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About Cotiviti

Cotiviti is a healthcare analytics company that specializes in providing intelligent solutions for various healthcare providers, payers, and value-based care initiatives.

Python Developer

Hyderabad

4 - 7 years

INR 15.0 - 30.0 Lacs P.A.

Hybrid

Full Time

Software Engineer Python Developer Basic Qualifications Bachelors degree in relevant discipline (Computer Science, Engineering, IT, Information Systems or a related field, or equivalent experience) Bachelors degree in computer science, Engineering, or related field. 4+ years of professional experience as a Python Developer or Software Engineer. 1+ year of experience or strong exposure with cloud computing platforms, particularly AWS Strong proficiency in Python programming language and related frameworks/libraries. Experience with machine learning techniques and frameworks (e.g., TensorFlow, PyTorch, scikit-learn). Familiarity with AWS services such as EC2, S3, Lambda, SageMaker, Comprehend and CloudFormation. Solid understanding of software engineering principles, algorithms, and data structures. Excellent problem-solving skills and ability to work in a fast-paced environment. Strong communication and collaboration skills, with the ability to work effectively in a team environment. Roles & Responsibilities: Collaborate with cross-functional teams to define machine learning requirements and develop scalable solutions. Design and implement machine learning models and algorithms using Python libraries such as TensorFlow, PyTorch, or scikit-learn. Develop and maintain data processing pipelines for feature engineering, model training, and evaluation. Deploy machine learning models into production environments on AWS cloud infrastructure. Utilize AWS services such as EC2, S3, Lambda, and SageMaker to build and deploy scalable solutions. Implement monitoring and logging mechanisms to track model performance and system health. Optimize machine learning workflows for performance, scalability, and cost-effectiveness. Stay updated on the latest advancements in machine learning techniques, AWS services, and best practices. Participate in code reviews, pair programming, and knowledge-sharing sessions with team members. Nice to have: US Healthcare knowledge is an advantage. Experience with containerization technologies such as Docker and Kubernetes. Knowledge of DevOps practices and tools for CI/CD automation. Familiarity with SQL databases and big data technologies (e.g., Hadoop, Apache Spark).

Python Developer

Hyderabad

5 - 8 years

INR 18.0 - 22.5 Lacs P.A.

Work from Office

Full Time

Cotiviti Hyderabad is looking for Senior Software engineers for one of its product steam Python based application suite , APIs, and backend systems The purpose of this position is to work independently to build and integrate several robust, fault-tolerant backend services and frontend for information processing requirements to payment accuracy products. This includes collaboration in requirements definition, prototyping, design, coding, testing and deployment. Person in this position would exhibit the following behaviours: Develops and maintains positive working relationships with others Shares ideas and information Assists colleagues unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated driven to achieve results Keeps pace with change acquires knowledge/skills as the business evolves Handles confidential information with sensitivity Constantly improves domain knowledge and applies to the project. JOB RESPONSIBILITIES Develop and maintain web applications, APIs, and backend systems using Python. Write reusable, testable, and efficient code. Collaborate with cross-functional teams to define, design, and ship new features. Participate in the full software development lifecycle, including coding, testing, and deployment. Troubleshoot and debug software issues. Optimize applications for maximum speed and scalability. Write unit tests and documentation for developed code. Ensure the performance, quality, and responsiveness of applications. Responsible for handling the Security Vulnerabilities within Python Framework. Requirements: Strong experience with Python and related frameworks (e.g., Django, Flask, FastAPI, OpenAI, RAG ). Familiarity with front-end technologies like HTML, CSS and JavaScript (if relevant). Familiarity with back-end technologies like Java, J2EE and Spring framework (if relevant). Experience with database management systems such as Oracle, MySQL, Vector DB or MongoDB. Knowledge of version control tools with awareness of the branching strategy like Git. Understanding of RESTful APIs and web services. Ability to write clean, efficient, and maintainable code. Strong problem-solving and debugging skills. Experience with cloud platforms like AWS, GCP, OCI or Azure (preferred but not required). Knowledge of containerization technologies such as Docker (a plus). Familiarity with testing frameworks like PyTest, UnitTest, or others. Excellent communication and collaboration skills. Preferred Qualifications: Experience with machine learning frameworks like TensorFlow, PyTorch, or Scikit-learn. Experience working in Agile environments. Knowledge of CI/CD pipelines and tools like Jenkins, CircleCI, or GitLab CI. Good To Have: Knowledge of SAFe (Scaled Agile Framework) or any other agile framework Exposure to business process workflow analysis such as JBPM, experience preferred. MogoDB, Microservices, Docker based development/deployments, Exposure to CI/CD Exposure to rule engines such as drools. SKILLS & COMPETENCIES: Excellent verbal and written communication skills Strong organizational skills and adaptability to rapidly changing priorities and workloads Ability to work well independently and maintain focus in a highly dynamic work environment. Comfort in working with team members that are remote and located in the US, India or other geographies

Qa Engineer

Hyderabad

6 - 9 years

INR 8.0 - 14.0 Lacs P.A.

Hybrid

Full Time

Job description Experience: - 6+ Years as Security Administrator & Information Security Domain. Tools: - Splunk, Hyper soar, Open-Source Technologies, DLP & Cloud security Preferred Skill Set: - 1. Deploy, configure, and maintain open-source security tools 2. Experience with scripting languages such as Python or Bash. 3. Knowledge of IT infrastructure, networking, and security principles. 4. Experience with other monitoring and logging tools. 5. Understanding of cloud environments and integrations with Splunk. Roles And Responsibilities: - Install, configure, and maintain Splunk environments, including indexers, search heads, forwarders, and deployment servers. Monitor the health and performance of Splunk components and take proactive measures to ensure high availability and reliability. Plan and execute upgrades and patches to the Splunk environment. Onboard data from various sources, including logs, metrics, and events, ensuring data integrity and proper indexing. Create and manage data inputs, parsing rules, and data transformations. Implement and maintain data retention and archiving policies. Develop detection rules to support our SOCs alerting and response capabilities. Provide expert analytic investigative support to analysts for complex security incidents. Review security controls measures, identify gaps in the security architecture, and implement improvements or enhancements as needed. Deploy, configure, and maintain open-source security tools such as Snort, OSSEC, Suricata, OpenVAS, Zeek, Metasploit, and others. Train and mentor junior team members on the use and administration of open-source security tools. Collaborate with IT and development teams to integrate security tools into the overall security architecture and workflows. Design, implement, and manage security measures for cloud environments (e.g., AWS, Azure, Google Cloud). Configure and manage cloud security tools and services, such as firewalls, intrusion detection/prevention systems, and security information and event management (SIEM) systems. Develop and enforce DLP policies and rules to prevent data breaches and unauthorized data transfers. Customize DLP policies to meet the organization’s specific needs and regulatory requirements. Conduct regular reviews and updates of DLP policies in response to evolving threats and business changes. Soft Skills: Excellent problem-solving and analytical skills. Strong communication and interpersonal skills. Ability to work independently and as part of a team. Attention to detail and a proactive approach to security issues. Certification: Splunk Administrator , CEH, CCSP, CISSP

Information Security Engineer

Hyderabad, Pune

4 - 8 years

INR 8.0 - 15.0 Lacs P.A.

Hybrid

Full Time

Security Systems Engineer Job description Experience: - 6+ Years as Security Administrator & Information Security Domain. Tools: - Splunk, Hyper soar, Open-Source Technologies, DLP & Cloud security Preferred Skill Set: - 1. Deploy, configure, and maintain open-source security tools 2. Experience with scripting languages such as Python or Bash. 3. Knowledge of IT infrastructure, networking, and security principles. 4. Experience with other monitoring and logging tools. 5. Understanding of cloud environments and integrations with Splunk. Roles And Responsibilities: - Install, configure, and maintain Splunk environments, including indexers, search heads, forwarders, and deployment servers. Monitor the health and performance of Splunk components and take proactive measures to ensure high availability and reliability. Plan and execute upgrades and patches to the Splunk environment. Onboard data from various sources, including logs, metrics, and events, ensuring data integrity and proper indexing. Create and manage data inputs, parsing rules, and data transformations. Implement and maintain data retention and archiving policies. Develop detection rules to support our SOCs alerting and response capabilities. Provide expert analytic investigative support to analysts for complex security incidents. Review security controls measures, identify gaps in the security architecture, and implement improvements or enhancements as needed. Deploy, configure, and maintain open-source security tools such as Snort, OSSEC, Suricata, OpenVAS, Zeek, Metasploit, and others. Train and mentor junior team members on the use and administration of open-source security tools. Collaborate with IT and development teams to integrate security tools into the overall security architecture and workflows. Design, implement, and manage security measures for cloud environments (e.g., AWS, Azure, Google Cloud). Configure and manage cloud security tools and services, such as firewalls, intrusion detection/prevention systems, and security information and event management (SIEM) systems. Develop and enforce DLP policies and rules to prevent data breaches and unauthorized data transfers. Customize DLP policies to meet the organization’s specific needs and regulatory requirements. Conduct regular reviews and updates of DLP policies in response to evolving threats and business changes. Soft Skills: Excellent problem-solving and analytical skills. Strong communication and interpersonal skills. Ability to work independently and as part of a team. Attention to detail and a proactive approach to security issues. Certification: Splunk Administrator , CEH, CCSP, CISSP

Storage Administrator

Hyderabad

5 - 8 years

INR 9.0 - 15.0 Lacs P.A.

Hybrid

Full Time

POSITION DESCRIPTION JOB TITLE: Storage Administrator DEPARTMENT: IT Infrastructure JOB RESPONSIBILITIES Perform all aspects of SAN administration including planning, installation, upgrading, patching, tuning, support, and troubleshooting. Assist in the architecture of storage arrays to provide a highly scalable, highly available SAN structure which provides storage for in-house applications. Work closely with application development teams and systems administration to test, troubleshoot, and optimize new and existing database-driven applications. Monitor production, test, and development database environments and actively pursue any issues limiting the performance and scalability of these systems. Effectively and professionally interact with customers, clients and Verscend employees. Must be willing to carry a cell phone, be on-call and occasionally work odd hours to help meet customer service level agreements. Completes all responsibilities as outlined on annual Performance Plan. Completes all special projects and other duties as assigned. Must be able to perform duties with or without reasonable accommodation. ATTRIBUTES AND BEHAVIOR Develops and maintains positive working relationships with others Shares ideas and information Assists colleagues unprompted Takes pride in the achievement of team objectives Has credibility with peers and senior managers Self-motivated driven to achieve results Works with a sense of urgency High customer service ethic – is passionate about meeting customer expectations and improving service levels Keeps pace with change – acquires knowledge/skills as the business evolves Handles confidential information with sensitivity Exhibits behaviors consistent with Cotiviti Values Customer-driven | Collaborative | Open | Accountable RELEVANT EXPERIENCE & EDUCATIONAL REQUIREMENTS Bachelor’s degree in Computer Science or Information Systems, and 5+ years of related work experience. Extensive experience in several of the following areas: O SAN – HDS (VSP, HUS), EMC (ScaleIO, XtremeIO), Nimble, Pure O NAS – HDS HNAS, EMC Isilon, Oracle ZFS, TrueNAS O Replication technologies, Brocade FCIP, EMC SRDF, HDS HUR, EMC RecoverPoint. O SAN Fabric administration and maintenance (Brocade, Cisco MDS) O Backup technologies including CommVault, Rubrik, Veritas, Networker, Data Domain O Multipathing (MPIO) technologies on various platforms (Windows/Linux/Solaris). Knowledge of database technologies, including MSSQL, Oracle 11g RAC, ASM, RMAN, and experience supporting enterprise database applications. Understand virtualization technologies, VMware, Citrix and OpenStack is a plus. Strong communication and problem-solving skills. Dedication to work and willingness to work hard under pressure in a team environment. SKILLS & COMPETENCIES Excellent verbal and written communication skills Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to work well independently and maintain focus in a highly dynamic work environment. Comfort in working with team members that are remote and located in the US, India or other geographies Ability to work within a matrix organization JOB DEMANDS Flexible schedule to work evenings and weekends, as needed Ability to work seated at a computer for long periods of time DISCLAIMER This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Job opportunity at Cotiviti For Clinical Doctors For Clinical Analyst

Pune

0 - 2 years

INR 1.5 - 6.0 Lacs P.A.

Work from Office

Full Time

Walk-in Date : 24-May-25 Time : 9:00 AM to 2:00 PM Address : COTIVITI INDIA PRIVATE LIMITED Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune - 411006. Job openings at Cotiviti for Clinical Doctors (BAMS/ BHMS/ BPT/ MBBS) for the role of Clinical Analyst. Eligibility Criteria: Qualification - BHMS, BAMS, MBBS, BPT (BDS not eligible) Candidates with prior US Healthcare/ Clinical experience preferred. Good clinical knowledge & experience working in Hospitals (bed side) will be preferred. Non-certified Physicians can apply Good communication skills Must be willing to work in flexible shifts Immediate joiners preferred If the above profile matches your expertise, you can Walk-in for the interview. Pls refer to the above Walk-in details. About Cotiviti: Cotiviti is a leading healthcare solutions and analytics company headquartered in the United States, with more than 10,000 employees in offices across the U.S., Canada, Australia, India, Philippines & Mexico. Cotiviti has been in business for more than two decades (including predecessor companies), and our solutions have been well proven and tested. Our clients are primarily health insurance companies, including U.S. government payers, although healthcare providers, employers, and insurance brokers also use our solutions. In fact, we support almost every major health plan in the U.S. and more than 180 healthcare payers in total. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and helping our clients discover ways they can improve efficiency and quality. In addition to healthcare, we support the largest and most influential retailers in the industry, including mass merchandisers, across the U.S., Canada, United Kingdom, Europe and Latin America. Our data management recovery audit services have helped them save hundreds of millions of dollars. Thanks & Regards, Kirti Golwalkar Talent Acquisition Team - Cotiviti

Implementation Consultant

India

0 years

Not disclosed

On-site

Full Time

Overview Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new client-specific requirements, development, and deployment. The role involves client coordination and communication as well as a high technical understanding of Edifecs/Cotiviti solutions as well as the transactions that flow through this position. Responsibilities Coordinate and communicate with the client post-sale to develop an implementation plan for implementing and configuring a purchased Edifecs/Cotiviti solution based upon a client’s individual needs. Collaborate with the Edifecs/Cotiviti Implementation Architect / Technical Project Manager to formulate the architecture, implementation strategy/schedule and operational plan. Install, upgrade and configure Edifecs/Cotiviti products at client site. Integrate Edifecs/Cotiviti products with other software assets/processes at customer site. Coordinate with other Client Services, Product and Development team members to meet development and configuration milestones, being able to develop guidelines, programs, tasks, reports, etc. to meet the client’s requirements. Provide post- implementation support during the transition from implementation to maintenance. Provide software and client specific training, and develop training documentation based on present standards and client needs. Mentor and train internal teams upon Edifecs/Cotiviti products and customer custom components Work with customer as a SME upon purchased Edifecs/Cotiviti products and solutions Strong written and verbal presentation skills required. Must be comfortable interacting with clients technical teams. Must be able to manage or participate in the testing and release cycle tasks for deployment of Edifecs/Cotiviti products and services at client sites. Must be able to create detailed user and operational documentation to support the deployment of products and services at client sites. Must be comfortable delivering technical training at customer sites as part of the customer's software release and deployment cycle. Excellent communications, presentation and interpersonal skills. Should be flexible to work in rotational night shifts. Qualifications Understanding of Application Integration/ Enterprise Application Integration "Working experience on middleware tools - JCAPS, Web method, WMBI, AquaLogic etc. OR have worked on OR have the understanding of other messaging engines - IBM MQ, Active MQ etc." Exposure to Integration Design Patterns Good understanding of any of the different message formats like XML, STX, EDI, EDIFACT, ISO, ACORD, HL7, IHE etc. Good working knowledge and experience with Java programming, Java Script, XML, HTML and some scripting knowledge including Perl scripts Familiarity with Oracle and/or SQL Server as database from an application perspective connection string, SQL scripts, JDBC, and general trouble shooting. Good understanding of Application Server Experience with - Technical requirements document, process flow diagrams, and deployment and user operations guides Develop technical Design Release management Good Understanding of healthcare (Payer/Provider) Understanding of EDI transactions (preferably HIPAA) Good process orientation and understanding of product implementation space. Good Communication Skills Trouble shooting and Analytical skills Project scope, estimation and change management Knowledge of Implementation methodology of any product or solution Experience in technical training (internal/ external) Good team player Show more Show less

Senior Implementation Consultant

India

0 years

Not disclosed

On-site

Full Time

Overview Sr. Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. The Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new client-specific requirements, development, and deployment. The role involves client coordination and communication as well as a high technical understanding of Edifecs/Cotiviti solutions as well as the transactions that flow through this position. Responsibilities Coordinate and communicate with the client post-sale to develop an implementation plan for implementing and configuring a purchased Edifecs/Cotiviti solution based upon a client’s individual needs. Collaborate with the Edifecs/Cotiviti Implementation Architect / Technical Project Manager to formulate the architecture, implementation strategy/schedule and operational plan. Install, upgrade and configure Edifecs/Cotiviti products at client site. Integrate Edifecs/Cotiviti products with other software assets/processes at customer site. Coordinate with other Client Services, Product and Development team members to meet development and configuration milestones, being able to develop guidelines, programs, tasks, reports, etc. to meet the client’s requirements. Provide post- implementation support during the transition from implementation to maintenance. Provide software and client specific training, and develop training documentation based on present standards and client needs. Mentor and train internal teams upon Edifecs/Cotiviti products and customer custom components Work with customer as a SME upon purchased Edifecs/Cotiviti products and solutions Strong written and verbal presentation skills required. Must be comfortable interacting with client’s technical teams. Must be able to manage or participate in the testing and release cycle tasks for deployment of Edifecs/Cotiviti products and services at client sites. Must be able to create detailed user and operational documentation to support the deployment of products and services at client sites. Must be comfortable delivering technical training at customer sites as part of the customer's software release and deployment cycle. Excellent communications, presentation, and interpersonal skills. Should be flexible to work in rotational shifts. Qualifications Understanding of Application Integration/ Enterprise Application Integration. "Working experience on middleware tools - JCAPS, Web method, WMBI, AquaLogic etc. OR have worked on OR understand other messaging engines - IBM MQ, Active MQ etc." Exposure to Integration Design Patterns. Good understanding of any of the different message format like XML, STX, EDI, EDIFACT, ISO, ACORD, HL7, IHE etc. Good working knowledge and experience with Java programming, Java Script, XML, HTML. and some scripting knowledge including Perl scripts. Familiarity with Oracle and/or SQL Server as database from an application perspective. connection string, SQL scripts, JDBC, and general troubleshooting. Good understanding of Application Server. Experience with - Technical requirements documents, process flow diagrams, and. deployment and user operations guides. Develop technical Design. Release management. Good Understanding of healthcare (Payer/Provider). Understanding of EDI transactions (preferably HIPAA). Good process orientation and understanding of product implementation space. Good Communication Skills. Trouble shooting and Analytical skills. Project scope, estimation and change management. Knowledge of Implementation methodology of any product or solution. Experience in technical training (internal/ external.) Good team player. Show more Show less

Senior Software Engineer

India

0 years

Not disclosed

On-site

Full Time

Overview Sr. Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintaining innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new components, as well as develop new components. Successful candidate must have strong Java knowledge, experience working with server-side web application software for functionality across multiple browser platforms. Responsibilities Participate in defining product level architecture and be responsible for designing component level architecture. Take ownership of features and components. Perform code and design reviews. Perform hands-on development and maintenance of software applications/components. Maintain and support current systems and ongoing programs. Write unit-tests as well as integration tests. Qualifications BA/BS in Information Systems, Computer Science, Engineering, or a related field required. 5+ years of hands-on coding experience in Java; preferably through several complete development cycles from specifications to software delivery. Strong knowledge of Java 17. Strong knowledge and hands on experience on Spring Framework. Experience in multi-threading programming, distributed systems, developing highly performant and scalable applications. Experience diagnosing and fixing memory and resource bottlenecks. Strong knowledge and hands on experience with any RDBMS and/or NoSQL DB. Good understanding of OAuth 2.0 authentication flows. Good Knowledge of various design and architectural patterns. Experience with JMS, Elasticsearch/OpenSearch, Kafka is a plus. Knowledge of AWS or any cloud-based platform is an added advantage. Knowledge of CI/CD is a plus. Knowledge of HTML, CSS, JavaScript and moder Able to learn quickly and effectively apply new knowledge, demonstrating the desire to stay in touch with emerging technologies. Strong analytical skills, problem-solving ability and attention to details. Experience with Agile Development & Continuous Integration. Excellent written and oral communication skills. Show more Show less

Implementation Consultant

India

0 years

Not disclosed

On-site

Full Time

Overview Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs solutions purchased by that client. The Implementation Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs products at client sites. This includes installation of products on Edifecs or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new client-specific requirements, development, and deployment. The role involves client coordination and communication as well as a high technical understanding of Edifecs solutions as well as the transactions that flow through this position. Responsibilities Coordinate and communicate with the client post-sale to develop an implementation plan for implementing and configuring a purchased Edifecs solution based upon a client’s individual needs. Collaborate with the Edifecs Implementation Architect / Technical Project Manager to formulate the architecture, implementation strategy/schedule and operational plan. Install, upgrade and configure Edifecs products at client site. Integrate Edifecs products with other software assets/processes at customer site. Coordinate with other Client Services, Product and Development team members to meet development and configuration milestones, being able to develop guidelines, programs, tasks, reports, etc. to meet the client’s requirements. Provide post- implementation support during the transition from implementation to maintenance. Provide software and client specific training, and develop training documentation based on present standards and client needs. Mentor and train internal teams upon Edifecs products and customer custom components Work with customer as a SME upon purchased Edifecs products and solutions Strong written and verbal presentation skills required. Must be comfortable interacting with clients technical teams. Must be able to manage or participate in the testing and release cycle tasks for deployment of Edifecs products and services at client sites. Must be able to create detailed user and operational documentation to support the deployment of products and services at client sites. Must be comfortable delivering technical training at customer sites as part of the customer's software release and deployment cycle. Excellent communications, presentation and interpersonal skills. Should be flexible to work in rotational night shifts. Qualifications Understanding of Application Integration/ Enterprise Application Integration "Working experience on middleware tools - JCAPS, Web method, WMBI, AquaLogic etc. OR have worked on OR have the understanding of other messaging engines - IBM MQ, Active MQ etc." Exposure to Integration Design Patterns Good understanding of any of the different message formats like XML, STX, EDI, EDIFACT, ISO, ACORD, HL7, IHE etc. Good working knowledge and experience with Java programming, Java Script, XML, HTML and some scripting knowledge including Perl scripts Familiarity with Oracle and/or SQL Server as database from an application perspective connection string, SQL scripts, JDBC, and general trouble shooting. Good understanding of Application Server Experience with - Technical requirements document, process flow diagrams, and deployment and user operations guides Develop technical Design Release management Good Understanding of healthcare (Payer/Provider) Understanding of EDI transactions (preferably HIPAA) Good process orientation and understanding of product implementation space. Good Communication Skills Trouble shooting and Analytical skills Project scope, estimation and change management Knowledge of Implementation methodology of any product or solution Experience in technical training (internal/ external) Good team player Show more Show less

Lead Implementation Consultant

India

9 years

Not disclosed

On-site

Full Time

Overview Lead Implementation Consultant is a post-sales position that focuses on individual clients and implementing Edifecs/Cotiviti solutions purchased by that client. Consultant will generally be involved in installing, configuring, and overseeing the implementation of Edifecs/Cotiviti products at client sites. This includes installation of products on Edifecs/Cotiviti or client hardware; configuration and development of programs, tasks, and guidelines, to fully implement an Edifecs/Cotiviti solution based upon a client’s specific needs. The Implementation Consultant will be the primary Client Services technical resource and will interface with the client’s technical resources. Duties can range from delivering product training to new client-specific requirements, development, and deployment. The role involves client coordination and communication as well as a high technical understanding of Edifecs/Cotiviti solutions as well as the transactions that flow through this position. Responsibilities Coordinate and communicate with the client post-sale to develop an implementation plan for implementing and configuring a purchased Edifecs/Cotiviti solution based on a client’s individual needs. Collaborate with the Edifecs/Cotiviti Implementation Architect / Technical Project Manager to formulate the architecture, implementation strategy/schedule, and operational plan. Install, upgrade, and configure Edifecs/Cotiviti products at the client site. Integrate Edifecs/Cotiviti products with other software assets/processes at the customer site. Coordinate with other Client Services, Product, and Development team members to meet development and configuration milestones, being able to develop guidelines, programs, tasks, reports, etc. to meet the client’s requirements. Provide post-implementation support during the transition from implementation to maintenance. Provide software and client-specific training, and develop training documentation based on present standards and client needs. Mentor and train internal teams upon Edifecs/Cotiviti products and customer custom components Work with customers as an SME upon purchased Edifecs/Cotiviti products and solutions Strong written and verbal presentation skills are required. Must be comfortable interacting with clients’ technical teams. Must be able to manage or participate in the testing and release cycle tasks for deployment of Edifecs/Cotiviti products and services at client sites. Must be able to create detailed user and operational documentation to support the deployment of products and services at client sites. Must be comfortable delivering technical training at customer sites as part of the customer's software release and deployment cycle. Excellent communication, presentation, and interpersonal skills. Qualifications 9+ years’ applicable experience with a Minimum of 5 years of EDI and US Healthcare domain. Understanding of Application Integration/ Enterprise Application Integration "Working experience on middleware tools - JCAPS, Web method, WMBI, Aqua Logic etc. OR have worked on/ understand other messaging engines - IBM MQ, Active MQ etc." Exposure to Integration Design Patterns Good understanding of any of the different message formats like XML, STX, EDI, EDIFACT, ISO, ACORD, HL7, IHE, etc. Good working knowledge and experience with Java programming, Java Script, XML, HTML, and some scripting knowledge including Perl scripts Familiarity with Oracle and/or SQL Server as the database from an application perspective connection strings, SQL scripts, JDBC, and general troubleshooting. Good understanding of Application Server Experience with - Technical requirements documents, process flow diagrams, and deployment and user operations guide Develop technical Design Release management Good Understanding of healthcare (Payer/Provider) Understanding of EDI transactions (preferably HIPAA) Good process orientation and understanding of product implementation space. Good Communication Skills Troubleshooting and Analytical skills Project scope, estimation, and change management Knowledge of the Implementation methodology of any product or solution Experience in technical training (internal/ external) Working Knowledge on Edifecs/Cotiviti Product (Good to have) Show more Show less

Hiring Clinical Investigator For Mohali location

Mohali

2 - 7 years

INR 3.0 - 8.0 Lacs P.A.

Work from Office

Full Time

Hiring Clinical Investigator for Mohali location ! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Hiring Clinical Doctors For Medical coding role in Mohali

Mohali

1 - 6 years

INR 1.0 - 6.0 Lacs P.A.

Work from Office

Full Time

Hiring Clinical Doctors for Medical coding role in Mohali !! Eligibility Criteria: Education BHMS,BAMS,MBBS,BPT Candidates with prior US Healthcare or Clinical experience will be preferred. Fresher Physicians can also apply with good clinical knowledge. Noncertified Physicians can apply however should be ready to complete the same within specified timeline. (CPC/CIC) Good communication skills. Candidates with corporate experience will be preferred. Immediate joiners preferred. Should be ready to work from office. Should be ready to work in night shift. Job Location - Mohali Interested candidates can share resume - Jitendra.pandey@cotiviti.com Regards, Jitendra 7350534498

Specialist - Payment Accuracy

Pune

1 - 6 years

INR 2.0 - 6.0 Lacs P.A.

Work from Office

Full Time

Walk-In Drive on 7th June 2025 at Cotiviti -Pune for Healthcare Audit Walk-In Date: 7-June-2025 (Saturday) Time 9:00 Am 1:00 Pm Venue: Cotiviti India Pvt Ltd Plot C, Podium Floor, Binarius/Deepak Complex, Opposite Golf Course, Yerwada, Pune- 411006. We are hiring for the Healthcare Data Audit process at Cotiviti. Please refer to the information below and required skill set for the same. POSITION SUMMARY: Specialist Payment Accuracy position is an entry level position responsible for auditing client data and validating claim accuracy. Communicates audit recommendations and outcomes to supervisory auditor for evaluation, verification and continuous learning. POSITION REQUIREMENTS: Graduation mandatory. Excellent communication skills. US Healthcare experience is preferred. Computer proficiency in Microsoft Office (Word, Excel, Outlook); Access preferred Strong interest in working with large data sets and various databases Must be flexible working in fixed/rotational shifts Immediate joiners preferred Good energy and Positive attitude Long Term Career Orientation If the above profile interests you then please walk-in for the interview. Please refer to the above mentioned walk-in details. Please bring your updated Resume along with an ID Proof. Best regards, Atish Chintalwar Senior Executive Human Resource COTIVITI About Cotiviti: Cotiviti is a leading healthcare solutions and analytics company headquartered in the United States, with more than 10000 employees in offices across the U U.S., Canada, Australia, India, Nepal, Philippines & Mexico. Cotiviti has been in business for more than two decades (including predecessor companies), and our solutions have been well proven and tested. Our clients are primarily health insurance companies, including U.S. government payers, although healthcare providers, employers, and insurance brokers also use our solutions. In fact, we support almost every major health plan in the U.S. and more than 180 healthcare payers in total. We focus on improving the financial and quality performance of our clients. In healthcare, this means taking in billions of clinical and financial data points, analyzing them, and helping our clients discover ways they can improve efficiency and quality. In addition to healthcare, we support the largest and most influential retailers in the industry, including mass merchandisers, across the U.S., Canada, United Kingdom, Europe and Latin America. Our data management recovery audit services have helped them save hundreds of millions of dollars.

Manager Managed Services

India

10 years

Not disclosed

On-site

Full Time

Overview Edifecs/Cotiviti is a leading healthcare technology company with the mission to improve healthcare outcomes, reduce costs and accelerate innovation. We empower healthcare organizations to scale the partnerships required by payment, care delivery and access reform initiatives that are redefining the healthcare industry . We lead the industry in the breadth and depth of how we support our customers—by becoming an extension of their internal team. Helping our customers deliver world-class care and service is the Professional Services Team. Edifecs/Cotiviti is seeking a Manager for the Managed Services practice, who will assist the clients in using the Edifecs/Cotiviti software effectively post implementation to be successful . Responsibilities Lead the SaaS maintenance and operations of one of the Edifecs/Cotiviti products from India providing 24x7 services to Edifecs/Cotiviti Clients. Manage customer escalations by defining an action plan, identify the appropriate resources and handle internal and external communications. Hire, mentor and develop Managed Services team. Work with the Customer Account management team to provide appropriate level of attention and service to high priority accounts. Ensure appropriate operational planning is effectively executed to meet client and Edifecs/Cotiviti requirements. Effectively manage people in managed services team and customers. Build strong relationships with client managers. Engage & educate client managers on the products and solutions provided by Edifecs/Cotiviti. Gather and explain the client needs to other team members in Product and Engineering to enhance the Edifecs/Cotiviti software to improve the overall satisfaction of the client. Plan and prioritize application maintenance including deployment of application patches and application upgrades in Edifecs/Cotiviti Cloud. Develop/ improve processes to monitor the health of the Edifecs/Cotiviti application in a SaaS model and take necessary actions to fix the issues in a timely manner to meet the uptime SLAs of the customers. Identify and solve problems without assistance and guidance. Understand and applying company policies and procedures. Manage projects related to migration of client implementations to containerized version. Manage multiple clients on AWS and provide technical support to team members. Identify process flows that can be automated to reduce manual intervention and implement the automation as per timelines decided. Qualifications BA/BS degree in Computer Science or equivalent 10+ years’ experience in techno – functional & commercial role 3+ years’ experience in multidimensional issue resolution 3+ years project management experience Understanding of US Healthcare Knowledge on HIPAA transactions Experience in maintaining applications in AWS/ Azure Demonstrated ability to lead a team Ability to build strong relationship across the clients team and within Edifecs/Cotiviti Ability to manage multiple clients in a hosted setup Demonstrated ability to participate in change management Ability to work under pressure without getting flustered Demonstrated ability to understand and apply company policies and procedures. Strong analytical, prioritization and collaboration skills in partnering with other internal groups Ability to communicate effectively and build rapport with team members and clients. Show more Show less

Software Engineer -Backend

India

3 years

Not disclosed

On-site

Full Time

Overview The Software Engineer is an integral part of our engineering team, responsible for design, implementation, testing and maintaining of innovative software products. The successful candidate must be able to quickly learn the existing systems and components, actively participate in expanding the current systems with new functionality, as well as develop new components using big data and other emerging technologies. We are looking for people who have strong knowledge of Java frameworks, experience in developing server-side and/or client-side web application components . Responsibilities Participate in defining product level architecture and be responsible for designing component level architecture. Take ownership of features and components. Utilize test-driven development approach to deliver commercial quality code. Perform code and design reviews . Perform hands-on development and maintenance of software applications/components. Maintain and support current systems and ongoing programs. Qualifications BA/BS in Information Systems, Computer Science, Engineering, or a related field required. 3+ years of hands-on coding experience in Java; preferably through several complete development cycles from specifications to software delivery. Knowledge of J2EE Application Servers and Java-related technologies (Servlets, JSP, JDBC, Hibernate) . Experience working with relational databases and SQL . Experience working with distributed web applications and multi-threaded systems . Experience working with build tools like maven or gradle . Able to learn quickly and effectively apply new knowledge, demonstrating the desire to stay in touch with emerging technologies. Must be a disciplined adherent of proper software development procedures and documentation. Must be able to work well in a diverse team environment. Ability to work independently with minimum guidance. Experience with Agile Development & Continuous Integration is a plus. Experience with Enterprise Integration patterns is a plus. Show more Show less

Associate Software Engineer

India

0 years

Not disclosed

On-site

Full Time

Overview Associate Software Engineer is an integral part of our engineering team, mentored by more senior team members and assisting in design, development, and implementation of our innovative products and services, taking on more responsibility as the experience grows. The successful candidate must be a technical individual with an urge to learn and explore new technologies. Should have the ability to receive/absorb directions and work independently. Responsibilities Assist in design, coding and testing of software components and services. Assist in defect analysis and debugging. Perform build, package and deployment activities in development environments. Completion of all necessary software and non-software deliverables in defined timescale Design. Utilize test-driven development approach to deliver commercial quality code. Learn a lot. Qualifications BA/BS in Information Systems, Computer Science, Engineering, or a related field required; MS degree preferred. Demonstrate the ability to work independently and manage multiple tasks. Good knowledge of Object-Oriented Programming concepts & Functional Programming. Knowledge of Java technologies and databases. Excellent problem solving abilities. Strong analytical skills, problem-solving ability and attention to details. Able to learn quickly and effectively apply the new knowledge. Show more Show less

Support Engineer

India

3 - 4 years

Not disclosed

On-site

Full Time

Overview Edifecs/Cotiviti Support Engineers triage incoming complex cases and help customers/support team mates troubleshoot technical/functional problems they face. The ideal candidate is a quick and motivated learner, has the ability to handle interruptions/pressures while fluidly switching between several Products from support perspective, has strong customer service skills, and strong analytical aptitude. Leading from front and acting like a role model for entire team specifically for SEV1/SEV2 issues along with complex and unique production issues. The position requires interaction with customers, Edifecs/Cotiviti Engineering/Sales team members and the product Management team. The role requires 70% individual contribution (Technical/Functional/Troubleshooting skills/Support Process Adherence) and 30% as technical mentoring/assisting entire team for production issues. Responsibilities Provide technical support to enterprise clients/team mates related to technical and operational aspects of the products, including complex troubleshooting, R&D, provisioning activities, etc. Collaborate with other Product Support team members and Support Management to provide quality resolutions. Deliver a consistent, responsive, and satisfying Customer Experience on each contact. Follow standard operational procedures for case management. Continuously improve troubleshooting skills, product expertise, and knowledge on related technical topics for self as well as for entire team. Meet all quality and productivity performance goals Qualifications Associates degree in a IT related program with at least 3-4 years of hardcore techno-functional support experience in a technical support center. US Healthcare product support experience is must. Strong knowledge around End-to-end US healthcare Industry business. Support experience in a HOSTED product environment will be an added advantage. Knowledge around Routes/Maps/Business Rules will be an added advantage. Having Development support experience in the past and ready to work in highly techno-functional environment. Initiative is a must; must be hungry to learn new technologies/products and evolve effective ways for troubleshooting. Must be a team player and provide technical assistance to team as and when required. Familiarity in one or more of the following is a plus: COM, VB, Jscript, Java and Perl C# or VB.Net Familiarity with XML, PFF, DFF, EDI and EDI systems or knowledge of HIPAA is mandate. Strong Knowledge of UNIX Knowledge of Databases (MS SQL, Oracle) Ability to identify and clarify problems, set goals and able to resolve issues Ability to work effectively on multiple tasks. Ability to adapt to 24*7 work environment. Strong verbal and written communication skills. Show more Show less

Associate SDET

India

0 years

Not disclosed

On-site

Full Time

Overview We are currently seeking an Associate SDET specialist to join our Team. This role involves 50% manual testing scripting and 50 % automation. Strong verbal, written communication skills and the ability to work well within a team environment are essential. We move quickly, client oriented and look for team members with excellent problem-solving techniques and the ability to make sound decisions Responsibilities Write test cases and develop reliable automated test cases. Do different types of testing: functional, UI, performance, etc. Analyze and test B2B information systems and microservice based multi-tier distributed applications based on technologies like Java, Angular etc. Raising, tracking, and re-testing defects until resolution while performing hardware testing. Analyzes test results; assists with troubleshooting and Root Cause Analysis Ensuring all tests are executed as required and results and statistics are clearly communicated in line. Work with Agile scrum team to ensure the acceptance criteria is met. Qualifications Degree in Information Systems, Computer Science, Engineering, or a related field required. Testing (manual/automation) experience. Be interested in and able to test applications thoroughly, with a strong eye for detail. Taking responsibility for own work and managing own time effectively. Must have a strong understanding of OOPs concepts. Must be a Good Team Player. Must be comfortable in working with any existing Test Automation Framework and be able to contribute towards the improvement of the Test Framework. Basic knowledge of development tools such as Eclipse, IntelliJ, Bugzilla, Maven, Jenkins and Git. Basic understanding continuous integration/development practices. Working experience with multiple operating systems (Unix/Linux) and scripting languages. Excellent communication, organizational and analytical skills to work with other developers and business administrators. Advantageous Skills Experience in using Non-Functional and Functional automation tools such as JMeter and Selenium, Spock, Docker, etc. Experience of supporting, modifying and maintaining systems and code developed by teams. Experience of working with Java, Groovy, Gradle, CI/CD tools as Jenkins and GitLab, etc. Experience of working with code repositories (e.g., Git, SVN), bug tracking tools (e.g., Jira, Bugzilla). Show more Show less

Accessiblity Specialist

India

3 - 5 years

Not disclosed

On-site

Full Time

Overview Edifecs/Cotiviti is seeking an experienced Accessibility Specialist to be part of the Experience Design team. The Accessibility Specialist will work as part of a small team on the next generation of products, tools, and platforms for IT Healthcare products. The ideal candidate will posses a blend of technical, analytical, and interpersonal skills to ensure Edifecs/Cotiviti applications and user assistance resources comply with web accessibility standards and regulations. This role requires an excellent communicator who is well-versed in explaining and implementing accessibility and disability standards, regulations, and best practices including WCAG 2.2, Section 508, WAI-ARIA, and VPAT repoprting. Responsibilities Methodically assess and report on accessibility of Edifecs/Cotiviti applications and user assistance resources. Work with QA team to ensure to integrate accessibility-related assessments into their practices. Collaborate with cross-functional teams to ensure accessibility improvements are correctly implemented. Monitor the accessibility status across Edifecs/Cotiviti product and publish reports periodically. Stay abreast of accessibility trends and standards, ensuring alignment with current best practices. Qualifications A bachelor’s or higher degree in the field of Computer Science/ User Experience Design (human-computer interaction/interaction design) or in a related field. Accessibility-related certification is preferred. 3-5 years of industry experience in quality assurance related to accessibility assessment for software products. Demonstrable knowledge of WCAG 2.2, Section 508, WAI-ARIA standards/guidelines/regulations. Familiarity with accessibility testing tools (e.g., Axe, WAVE, JAWS, NVDA). Hand-on experience performing accessibility assessments, documenting results, and following through to ensure adherence. Solid understanding of inclusive design principles and an obsessive eye for visual and interaction details. Excellent communication skills both written and verbal. Must be willing and able to proactively reach out to stakeholders and team members for collaboration and support. Show more Show less

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Healthcare Analytics

Plano

over 1,500 Employees

88 Jobs

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