Qureos Mentor

Cotiviti

<div>Overview:
<div>
A Payment Accuracy, Coordination of Benefits (COB) Senior Specialist, is a member of the greater Coordination of Benefits Business Unit (BU). Coordination of Benefits involves situations in which an individual is covered by two or more health plans. Individuals in the Senior Specialist role are passionate about what they do and are subject matter experts (SMEs) at identifying opportunities for strategic growth, reviewing, discovering, and validating substantial amounts of data, to deliver results and insights for our clients.</div><div><br>
The Payment Accuracy, Coordination of Benefits (COB) Senior Specialist is a subject matter expert (SME) which encompasses knowledge of all levels of auditing from low to complex situations. Additionally, this individual will hold many responsibilities including but not limited to acting as a mentor to other members of the team and developing and facilitating audit enhancements. Supports an expanding portfolio-wide impact to cross-audit concepts in strategy dissemination and implementation to identify optimizations.</div>
Responsibilities:
<ul><li>This individual will work with a high degree of autonomy including independent thinking and responsibility for individual workflow and assignments.</li><li>
Acts as a mentor to all team members within the Business Unit.</li><li>
May assist with new hire onboarding and training of employees within the Business Unit.</li><li>
Collaborates when available with all levels of the business upon assigned projects and deliverables.</li><li>
Produces knowledge as a Subject Matter Expert (SME) in a multi-functional aspect for auditing as well as business optimization and innovation.</li><li>
Responsible for a portfolio-wide impact for the entirety of the business units and client partnerships.</li><li>
Develop and facilitates audit enhancements of new tools to aid in team members&rsquo; ability to perform their assigned responsibilities within the databases.</li><li>
Optimization to innovate new opportunities and discovery of the business, new concepts, recoveries, and the growth of the overall Business Unit.</li><li>
Multi&ndash;functional in strategizing, disseminating, and implementing cross-audit concepts.</li><li>
Performs quality control to thoroughly validate submissions prior to Client exportation of team members and own work outputs.</li><li>
Understands Centers for Medicare and Medicaid Services (CMS) and National Association of Insurance Commissioners (NAIC) guidelines to establish correct order of liability.</li><li>
Has the ability to independently member select in Cotiviti tools, with a full understanding of client parameters.</li><li>
Demonstrates subject matter expert level of understanding of query and filter construction to identify opportunities.</li><li>
Demonstrates high level of organization and can pivot as needed per the business requirements.</li><li>
Utilizes Cotiviti audit tools (Recovery Management System (RMS), COB Tracker, specific client systems) to complete member investigations.</li><li>
Creates detail-oriented, accurate notes in Cotiviti audit tools and/or client tools throughout the member investigation.</li><li>
Meets or exceeds standards of production and quality as identified by compliance and regulatory guidelines and set forth by the Team Lead and/or Manager when reviewing concept and claim identifications for the client.</li><li>
Prepares and evaluates responses to client disputes both internally and externally within the Business Unit as needed.</li><li>
Identify and solve problems by identifying errors and overpayments for our healthcare clients.</li><li>
Learn and use multiple computer software, systems, and technology.</li><li>
Identifies opportunities for continuous improvement for efficiencies within reporting and streamline research processes.</li><li>
Has an in depth understanding of Cotiviti policies &amp; procedures, and external regulatory requirements and performs duties in accordance with such regulatory requirements.</li><li>
Has an advanced understanding of the healthcare industry, as well as proven track record of delivering results.</li><li>
Assures confidentiality and security of all data, adhering to all HIPAA (Health Insurance Portability and Accountability) laws and requirements. Demonstrates the skills, knowledge, and ability to ensure that our environment is a safe one, complying with industry standards.</li><li>
Has ability to take responsibility for outcome, whether positive or negative and apply learning as applicable.</li><li>
Integrates information from various sources and considers broader context</li><li>
Creates innovation to enhance the standard operating rhythm finding new pathways to complete work expectations.</li><li>
Actively seeks information to understand rationale and provide exceptional results beyond basic standards.</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 the requirements of the job change.
</div>Qualifications:
<ul><li>High School Diploma - (<b>Required).</b></li><li>
Bachelor&rsquo;s degree (Preferred) and/or a minimum of at least five (5) years of related experience in healthcare.</li><li>
At least 2 &ndash; 3 years Cotiviti experience is recommended for individuals seeking their next opportunity internally. (Example: Employees in current COB Specialist 2, Technical Specialist and/or Payment Accuracy Specialist 2 roles).</li><li>
Healthcare industry experience, including knowledge of Coordination of Benefits.</li><li>
Computer proficiency including Microsoft Office (Word, Excel, Outlook)</li><li>
Excellent verbal and written communication skills.</li><li>
Strong interest in working with large data sets and various databases.</li><li>
Ability to work well in an individual and team environment demonstrating self&ndash;motivation to deliver success.</li><li>
Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to achieve successful performance in completing assigned responsibilities and interactions with the Organization both internally and externally.</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 expected.</li></ul><div>
Base compensation ranges from $36.50 to $38.00 per hour. 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>
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.</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: 4/13/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/13/2026, 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<br>
#LI-KB1<br>
#Junior</div></div><div></div>

Senior Payment Accuracy Specialist (COB)

<div>Overview:
<div>
The Intern Technology Solutions Analyst is responsible for researching technologies and use cases for Cotiviti solutions. This internship role will report to the Director of Health Tech Research and work on Technical Prospecting within the Research and Development department. Technical Prospecting reduces investment risk and improves speed to value through early exploratory validation, development, and delivery of solutions. Portfolio Prospecting is tasked with maintaining transparency into the strategic environment and positioning Cotiviti with validated long-term pathways to competitive advantage.</div><div><br>
</div><div><i>Preferred location is South Jordan, Utah, but will consider remote across the US as well.</i></div>
Responsibilities:
<ul><li>Business analysis of company solutions, products, services, and platforms.</li><li>
Research into the strengths, weaknesses, opportunities, and threats of targeted technologies.</li><li>
Technical and business writing of white papers and use cases.</li><li>
Exploratory development, configuration, and engineering of prototype and POC technologies.</li><li>
Presentation of project findings and proposals.</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 the requirements of the job change.</div>
Qualifications:
<ul><li>Enrolled in higher education BS or MS program with technology-related major.</li><li>
Bachelor of Science majors are matriculated and have completed 12 credit hours of relevant course work.</li><li>
Basic familiarity with a common programming language, e.g., Python, Java, C++, or JavaScript.</li><li>
Basic familiarity with SQL and relational databases.</li><li>
Strong research and writing skills.</li><li>
Self-motivated and self-organizing worker and learner.</li><li>
Strong communication and interpersonal skills.</li></ul><div>
Base compensation ranges from $21.00 to $26.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.</div><div><br>
</div><div>Since this job will be based remotely, all interviews will be conducted virtually.</div><div></div><div><br>
Date of posting: 4/10/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/10/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.</div></div>

Temporary Intern - Technology Solutions Analyst

<div>Overview:
<div>
This internship centers on researching and developing advanced healthcare informatics solutions with a specialization in Agentic AI&mdash;AI systems capable of autonomous reasoning, decision-making, and goal-directed behavior. The intern will explore applications of Agentic and Generative AI in healthcare, supporting improvements in treatment, payment, and operations. You will play a key role in developing, analyzing, and collaborating on agentic AI projects, and work closely with cross-functional teams to drive innovative research and practical implementation in healthcare environments.</div>
Responsibilities:
<div><b>
Technical Expertise</b></div><ul><li>
Demonstrates a strong understanding of technology trends, research, and emerging technologies relevant to the healthcare industry, particularly in Generative AI.</li><li>
Assists in developing and improving LLMs and ML tools used across the organization.</li><li>
Assists in establishing and maintaining an Artificial Intelligence Governance Program.</li><li>
Gain hands-on experience in generative AI model development, architecture design, and database management.</li><li>
Conduct research on Agentic AI models and their potential impact on healthcare workflows and decision-making.</li><li>
Assist in designing, developing, and testing autonomous AI agents and generative AI systems tailored for healthcare informatics.</li><li>
Support efforts to establish and maintain an Artificial Intelligence Governance Program with a focus on agentic AI ethics and safety.</li></ul><div><b>
Communication &amp; Collaboration</b></div><ul><li>
Communicates technology-related updates and requirements to other departments and contributes to presentations for senior management.</li><li>
Collaborates with research and development teams, product management, and strategic analysts to support ongoing projects.</li></ul><div><b>
Leadership &amp; Management</b></div><ul><li>
Partners with Business Units to provide reliable intelligence, validated technology options, and insights on enterprise and industry trends.
</li><li>Supports technology project teams by coordinating specific tasks, assisting with day-to-day operations, and contributing to the successful delivery of solutions.
</li><li>Assists in collaborative efforts with academic research teams, practicums, internships, and vendor POCs.</li></ul><div><b>
External Relationships &amp; Partnerships</b></div><ul><li>
Supports vendor evaluations and contributes to collaborations with vendors.</li><li>
Assists as a liaison between academic institutions, professional organizations, and research groups as needed.</li></ul><div><b>
Other
</b></div><ul><li>Complete all responsibilities and goals outlined in the internship program.</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 in this internship. It is not an exhaustive list of responsibilities, duties, and skills required and does not constitute an employment agreement. This job description is subject to change as Cotiviti&rsquo;s needs and requirements of the internship evolve.</div>
Qualifications:
<ul><li>Currently pursuing or recently completed an advanced degree in healthcare, technology, or a related field (e.g., Biomedical Informatics, Computer Science, AI, etc.) with preference of a PhD.</li><li>
Demonstrated interest or experience in AI, healthcare technology, or informatics research.</li><li>
Strong foundational knowledge in generative AI model development, architectures, and vector databases.</li><li>
Hands-on experience with working with Machine Learning and Deep Learning models. Experience with LLM/RAG models and LLM fine-tuning is a plus.</li><li>
Hands-on experience working with cloud services (AWS/Azure), large data sets, and building data pipelines for ML solutions. Experience with vector embeddings and databases is a plus.</li><li>
Ability to work collaboratively and communicate effectively with cross-functional teams.</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 $32.00 to $40.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.</div><div></div><div><br>
Date of posting: 4/9/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 07/9/2026, 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-DNI</div></div>

Intern - Agentic AI Research

<div>Overview:
<div>
The intern will assist with evaluating and prioritizing new audit and analytics ideas to support innovation across the CCV Content Team&rsquo;s audit selection pipeline. Will work from an established backlog of audit concepts to analyze data, size opportunities, investigate discrepancies, and generate analytical insights that inform advancement decisions. Candidates should have a strong interest in data analysis, healthcare analytics, and using data to assess business and revenue opportunities. We are looking for skills in data exploration, analytical thinking, data quality investigation, and clear documentation, with experience or coursework in data analytics, health informatics, public health informatics, or related fields. This will be a strong learning opportunity to gain hands-on experience in audit analytics, opportunity assessment, and cross‑functional collaboration while supporting real-world healthcare innovation initiatives.
</div>Responsibilities:
<ul><li>Support delivery of audit and analytics innovation ideas through data analysis, opportunity sizing, and pipeline evaluation.</li><li>
Perform exploratory data analysis to identify trends, patterns, discrepancies, and potential audit opportunities.</li><li>
Assist with sizing and scoring concepts to estimate impact, feasibility, and revenue potential.</li><li>
Investigate data quality issues and variances across datasets and document findings and business impact.</li><li>
Track and maintain data issues, pipeline status, and analytical documentation.</li><li>
Collaborate with analytics, engineering, audit operations, and content team members to review and validate findings.</li><li>
Participate in testing and validation to confirm accuracy once data or logic issues are resolved.</li><li>
Communicate analytical insights clearly through written summaries and verbal discussions.</li><li>
Support quality assurance by validating analytical outputs and early-stage concept results.</li><li>
Contribute to special projects, ad hoc research, and process improvements related to idea intake, scoring, and prioritization.</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 the requirements of the job change.
</div>Qualifications:
<ul><li>Student pursuing a Bachelor&rsquo;s or Master&rsquo;s degree in Health Informatics, Public Health Informatics, Data Analytics or related field with a GPA of 3.0 or higher.</li><li>
Foundational experience with data analysis tools such as Excel (required), Power BI, SQL or similar analytics tools (preferred).</li><li>
Ability to explore, interpret, and summarize data with clarity and accuracy.</li><li>
Strong problem-solving skills and curiosity around understanding how systems, rules, and patterns drive outcomes.</li><li>
Strong written and verbal communication skills.</li><li>
Detail oriented.</li><li>
Comfortable asking questions, participating in discussions, and working in iterative feedback cycles.</li><li>
Adaptable and able to work in a fast-paced environment with shifting priorities.</li></ul><div><b>
Mental Requirements:</b></div><ul><li>
Motivated individual who is a quick learner, intuitive and can manage multiple tasks simultaneously.</li><li>
Communicating with others to exchange information.</li><li>
Problem-solving and thinking critically.</li><li>
Interpreting data.</li><li>
Making timely decisions in the context of a workflow.</li><li>
Ability to effectively and efficiently solve normal challenges and problems in an office/business environment.</li><li>
Strong organizational skills plus strong written and oral communication capabilities.</li><li>
Ability to work both independently and in an Agile team environment.</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 expected.</li></ul><div>
Base compensation ranges from $21.00 to $24.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.</div><div></div><div><br>
Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.</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: 04/06/2026</div><div>
Applications are assessed on a rolling basis. We anticipate that the application window will close on 06/06/2026, 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<br>
#LI-JJ1<br>
#intern</div><div>
#LI-DNP</div></div><div></div>

Intern - Data Analyst (Content Innovation and Technology)

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 Payment Accuracy Specialist (COB)

Temporary Intern - Technology Solutions Analyst

Intern - Agentic AI Research

Intern - Data Analyst (Content Innovation and Technology)