Technical Specialist – Healthcare

🔥 2 minutes ago

🇺🇸 United States – Remote

💵 $70k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

• Collaborate with the RCA - Content & Enablement Department, Implementations Team, and Audit Operations and R&D teams. • Receive business rules from various internal Cotiviti teams. • Collaborate with internal partners to clarify the intent of each rule. • Design and develop rule logic for integration into the Business Rules Management System (BRMS). • Conduct deployment and testing of rules in a test environment to verify accuracy. • Implement rules into production environments. • Communicate with operations and key stakeholders following production deployment. • Maintain and update documentation associated with each rule. • Produce impact reports and analyses. • Use tools and technology to track and report on requests. • Partner with teams across the organization to support end user needs. • Act as a liaison between the operations team and the BRMS Center of Excellence.

🎯 Requirements

• High School Diploma Required. • Bachelor’s degree in education, technical writing, communications, or related fields strongly preferred. • Equivalent experience may be considered in lieu of a degree. • Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry. • Basic coding skills; understanding of basic programming languages and ability to write and understand code in SQL, Java, or other. • Familiarity with Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS). • Familiarity with complex business rules and products like DROOLS in RedHat Decision Manager. • Experience analyzing large datasets and auditing payment inaccuracies. • Ability to work independently and communicate and collaborate with others. • Excellent analytical and problem-solving skills. • Ability to manage multiple assignments simultaneously while meeting deadlines and quality standards. • Excellent organization, communication, and presentation skills. • Flexibility to work in different shifts as required. • Strong working experience with Microsoft Word, Excel, PowerPoint, Visio, and Outlook. • 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. • At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

🏖️ Benefits

• 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 with Cotiviti • Dedicated, secure work area • High-speed internet access/connectivity and office setup and maintenance