Technical Specialist – Healthcare

Cotiviti

Technical Specialist developing business rules for Cotiviti's RCA platform applications. Collaborating with teams to ensure business rule deployment and documentation.

Posted 7/24/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $70,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and developing rule logic for Business Rules Management Systems, with strong analytical skills for auditing and analyzing large datasets. Proficient in SQL and familiar with tools like Power BI and DROOLS to support effective communication and collaboration across teams.

Highest-signal resume keywords

Business Rules Management System (BRMS)SQL Coding SkillsDROOLS in RedHat Decision ManagerData Analysis and AuditingMicrosoft Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Basic Coding SkillsSQLJavaData AnalysisBusiness Rules DevelopmentImpact ReportingDocumentation MaintenanceTesting and DeploymentRule Logic DesignAuditing Payment Inaccuracies

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsOrganizational SkillsCollaboration Skills

Tools & Technologies

AccessHUEDatameerPower BISQL Server Management Studio (SSMS)Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft VisioMicrosoft Outlook

Industry Keywords

Healthcare IndustryCotiviti ExperienceBusiness RulesProduction EnvironmentsTest Environment

Tech Stack

Tools & technologies

JavaSQL

About the role

Key responsibilities & impact

Receive business rules from various internal Cotiviti teams
Collaborate with internal partners to clarify the intent of each rule
Design and develop rule logic for integration into the Business Rules Management System (BRMS)
Conduct deployment and testing of rules in a test environment to verify accuracy
Implement rules into production environments
Communicate effectively with operations and key stakeholders following production deployment
Maintain and update documentation associated with each rule
Produce impact reports and analyses
Use tools and technology to track and report on requests
Partner with teams across the organization to support end user needs

Requirements

What you’ll need

High School Diploma Required
Bachelor’s degree in education, technical writing, communications, or related fields strongly preferred
Equivalent experience may be considered in lieu of a degree
Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry
Basic Coding Skills: Understanding of basic programming languages and ability to write and understand code in SQL, Java, or other
Familiarity with tools such as Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS)
Experience with complex business rules: Familiarity with products like DROOLS in RedHat Decision Manager
Experience in analyzing large datasets and auditing payment inaccuracies
Ability to work independently, but also to communicate and collaborate with others to meet desired outcomes
Excellent analytical and problem-solving skills and ability to manage multiple assignments simultaneously while meeting deadlines and quality standards
Excellent organization, communication, and presentation skills
Flexible and be able to work in different shifts as per the work requirement
Strong working experience with Microsoft suite of applications (Word, Excel, PowerPoint, Visio, Outlook)

Benefits

Comp & perks

medical, dental, vision, disability, and life insurance coverage
401(k) savings plans
paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year