
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.
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $100k - $125k / year
⏰ Full Time
🟠 Senior
🔴 Lead
🧐 Business Analyst
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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.
• Gather, analyze, and document complex business requirements across prospective, concurrent, and retrospective risk adjustment workflows • Translate business needs into functional specifications, user stories, and acceptance criteria for development teams • Conduct stakeholder interviews and workshops to identify integration touchpoints, dependencies, and workflow requirements across multiple platforms • Create and maintain requirements traceability matrices and change control documentation • Analyze data structures, workflow models, and system architecture to define integration and data model requirements • Facilitate communication and validation sessions across product, engineering, legal, compliance, and operational teams • Lead cross-functional requirements review meetings and support project planning, timelines, and implementation activities • Document as-is and to-be business processes, ensuring alignment with compliance and market requirements • Develop test scenarios and support user acceptance testing to validate solutions • Complete performance-review and goal-setting responsibilities • Complete special projects and other assigned duties
• Bachelor’s degree in Business Administration, Information Systems, Healthcare Administration, or related field, plus 8 years’ related experience; or a master’s degree with 6 years’ experience; or equivalent, required • 3–5 years of experience in business analysis, ideally in healthcare technology, risk adjustment, or similar regulatory environments • Advanced certifications such as CBAP, preferred • Experience with complex system integrations, API integrations, cross-platform requirements gathering, and data mapping • Proficiency with requirements management and documentation tools such as JIRA, Azure DevOps, and Confluence; Excel and SQL basics preferred • Strong analytical and problem-solving skills with experience in process mapping, workflow documentation, and data analysis • Knowledge of healthcare data standards such as HIPAA and HL7, risk adjustment methodologies, and healthcare technology platforms/integration solutions, preferred • Exceptional communication and interpersonal skills with the ability to facilitate meetings and workshops across diverse business and technical stakeholders • Strong attention to detail, ability to work independently, and capacity to manage multiple priorities in a fast-paced environment • Solid understanding of the software development lifecycle and agile methodologies • Excellent written and verbal communication skills • Ability to provide a dedicated, secure work area • Ability to provide high-speed internet access/connectivity and office setup and maintenance • Must be able to perform duties with or without reasonable accommodation
• Discretionary bonus consideration • Medical insurance coverage • Dental insurance coverage • Vision insurance coverage • Disability insurance coverage • 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 • Dedicated, secure work area • High-speed internet access/connectivity and office setup and maintenance
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