Cotiviti

Cotiviti is one of the largest healthcare data-analytics companies serving health plans and payers. Its core business is payment accuracy (also called payment integrity): using data analytics and clinical expertise to identify improper, duplicate, or inaccurate healthcare claims before or after they are paid, which recovers substantial cost for payers. Around that it runs risk adjustment (reviewing medical records to ensure member conditions are accurately coded for programs like Medicare Advantage), quality improvement including HEDIS measurement and reporting, and consumer engagement solutions. It also serves the retail industry with recovery-audit and data-management services. Cotiviti was formed in 2014 from the merger of Connolly and iHealth Technologies, adopting the Cotiviti name in 2015, and listed on the NYSE in 2016. In 2018 it was taken private when Veritas Capital-owned Verscend Technologies acquired it for $4.16B in cash. In May 2024 the company completed a recapitalization in which KKR joined long-standing owner Veritas as an equal co-sponsor, in a transaction that valued Cotiviti at roughly $11B and ranked among the largest private-equity deals of that period. Emad Rizk, M.D. serves as chairman, president, and chief executive officer. The company is headquartered in South Jordan, Utah and employs many thousands of people across the US and international delivery centers, notably in India. For job seekers, a large share of its clinical and coding roles are US-remote.

Cotiviti hires across two broad groups. (1) Clinical and coding roles, which are where most US-remote openings sit: risk-adjustment and HCC coders, inpatient and outpatient coders, clinical validation and DRG review nurses (typically RNs), coding auditors and quality reviewers, HEDIS and quality abstractors, and clinical policy specialists. These generally require credentials such as CPC, CRC, CCS, RHIA, RHIT, or an active RN license, plus relevant payer, coding, or chart-review experience, and are commonly fully remote within the US. (2) Technology and corporate roles: software and data engineering, data science and analytics (the products are fundamentally analytics), product, security, implementation, client services, sales, finance, legal, and people operations, based around South Jordan, Utah and other hubs, with a mix of remote and hybrid. Application flow lives at cotiviti.com careers. Because the work handles protected health information, HIPAA awareness is expected and background checks plus credential verification are standard. Note that Cotiviti also operates significant delivery centers in India, so some roles are country-specific.