INTRODUCTION

Cotiviti is a leading analytics and technology company in the healthcare industry, providing solutions that help health plans and providers improve payment accuracy, risk adjustment, quality, and clinical outcomes. Our payment accuracy platform processes over $800 billion in claims annually, serving more than 30 of the top health plans in the United States.

The Technical Specialist role is aligned to our Content and Enablement team within the area of Coordination of Benefits (COB).

This role is accountable to internal customers in the pursuit of implementing new and recurring projects. Manages milestone and task execution within assigned projects and internal process improvement efforts. Directly works with product managers and internal cross-functional counterparts to ensure timely and quality output of project deliverables including but not limited to documentation, data analysis, product status reporting, performance metrics, business requirements & grooming, and other operational functions. Document, organize, and share feedback (issues/risks) associated with assigned tasks via applicable project management software and reporting mechanisms. Project management rigor and best practices application of process excellence, as well as questioning previously established processes and providing creative solutions to achieve time/cost savings, will be of paramount importance in succeeding in this role.

Responsibilities

• Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep.
• Investigates and responds to questions for assigned projects.
• Contributes and collaborates to generate project status updates.
• Monitors quality of product usage post-implementation and proactively partners with Business Operations, Research & Development (R&D), and steering committee members on observations relating to success of implementation.
• Interacts directly with internal stakeholders via calls and meetings, documents meeting notes and action items and follows up accordingly to ensure project objectives remain on task.
• Identifies unmet business needs and/or requirements and works collaboratively with Senior Technical Specialist, Team Leads and Managers to investigate process improvement opportunities.
• Completes all responsibilities and tasks as outlined and in conjunction with our department goals.
• Completes all responsibilities as outlined in the annual performance review and/or goal setting.
• 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 the requirements of the job change.

BASIC QUALIFICATIONS

• High School Diploma Required.
• B.S., B.A, or advanced degree in business or related field, or equivalent experience (Preferred).
• Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry.
• Proven ability to handle stressful situations, multiple tasks, and deadline pressures.
• Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required.
• Process improvement skill set required.
• Excellent oral, written, and technical skills are required.
• Excellent organization skills, with ability to track multiple projects simultaneously.
• Strong interpersonal and cross-functional skills required.
• Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.
• Strong technical skills, with proven track-record of working across multiple technology platforms.
• Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred.
• 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.
• At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

MENTAL REQUIREMENTS:

• Troubleshooting: The ability to diagnose and solve complex technical issues, often under pressure. Technical Specialists must quickly identify the root cause of problems and find effective solutions.
• Critical Thinking: Specialists are expected to assess a situation, evaluate possible solutions, and make decisions based on logic and data analysis, rather than assumptions or intuition.
• Complex Analysis: Some technical problems require the specialist to break down complicated systems or data into manageable parts to analyze and understand them.
• Industry-Specific Knowledge: A deep understanding of the specific technologies, systems, or products relevant to the role. This could range from IT systems and programming languages to mechanical engineering or network architecture.
• Systems Thinking: Understanding how different components of a system interact with each other and being able to foresee how changes to one part of the system may affect others.
• Pattern Recognition: Identifying patterns in complex data or recurring problems to develop effective solutions, both in day-to-day tasks and long-term projects.
• Prioritization: The ability to determine which technical issues are the most pressing and need immediate attention versus those that can be addressed later, often in high-pressure environments.
• Empathy and Patience: In cases where the technical specialist interacts directly with customers, the ability to listen carefully, understand concerns, and provide solutions in a way that’s considerate of the customer’s needs is important.
• Clear Explanations: A mindset of simplifying complex technical issues and presenting them in a way that the customer or user can understand.

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.
• No adverse environmental conditions expected.
• 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.

COMPENSATION

• Base compensation ranges from $69,000 to $81,000 per year. 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.

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: 6/18/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/18/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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