Content Solutions Analyst II – Genetic Testing, Laboratory SME

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🇺🇸 United States – Remote

💵 $112k - $133k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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Cotiviti

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Independently develop and enhance payment integrity rules by translating medical policy and coding guidelines into scalable rule logic • Conduct complex claims and data analysis to identify policy opportunities and rule enhancements • Collaborate with Product, Engineering, and Operations teams to support the implementation of new rules and policy enhancements • Mentor junior analysts and provide peer review support for rule development and analysis

🎯 Requirements

• Master’s degree in Genetic Counseling or related field (e.g., Molecular Genetics) • Board certification preferred (ABGC or equivalent) • 6-8+ years in genetic counseling, molecular diagnostics, and/or laboratory utilization management • Deep knowledge of CPT/HCPCS coding for lab/genetic testing • Ability to translate clinical nuance into structured, scalable rule logic

🏖️ 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