Technical Specialist

Overview

Cotiviti focuses 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 then helping our clients discover ways they can improve efficiency and quality. In addition, Cotiviti supports the retail industry with audit and recovery services in order to increase efficiency and maximize profitability.

 

We are looking for a Technical Specialist to join the Content and Enablement group under the Payment Integrity team. This group guides development and provides support for internal software products that assist our production partners in auditing large healthcare datasets for payment inaccuracies.

 

This is a direct contributor technical role with our exclusion management product that requires strong communication skills and a working understanding of basic coding. This would include experience querying SQL or HIVE datasets in Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS). Experience with complex business rules languages such as DROOLS in RehHat Decision manager or similar products would be directly applicable to the role. Familiarity with Healthcare data and/or SAFe Agile scrum methodology is a plus.

 

Responsibilities

• Manages processes and systems related special initiative projects including but not limited to product configuration, project milestones maintenance, quality review and application testing, product benchmarking, risks and issues tracking, and other project documentation upkeep.
• Socialize rule requests to ensure understanding and accuracy prior to implementation.
• Contributes and collaborates to generates project status updates
• Authorize complex business rules utilizing Drools within RedHat decision manager; business rule validation utilizing excel and basic query in HUE, PowerBI, and SSMS.
• Interacts directly with internal stakeholders via calls and meetings, documents meeting notes and action items and follows up accordingly to ensure project objectives remain on task.
• Gathers new business rule requests from our production partners and works collaboratively with Senior Technical Specialist, Team Leads and Managers to investigate process improvement and product enhancement opportunities.
• Manages tickets in JIRA in cooperation with engineering partners to ensure timely deployment of business rule instruction sets.
• Business rule impact reporting development, distribution, maintenance, and analysis.
• Complete all responsibilities and tasks as outlined and in conjunction with our department goals.
• Complete all special projects and other duties as assigned.
• Must be able to perform duties with or without reasonable accommodation.

Qualifications

• Bachelor's degree in business or related field, or equivalent experience.
• Minimum 3-4 years Cotiviti experience or equivalent within Healthcare industry. 
• Proven ability to handle stressful situations, multiple tasks, and deadline pressures.
• Strong analytical skills with demonstrated ability to research and make decisions based on day-to-day and complex problems required.
• Process improvement skill set required.
• Excellent oral, written, and technical skills are required.
• Excellent organization skills, with ability to track multiple projects simultaneously.
• Strong interpersonal and cross-functional skills required.
• Proactive, self-motivated individual with a demonstrated ability to work well in a group setting. Must be able to perform daily functions with little supervision.
• Strong technical skills, with proven track-record of working across multiple technology platforms.
• Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook. Project management software experience, preferred.

Base compensation ranges from $57,000 to $71,500. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

 

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

 

Date of posting: 1/3/2024Applications are assessed on a rolling basis. We anticipate that the application window will close on 2/3/2024, but the application window may change depending on the volume of applications receiv