and evaluating the effectiveness of audit concepts. Audits client data and generates high quality recoverable claims for the benefit of Cotiviti and our clients. Conducts and trains more complex audit projects with some to limited supervision. Considered a mentor, trainer, and developer of less-tenured team members. Displays a high degree of independent judgment and professional skepticism that enhances the work performed in order to achieve success in the position. Responsibilities - This individual will work under moderate supervision and will be monitored for efficiency in production and quality review of assigned work. - Utilizes Cotiviti audit tools (Recovery Management System (RMS), specific client systems) to complete auditing, review simple to medium proprietary reports, and have an expert understanding of Microsoft Excel and client applications. - Utilizes healthcare experience to perform audit procedures that include identifying and defining issues, developing criteria, reviewing, and analyzing evidence with the intent to audit medium and complex reports. Work is advanced in scope and complexity. Knowledge is applied to resolve routine issues, as necessary. The scope may include Data Mining, Claim Adjudication, Contract Compliance, Provider Billing & Duplicate Payment Reviews, Policy & Reimbursement Analysis, and Quality Assurance. - Conduct advanced, strategic analysis of paid claims, uncovering critical audit insights that drive process improvements and enhance organizational knowledge. Collaborate closely with Engineering teams to develop and optimize cutting-edge tools and reporting systems, directly impacting the company's technological evolution. - May update current reports, develop and run custom queries, and validate the accuracy of current reports used. Makes determinations based on prior knowledge and experience of client contract terms with the likelihood of recovery acceptance. - Meets or Exceeds Standards for Productivity in addition to regular and predictable attendance, maintains production goals and standards set by the audit for the auditing concept. Achieves the expected level of quality and quantity for assigned work (i.e. hit rate, claims written, vendor/project volume completion, ID and/or fees per hour). - Meets or Exceeds Standards for Quality by Achieving the expected level of quality set by the audit for the auditing concept, for valid claim identification and documentation. - Highly proficient, subject matter expert in responding to inquiries and disputes received on all claims written. Provides verification of claims validation and confirmation, in a concise written manner, utilizing facts and details for justification purposes. - Demonstrates aptitude in reviewing transaction types, client contracts/vendor agreements, and client data with limited supervision of how to identify potential over or underpayments. Makes recommendations on medical policy applications, state and federal statutes, and other reimbursement methodologies as it applies to the audit concept. - Considered a skilled resource in onboarding new hires and/or training existing staff on new concepts and processes. - Identifies New Claim Types & Concept Expansion by using proven methodologies to research and substantiate claims outside the audit concept. Enlists others internally or externally to help validate, suggest, develop, and analyze high-quality, high-value concepts and/or process improvements, tool enhancements, etc. Strong driver and voice in the development of audit concepts. - Recommends New Concepts & Processes based on experience and in-depth knowledge of client contract terms and complex claim types. Has a proven record of developing and implementing new ideas, approaches, and/or technological improvements that support and enhance audit production. Uses advanced validation methods to test and produce a desired/intended result of the new concept. Regularly collaborates with Engineering in the development of new reports and tool functionality. - Demonstrates understanding of Cotiviti policies & procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements. - Ensures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is safe, complying with industry 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 - High School Diploma - Required. - Bachelor’s degree (Preferred) and/or a minimum of at least (4 - 6) year/s related experience in healthcare. - At least 3 - 4 year/s of Cotiviti experience is recommended for individuals seeking their next opportunity internally. - Healthcare industry experience, including knowledge of claim adjustments, provider contracts, reimbursement policies and payment integrity. (strongly preferred). - Computer proficiency including Microsoft Office (Word, Excel, Outlook, Access). - Previous SQL experience strongly preferred. - Excellent verbal and written communication skills. - Strong interest in working with large data sets and various databases. - Ability to work well in an individual and team environment demonstrating self–motivation to deliver success. - 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. 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 are expected. Base compensation ranges from $29.00 to $33.00 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. 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, 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: 3/12/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 4/12/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-Remote#LI-KB1#senior

Job Title Data Analyst Location Virtual TX Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary CSI Pharmacy is seeking a Data Analyst to support and expand the organization’s analytics capabilities across pharmacy operations, HUB services, and clinical reporting. This role is responsible for designing, developing, and maintaining high- quality analytical datasets, dashboards, and KPI-driven reporting solutions that enable data-driven decision-making. The Data Analyst will work extensively within Snowflake and Sigma, partnering closely with business stakeholders and data engineering leadership to translate business questions into scalable, reliable analytics assets. This role requires a strong analytical mindset, the ability to work independently, and experience delivering production-ready reporting solutions in a modern cloud data environment. Salary Range: $80,000 - $95,000/hr (DOE) Schedule: (Remote) Monday - Friday, 8:30am - 5:00pm in your respective time zone Location: This position would ideally be located in the Plano/Dallas/Ft. Worth, Texas area; however, this is not a hard requirement Travel: Approximately once per quarter to our Plano, TX headquarters or potentially Colorado for various team get-togethers and meetings Essential Duties and Responsibilities include the following. Other duties may be assigned, as necessary. Analytics & Reporting Development: - Design, build, and maintain advanced Sigma workbooks, dashboards, and KPI-based reporting solutions for multiple business units. - Develop analytical data models, curated tables, and views in Snowflake to support enterprise reporting and ad hoc analysis. - Write and optimize complex SQL queries utilizing joins, CTEs, window functions, aggregations, and other advanced analytical constructs. - Ensure reporting solutions are performant, accurate, scalable, and aligned with business definitions. Data Analysis & Business Partnership: - Partner with stakeholders to gather requirements, clarify metrics, and translate business needs into actionable analytics solutions. - Proactively identify data gaps, inconsistencies, and opportunities for enhanced reporting or automation. - Perform independent data discovery, validation, and exploratory analysis to support operational and strategic initiatives. - Support root-cause analysis and investigative analytics related to operational performance and data quality issues. Data Quality, Documentation & Standards: - Uphold data quality standards and participate in continuous improvement of analytics processes and best practices. - Maintain clear documentation for data models, transformations, KPI definitions, and reporting logic. - Contribute to the standardization of metrics, naming conventions, and analytical methodologies across the organization. Collaboration & Growth: - Collaborate closely with the Director of Data Engineering on analytics strategy, prioritization, and solution design. - Work cross-functionally with engineering, operations, and leadership teams to ensure analytics deliverables meet organizational needs. - Serve as a mentor or knowledge resource for junior analysts as the analytics team grows. Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Advanced proficiency in SQL, including complex joins, CTEs, window functions, and performance optimization. - Strong working knowledge of Snowflake concepts such as schemas, roles, warehouses, tables, and views. - Hands-on experience with BI and analytics tools (Sigma preferred). - Demonstrated ability to translate ambiguous business questions into well-defined analytical solutions. - Strong analytical, problem-solving, and critical-thinking skills. - Excellent verbal and written communication skills, with the ability to present insights to technical and non-technical audiences. Education and/or Experience - Bachelor’s degree in Data Analytics, Computer Science, Information Systems, Mathematics, or a related field preferred. - 3–5 years of professional experience in data analytics, business intelligence, or reporting roles. - Proven experience designing analytical datasets and production dashboards in a modern cloud data environment. - Experience working with Snowflake or similar cloud data platforms strongly preferred. - Exposure to data modeling concepts and analytics engineering best practices. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. Comments This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer

Become a part of our caring community and help us put health first The Encounter Data Management Professional will report to the Senior Encounter Data Management Professional. They will develop business processes to ensure successful submission and reconciliation of encounter submissions to Medicaid/Medicare and ensure encounter submissions meet or exceed all compliance standards. They will develop tools to enhance the encounter acceptance rate by Medicaid/Medicare and look for long-term improvements of encounter submission processes. The Encounter Data Management Professional will: - Collaborate with internal operations, DHS, and IT to process Encounter Claims work for WI Market including CMS - Complete additional Encounter claims reporting for Long Term Care lines - Oversee the process to ensure CFO receives monthly encounter submission reports for contractual attestation process - Participate in State Long Term Care encounters project, to include regular meetings with DHS - Participate in Market Encounter Data Management Workgroup, including all teams involved in Encounter Data Management resolution needs (Network Development, Operations, and IT) with support of AD, BI - Participate in end to end with Encounter Data Management for WI Market - Participate in audits related to Encounter Data Management for WI Market - Be the Subject Matter Expert for Encounter Data management for all lines of business, specializing in Family Care - Navigate the ForwardHealth portal and associated systems to support encounter data management - Communicate complex encounter error resolutions to partners and team members - Help develop policies and procedures for Encounter Data Management for WI Market - Work schedule will be Monday-Friday 8:00am – 5:00pm CST Use your skills to make an impact Required Qualifications - 1 or more years of related experience - Prior financial reporting experience - Strong analysis, critical thinking, and analytical problem-solving skills - Comprehensive knowledge of all Microsoft Office applications, including Word, PowerPoint, Outlook, and Excel Preferred Qualifications - Bachelor's degree in Business, Finance, Accounting, Operations or other related fields - Prior health insurance industry experience - Working knowledge of Microsoft SQL or SAS Additional Information WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Applicants for this job have the flexibility to work remote from home. Candidate must live in Eastern or Central Time Zone. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. This role will require the applicant to use advanced analytics and apply statistical rigor to member and claims data to evaluate the impact of internal clinical programs, provider engagements, and health services research to derive data-driven insights of these initiatives on healthcare spending, healthcare utilization, and clinical outcomes. - Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. - Support execution of large-scale projects with limited direction from leadership. - Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customer. - Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines. - Support the design, testing, and implementation of process enhancements and identify opportunities for automation. - Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners. - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 0-2 years of experience in working with large databases, data verification, and data management. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience with emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $56,200.00 - $101,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act