Technical Specialist – Healthcare

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🔥 9 minutes ago

🇺🇸 United States – Remote

💵 $70k - $90k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• 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 effectively 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

🎯 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 tools such as Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS) • Experience with complex business rules: Familiarity with products like DROOLS in RedHat Decision Manager • Experience in analyzing large datasets and auditing payment inaccuracies • Ability to work independently, but also to communicate and collaborate with others to meet desired outcomes • Excellent analytical and problem-solving skills and ability to manage multiple assignments simultaneously while meeting deadlines and quality standards • Excellent organization, communication, and presentation skills • Flexible and be able to work in different shifts as per the work requirement • Strong working experience with Microsoft suite of applications (Word, Excel, PowerPoint, Visio, Outlook)

🏖️ 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