Overview The Business Analyst will be responsible for driving results by supporting the product team in their efforts to deliver new products, enhancing existing products, and implementing medium to large scale projects. Liaise with technical delivery team professionals and subject matter experts to ensure solutions meet business needs. In addition, they will support activities related to user acceptance testing for the above. Responsibilities - Work closely with the business partners to understand their business and how current and future systems may improve productivity and quality. - Conduct analysis to determine the best path for solving business problems/opportunities that may include process improvement, systems enhancement, and user training. - Apply and utilize business process modeling methods to ensure business outcome-based deliverables in a way that can be readily used as input to Product Delivery teams and executive decision-making by both line of business and IT partners. - Facilitate future-state process and visioning sessions with business partners. - Define measurable process improvement objectives, and participate in grooming features sessions. - In collaboration with Product Manager, help to define project requirements by identifying, and actively participate in the Agile Product team for implementation. - Ensure product satisfies the customer/end-user requirements by actively representing the business users in product testing and evaluation through mapping product enhancement to business process change. - Work with training development to ensure content effectively maps product capabilities to business process execution. - Develop business use cases. - Complete ad hoc research and projects as assigned. - Other duties as assigned. - 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. 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. Qualifications - Bachelor’s Degree required. - Healthcare Systems and Operations experience preferred. - 3-5 years’ experience with Business Process development. - 1-3 years’ experience in Project Management and Agile Product Development methodologies. - Experience with Smartsheet a plus. - Strong relationship-building skills and customer orientation. Proven ability to collaborate with business partners to define needs, address issues and answer questions. - Must have the ability to interact with business users in a sensitive and diplomatic manner, while challenging existing procedures and building collaboration on project goals. - Ability to translate business needs into product features. - Consistent and effective critical thinking skills required. - Strict attention to detail in actions and documentation. - Works with a sense of urgency. - Strong organizational skills (including a commitment to thorough documentation of results). - Strong written and verbal communication skills in person as well as with remote and international resources. - Professional demeanor with ability to use appropriate language, tone, style and structure in oral and written communications. - Positive and helpful demeanor in interactions with all internal/external stakeholders. - Active listening skills. - Highly skilled at handling multiple tasks simultaneously, prioritizing and meeting deadlines. - Ability to maintain strict confidentiality in all communications involving sensitive information. - Must be driven and a self-starter. - Must be flexible and willing to adapt to an ever-changing environment. - Must possess intermediate skills with MS Excel and be proficient with Microsoft Office Suite (Word, Outlook, Visio, PowerPoint). - Ability to work well independently and in a team environment. - Ability to work within a matrix organization. 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. - Must be able to work a schedule consistent with Eastern Time Zone Base compensation ranges from $76,000 to $94,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is based remotely, and all interviews will be conducted virtually. 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: 4/14/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/14/2026, 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-SL1 #junior

• Responsible for the oversight and coordination of payer audit requests, audit progress, case determinations, appeals and audit resolution within COBIUS audit database • Keeps audit activity current, moving and prevent the organization from having unnecessary financial burden for the audit process • Participates and consults with internal experts to determine response on complex cases and coordinates the appeal process • Works closely with physician advisor, software vendor or other external resources associated with this initiative • Works with internal experts on prevention strategies • Knowledge of rules and regulations as they pertain to Centers for Medicare and Medicaid Services (CMS)' government programs and non-government regulatory and enforcement agency audits for documentation and billing compliance

Job Title: Credit Risk BA About Us “Capco, a Wipro company, is a global technology and management consulting firm. Awarded with Consultancy of the year in the British Bank Award and has been ranked Top 100 Best Companies for Women in India 2022 by Avtar & Seramount. With our presence across 32 cities across globe, we support 100+ clients across banking, financial and Energy sectors. We are recognized for our deep transformation execution and delivery. WHY JOIN CAPCO? You will work on engaging projects with the largest international and local banks, insurance companies, payment service providers and other key players in the industry. The projects that will transform the financial services industry. MAKE AN IMPACT Innovative thinking, delivery excellence and thought leadership to help our clients transform their business. Together with our clients and industry partners, we deliver disruptive work that is changing energy and financial services. #BEYOURSELFATWORK Capco has a tolerant, open culture that values diversity, inclusivity, and creativity. CAREER ADVANCEMENT With no forced hierarchy at Capco, everyone has the opportunity to grow as we grow, taking their career into their own hands. DIVERSITY & INCLUSION We believe that diversity of people and perspective gives us a competitive advantage. MAKE AN IMPACT Job Title: Credit Risk BA Role Summary: Skills needed for the role: - Knowledge on Business analysis, requirements gathering and design techniques. - Knowledge in wholesale credit risk is must, including various aspects of credit & lending lifecycle, model development and deployment lifecycle including various regulatory aspects pertaining to credit risk. - Understanding of the risk and business systems typically involved, knowledge of the type of data required to build credit risk models (PD/LGD/EAD), the role of these models in managing credit risk and the key regulatory drivers for such models (e.g., Basel III) - Exposure to various regulatory requirements and guidelines such as Basel, CRR, PRA, EBA, ECB etc. - Hands on experience of working and managing credit risk rating systems, rating process, financial spreading, applicable data and control requirements, report generations. In addition to the above skills, if we can find individuals with any of the below skills, that would be an added bonus- - Exposure/experience in Automation/IT development. - Exposure/experience in Credit approvals - Exposure/experience in Data analysis.

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As an Advisor Business Analyst - Fraud, Waste & Abuse at Gainwell, you may contribute your skills as we harness the power of technology to help our clients identify and investigate healthcare fraud and abuse. You will serve as a core member of the FraudCapture product team responsible for building, maintaining and enhancing our web-based SaaS solution. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Your role in our mission Requirements & Product Development Support - Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts - Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency based upon new industry trends/schemes or client need - Define acceptance criteria and expected system behavior. Apply the test scenarios to execute User Acceptance Testing to verify that systems are functioning properly and business requirements are incorporated into the system design - Participate in post-deployment testing sessions that occur after normal business hours (Typically one Thursday evening every month) - Communicate effectively with both technical and non-technical audiences and capable of building and maintaining relationships with key stakeholders - Create and maintain organized product project plans through integrated management tools to support product development (i.e., Azure DevOps or other tools) Client Engagement & Product Solution Delivery - Utilize product knowledge combined with extensive Payment/Program Integrity subject matter expertise to lead requirement elicitation meetings with clients and stakeholders - Configure and tailor client system environments (rules, alerts, case workflows, etc.) - Deliver product demos, walkthroughs, and training as needed - Develop and maintain internal & client training documents, job aids, and product enhancements/release notes - Support daily product maintenance and client satisfaction What we're looking for - 5+ years of SME experience leading healthcare fraud and abuse detection and investigations - 2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams - Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members - Ability to clearly and concisely translate technical requirements to a non-technical audience Certification: Professional certification as a Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) is desirable. What you should expect in this role - Fully Remote from Contiguous US locations only - Video cameras must be used during all interviews, as well as during the initial week of orientation - Opportunities to travel through your work for industry training, client implementation or requirements gathering (0-10%) - Work environment is a mix of client interaction, internal teamwork and individual work - Fast-paced SaaS environment The deadline to submit applications for this posting is April 30, 2026 - #LI-HC1 - #LI-FWA - #LI-Healthcare Fraud and Abuse detection - #LI-RequirementsAnalysis The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS, a Gainwell Company. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS, a Gainwell Company, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS, A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings. HMS, a Gainwell Company, is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. HMS defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.