Qureos Mentor

Cotiviti

<div>Overview:
<div>
The Sr. Director is responsible for ensuring the day-to-day operational engine of Health Enablement runs seamlessly, predictably and at scale. This role serves as a run the business operator across delivery, vendors, sales support and contracting. This role is critical in owning the matrix pieces that enable the organization to deliver on customer commitments without disruption. Working closely with Clinical and Coding Operations leadership, Client Advisory, Customer Success, Sales, Product, Legal and Vendor partners, this role translates strategy into execution, ensures operational discipline, and proactively identifies risks before they impact customers or financial performance. The is a high-autonomy, high accountability role designed to increase operational rigor and strengthen critical business functions.</div>
Responsibilities:
<ul><li>Drive cross functional coordination and execution. Act as a central orchestrator across delivery (clinical and coding services), client advisory and success, product and engineering, legal, and vendor partners. Ensure alignment, accountability, and clarity across functions. Establish clear handoffs, escalation paths, and operating rhythms.</li><li>
Build and maintain repeatable operational processes (SOP&rsquo;s, tracking mechanisms, reporting), identify inefficiencies and drive scalability improvements across teams and vendors. Improve visibility into operational metrics, risks, and performance drivers. Introduce more rigorous structure without slowing execution.</li><li>
Operational oversight, triage of risks and issue resolution, and run-the-business execution. Maintaining real-time visibility into delivery performance or risks.</li><li>
Proactively identify and resolve issues impacting customer commitments, timelines, or quality.</li><li>
Provide business unit representation as SME for RFP&rsquo;s, renewals, and client contracts. Assess operational feasibility of SLAs, KPIs, pricing structures and delivery commitments. Function as SME in late-stage deals and complex customer conversations.</li><li>
Third party vendor strategic planning and performance management oversight. Continue to assess scalability, performance, longer term planning and negotiations. Ensure proactive tracking and planning of funding, work orders, and investment approvals.</li><li>
Lead operational readiness for large scale onboarding and implementation support for clinical and coding services third party vendors. Ensure coordination across systems access, training, vendor readiness, and delivery launch.</li><li>
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that can assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.</li><li>
Complete all responsibilities as outlined in the annual performance review and/or goal setting.</li><li>
Complete all special projects and other duties as assigned.</li><li>
Must be able to perform duties with or without reasonable accommodation.</li></ul><div>
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.</div>
Qualifications:
<ul><li>12+ years in leading Risk Adjustment, Quality or other like Healthcare operations role in payer, provider or vendor setting.</li><li>
Bachelor&rsquo;s degree required, Master&rsquo;s degree preferred. Relevant industry experience of 15+ years may be considered in lieu of a degree.</li><li>
Experience supporting complex, multi-stakeholder delivery environments.</li><li>
Experience working alongside Sales, Legal, and Delivery organizations.</li><li>
Active coding credentials through AAPC/AHIMA in good standing preferred.</li><li>
5+ years&rsquo; experience in client success, account management, or related client facing roles.</li><li>
Strong operator, proven success in optimizing business processes to achieve cost savings while delivering and exceeding client expectations.</li><li>
Strong skills in program and project management</li><li>
5+ years managing third party partnerships, including performance and contract compliance.</li><li>
Excellent written and verbal communication skills</li><li>
Awareness and adherence to HIPAA privacy and security regulations</li><li>
Strong computer and tech skills, expert level of comfort with Microsoft applications</li><li>
Flexibility and willingness to participate in the work processes of an international organization, including conference calls scheduled to accommodate global time zones.</li><li>
Ability to travel, very minimal expected for this role.</li></ul><div><b>
Mental Requirements:</b></div><br>
<div></div><ul><li>
Comfortable working across ambiguity, complexity, and competing priorities.</li><li>
Ability to connect strategy to execution across multiple teams and functions.</li><li>
Strong operational judgment&mdash;can identify risk in contracts, delivery models, and scaling decisions.</li><li>
Operates as a high-agency, independent operator who can &ldquo;keep the business running&rdquo; without constant direction.</li><li>
Memory recall and ability to retain large amounts of information quickly.</li><li>
Multi-tasking without sacrificing quality, strong attention to detail.</li><li>
Problem-solving and thinking critically, making rapid, accurate decisions.</li><li>
Strong commercial and operational instincts (understands how deals translate to delivery reality</li><li>
Brings a mindset of ownership, accountability, and proactive problem-solving.</li><li>
Excellent at cross-functional coordination without formal authority.</li><li>
Assessing the accuracy, neatness and thoroughness of the work assigned.</li><li>
Learning new tasks and completing tasks in situations that have a speed or productivity quota.</li><li>
Remembering and adhering to processes and protocols.</li><li>
Applying established protocols in a timely manner.</li></ul><div><b>
Physical Requirements and Working Conditions:</b></div><br>
<div></div><ul><li>
Remaining in a stationary position, often standing or sitting for prolonged periods.</li><li>
Repeating motions that may include the wrists, hands and/or fingers.</li><li>
Must be able to provide high-speed internet access / connectivity.</li><li>
Must be able to provide a dedicated, secure work area.</li></ul><div>
Base compensation ranges from $140,000 to $170,000 per year. 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.</div><div></div><div><br>
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.</div><div></div><div><br>
Since this job will be based remotely, all interviews will be conducted virtually.</div><div></div><div><br>
Date of posting: 6/19/2026<br>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/29/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div><div>
#LI-Remote</div><div>
#LI-SL1</div><div>
#LI-senior</div></div><div></div>

Senior Director Health Enablement Operations

<div>Overview:
<div>
The <b>Sr Data Scientist - Generative AI II</b> will apply knowledge and expertise to real world problems to enable healthcare organizations to deliver better care at lower cost through advanced technology and data analytics, helping to ensure the quality and sustainability of how healthcare is delivered in the United States. With access to dedicated on premise and cloud based big data solutions, the team can work with a vast amount of structured and unstructured data including claims, membership, physician demographics, medical records and others to begin to solve some of the most pressing healthcare issues of our time. A Data Scientist at Cotiviti will be given the opportunity to work directly with a team of healthcare professionals including analysts, clinicians, coding specialists<b>,</b> auditors and innovators to set aggressive goals and execute them with the team. This is for an ambitious technologist, with the flexibility and personal drive to succeed in a dynamic environment where they are judged based on their direct impact on business outcomes.</div><div></div><div><i><br>
Please note:</i><i> We are currently hiring multiple positions at various levels for our Artificial Intelligence teams. Please use the chart below as a guide for the amount of experience required for each level, and apply to the req(s) that are most appropriate for your level of experience.</i></div><br>
<div></div>
Responsibilities:
<div>
As a <b>Sr GenAI Scientist</b> within Cotiviti you will be responsible for delivering solutions that help our clients identify payment integrity issues, reduce the cost of healthcare processes, or improve the quality of healthcare outcomes. You will work as part of a team and will be individually responsible for the delivery of value associated with your projects. You will be expected to follow processes and practices that allow your models to be incorporated into our machine learning platform for production execution and monitoring, however, initial exploratory data analysis allows for more flexible experimentation to discover solutions to the business problems presented.</div><ul><li>
Work with key stakeholders within Research and Development as well as Business Operations, along with Product Management to assess the potential value and risks associated with business problems that have the potential to be solved using machine learning and Artificial Intelligence techniques.</li><li>
Develop an exploratory data analysis approach to verify the initial hypothesis associated with potential Artificial Intelligence/Machine Learning use cases.</li><li>
Document your approach, thinking and results in standard approaches to allow other data scientists to collaborate with you on this work.</li><li>
Prepare your final trained model and develop a validation test set for QA.</li><li>
Work with ML Ops/Production operations to deploy your model into production and support them in monitoring model performance.</li><li>
Participate in design sessions to continuously develop and improve the Cotiviti machine learning platform.</li><li>
Participate in other data science initiatives, collaborating with your peers to support their projects.</li><li>
Participate in knowledge sharing sessions to bring new insights and technologies to the team.</li><li>
Provide End to End value-based solutions, including data pipeline, model creation and application for end user consumption.</li><li>
Complete all responsibilities as outlined in the annual performance review and/or goal setting.</li><li>
Complete all special projects and other duties as assigned.</li><li>
Must be able to perform duties with or without reasonable accommodation.</li></ul><div>
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.
</div>Qualifications:
<ul><li>Graduate degree in a quantitative discipline such as Computer Science/Engineering, Statistics, Operations Research covering Advanced Statistics, Machine learning and AI.</li><li>
Experience with the latest techniques in natural language processing including transformers, fine-tuning LLMs, measuring/benchmarking and deploying LLMs with tools such as HuggingFace, Langchain, LLAMA/Mistral and OpenAI, vector databases.</li><li>
5+ years of hands-on data science/AI experience, using typical machine learning and data science tools including pandas, scikit-learn, keras, nltk, and TensorFlow/PyTorch, GPU.</li><li>
Experience building production-grade machine learning deployments on AWS, Azure, or GCP.</li><li>
Experience working with Apache Spark&trade; and large-scale distributed datasets.</li><li>
Experience communicating technical concepts to non-technical and technical audiences is a plus.</li><li>
Flexibility to work with global teams as well geographically dispersed US based teams.</li><li>
Professional with ability to properly handle confidential information.</li><li>
Ability to work within a matrixed organization.</li><li>
Proficiency in all required skills and competencies above.</li></ul><div><b>
Mental Requirements:</b></div><ul><li>
Passion for collaboration, learn it all mindset and driving value with AI.</li><li>
Ability to work independently as well as collaborate as a team with a sense of urgency.</li><li>
Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort.</li><li>
Ability to handle multiple tasks, prioritize and meet deadlines.</li><li>
Communicating with others and teamwork.</li></ul><div><b>
Physical Requirements and Working Conditions:</b></div><ul><li>
Remaining in a stationary position, often standing or sitting for prolonged periods.</li><li>
Repeating motions that may include the wrists, hands, and/or fingers.</li><li>
No adverse environmental conditions expected.</li><li>
Must be able to provide high-speed internet access / connectivity and office setup and maintenance.</li><li>
Must be able to provide a dedicated, secure work area.</li></ul><div></div><div>
Base compensation ranges from $153,000 to $180,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
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.</div><div></div><div><br>
Since this job will be based remotely, all interviews will be conducted virtually.</div><div></div><div><br>
Date of posting: 6/22/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/22/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div><div></div><div><br>
#LI-Remote</div><div>
#Senior</div><div>
#LI-LL1</div></div><div></div>

Senior Generative AI Scientist II

<div>Overview:
<div>
The Senior Director of Training &amp; Education for the Edifecs Business Unit of Cotiviti, will lead the vision, strategy, and execution of all training, enablement, and certification programs for the Edifecs BU solutions, supporting customers, partners, and internal teams. Leveraging deep experience in learning strategies, operations, technology adoption, and program scaling, they will drive measurable business outcomes, accelerating software adoption, partner readiness, and workforce proficiency in a dynamic, matrixed environment. Responsibility for the entirety of the education and training business, P&amp;L, operations, and metrics, while ensuring customer value and business outcomes.</div>
Responsibilities:
<ul><li>Set the strategic vision for Edifecs University aligned with Edifecs BU solutions.</li><li>
Architect and deliver customer, partner and internal team and enablement programs to support onboarding, adoption, and product usage.</li><li>
Collaborate with product, engineering, support, and delivery teams to maintain relevant and timely training assets which leverage state-of-the-art training and adoption tools.</li><li>
Lead the adoption and infusion of modern LMS and AI-driven content development tools into organizations culture, setting new standards in scalable, high-impact learning experiences.</li><li>
Develop new and innovative strategies/programs for partner onboarding and certification programs that significantly reduce time-to-readiness and enable growth while supporting the partnership arrangements.</li><li>
Collaborate cross-functionally with Sales, Marketing, Services, Support, and Product teams to develop new education and training service offerings that support customer demands and requirements.</li><li>
Oversee the consolidation and modernization of L&amp;D functions, streamlining tools and processes to reduce operating costs while boosting training utilization and learner satisfaction.</li><li>
Design and implement role-based learning journeys, leveraging action mapping, high-performance learning journey (HPLJ) methodologies, and adaptive learning technologies.</li><li>
Lead a diverse team to scale learning operations across multiple technical products, architectures, and delivery geographies.</li><li>
Establish and track KPIs for training impact ensuring customer and business outcomes, including CSAT, support case reduction, time-to-readiness, and revenue growth.</li><li>
Foster a culture of innovation, continuous improvement, and measurable business value across all education programs.</li><li>
Establish recurring approach to optimizing sales/contracting activities and deliverables with broader sales and go-to-market processes.</li><li>
Drive clarity between SaaS and On-Prem product delivery capabilities and ensure assets support the respective delivery methods.</li><li>
Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.</li><li>
Complete all responsibilities as outlined in the annual performance review and/or goal setting.</li><li>
Complete all special projects and other duties as assigned.</li><li>
Must be able to perform duties with or without reasonable accommodation.
</li></ul><div>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.</div>
Qualifications:
<ul><li>BS Degree in Computer Science/MIS or technically related field or master&rsquo;s degree in Business Administration with a minimum of 12+ years relevant industry experience.</li><li>
Proven track record of building and scaling partner enablement, certification, and training programs in software or healthcare technology sectors.</li><li>
History of optimal P&amp;L management.</li><li>
Demonstrated success in adopting LMS, AI, and learning experience technologies to streamline content creation and drive operational efficiency.</li><li>
Experience leading cross-functional teams and large-scale projects in matrixed, global organizations.</li><li>
Strong business acumen with the ability to link learning initiatives to revenue growth and cost reduction.</li><li>
Expertise in instructional design frameworks.</li><li>
Exceptional leadership, communication, and stakeholder management skills.</li></ul><div><b>
Cognitive/Mental Requirements:</b></div><ul><li>
Communicating with others to exchange information.</li><li>
Problem-solving and thinking critically.</li><li>
Completing tasks independently.</li><li>
Interpreting data.</li><li>
Making timely decisions in the context of a workflow.</li></ul><div></div><div><b><br>
Working Conditions and Physical Requirements:</b></div><ul><li>
Must be able to provide high-speed internet access / connectivity and office setup and maintenance.</li><li>
Must be able to provide a dedicated, secure work area.</li><li>
Remaining in a stationary position, often standing or sitting for prolonged periods.</li><li>
Repeating motions that may include the wrists, hands, and/or fingers.</li><li>
Must be able to provide a dedicated, secure work area.</li><li>
Must be able to provide high-speed internet access / connectivity and office setup and maintenance.</li></ul><div>
Base compensation ranges from $170,000 to $230,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for commission.</div><div></div><div><br>
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.</div><div></div><div><br>
Since this job will be based remotely, all interviews will be conducted virtually.</div><div></div><div><br>
Date of posting: 6/22/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 7/22/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div><div></div><div><br>
#LI-Remote</div><div>
#LI-AK1</div><div>
#director</div></div><div></div>

Senior Director Training and Education

<div>Overview:
<p>
The Client Solution Specialist I Retail is a key member of the Cotiviti Retail team, responsible for supporting client relationships, managing client enhancement requests, and providing application support. This role is ideal for a client-focused professional with experience in a retail-related industry, strong written and verbal communication skills, and the ability to analyze complex information in a dynamic, matrixed environment.</p><div></div><div><br>
In this role, the Client Solution Specialist supports the successful delivery of solutions and services for strategic clients across the Retail division. The specialist collaborates closely with cross-functional partners&mdash;including Go-To-Market (GTM), development, product, and content teams&mdash;to ensure client needs are understood, prioritized, and effectively addressed.</div>
Responsibilities:
<ul><li>Produce and maintain documentation related to client projects, meetings, calls, product specifications, special initiatives, and follow-up actions.</li><li>
Serve as a primary point of contact for assigned clients, interacting directly to drive satisfaction and product success.</li><li>
Collaborate cross-functionally with Development, Engineering, Project Management, Sales, Operations, and Data Management to deliver all contractually required services.</li><li>
Investigate, analyze, and respond to client questions and issues for product.</li><li>
Explain and demonstrate alert applications and product functionality to clients.</li><li>
Generate, interpret, and present client and product performance reports.</li><li>
Provide data analysis on client-specific datasets and broader retail data trends.</li><li>
Support invoicing and contract management efforts by maintaining accurate records for assigned clients.</li><li>
Monitor product usage and proactively share insights and findings with internal Cotiviti stakeholders.</li><li>
Coordinate implementation, ongoing support, and maintenance activities for assigned accounts.</li><li>
Complete all responsibilities as outlined in the annual performance review and/or goal setting<b>.</b></li><li>
Complete all special projects and other duties as assigned.</li><li>
Must be able to perform duties with or without reasonable accommodation.</li></ul><div>
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.</div>
Qualifications:
<ul><li>B.S., B.A, or advanced degree in business or retail related field, or equivalent experience.
</li><li>1-3 years working in customer relations, sales or Client Services required.
</li><li>Proven ability to manage client expectations, multiple tasks, and deadline accountability.
</li><li>Strong analytical skills with the demonstrated ability to research and make decisions based on the day-to-day and complex customer problems required.
</li><li>Excellent oral and written skills are required.
</li><li>Excellent organization skills, with ability to track multiple projects simultaneously.
</li><li>Strong interpersonal skills required.
</li><li>Understands that the clients&rsquo; best interests are served through smooth, seamless service delivery.
</li><li>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.
</li><li>Strong technical skills, with proven track-record of working with robust software platforms.
</li><li>Proficiency in Microsoft Office Suite, including PowerPoint, Word, Excel, and Outlook.</li></ul><div><b>
Mental Requirements:</b></div><ul><li>
Communicating with others to exchange information.</li><li>
Assessing the accuracy, neatness, and thoroughness of the work assigned.</li></ul><div><b>
Physical Requirements and Working Conditions:</b></div><ul><li>
Remaining in a stationary position, often standing or sitting for prolonged periods.</li><li>
Repeating motions that may include the wrists, hands, and/or fingers.</li><li>
Must be able to provide a dedicated, secure work area.</li><li>
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
</li><li>No adverse environmental conditions are expected.</li></ul><div>
Base compensation ranges from $58,000 to $78,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
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.</div><div></div><div><br>
Date of posting: 04/12/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 06/12/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div><div>
#LI-JB1</div><div>
#LI-Remote</div><div>
#senior</div></div>

Client Solution Specialist I - Retail

Join Cotiviti and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Cotiviti

About Company

Senior Director Health Enablement Operations

Senior Generative AI Scientist II

Senior Director Training and Education

Client Solution Specialist I - Retail