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Cotiviti logo
Cotiviti

Enabling a high-quality and viable healthcare system

Content Solutions Analyst II

Business AnalystBusiness AnalystFull TimeRemoteLeadTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

73 days ago

Salary

$110K - $130K / year

Seniority

Lead

Professional Certificate8 yrs expExperience acceptedEnglish

Job Description

Content Solutions Analyst II

Cotiviti

• responsible for the research, quality assurance, and opportunity analysis associated with new medical policies • review and analysis of current medical policies • assisting in the research necessary to define additional logic and algorithms to expand the Cotiviti payment policy library • work on pharmacy claims editing policies • ability to analyze complex data and synthesize it for customer and internal consumption • effective at managing timelines and multiple projects with high accuracy and attention to detail • provide coding, claims processing and industry expertise to help create clinical coding or pharmacy claims editing policy • writing business logic for new rules and enhancements by translating industry references into Cotiviti policy • input on any new, or complex enhancements to the rule engine developers as well as system architects • ensure internal Cotiviti operational teams have a clear vision and understanding of the content solutions roadmap

Job Requirements

  • Pharmacist (BSPharm or PharmD)
  • Off-shore Medical or Pharmacy degree (MBBS or higher) AND RHIA, RHIT, CPC, CPC-H, CCS-P, SAFe, CPhT OR willingness to obtain certification within one year of employment
  • 3 years in clinical, retail or working for a payer as a pharmacist or physician
  • An additional 5 years research related to coding (CPT, HCPCS, ICD, NDC) OR a minimum of 5 years in an internal Cotiviti role (CPM, CSM, Content Analyst, etc) required
  • 5 years previous experience in detailed rule requirement gathering, rule development, and collaborating on software enhancements required
  • Strong analytical, critical thinking and problem-solving skills
  • Proficiency in Microsoft Office Suite
  • Excellent interpersonal, verbal and written communication skills

Benefits

  • 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

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