Cotiviti

Operations

• Works with enterprise customers of Edifecs/Cotiviti Encounter Management (EM) products to assist with post-sales installation, configuration, upgrade, troubleshooting and day-to-day operational management
• Triage and resolve highly complex technical and application-related issues impacting product performance in customer-specific environments
• Partner with Development, Sustaining Engineering, Product Implementation and Sales Engineering to resolve support issues, document bugs, provide UAT on product builds, and ensure successful server installations
• Provide support to enterprise clients related to technical and functional aspects of the products
• Assist Product and Development teams with performance and functional analysis and testing during release cycles of service packs, hot fixes, etc.
• Implement and maintain automation scripts for routine tasks
• Perform regular upgrades, migrations, code fixes and hot fix deployments
• Host online troubleshooting and investigation sessions on customer production environments
• Collect necessary problem details from customers and drive effective RCA to resolution
• Reproduce customer issues in controlled test environments
• Develop custom utilities and workarounds to resolve critical customer issues
• Consistently deliver responsive customer experience and manage escalations
• Provide mentorship and task guidance to other team members

Operations Engineer

• Manage end-to-end operations for Edifecs hosted or customer-hosted Smart Trading application instances including deploying upgrades and configuration changes
• Manage day-to-day submission operations, build custom tools and utilities, and create ad hoc reports/queries
• Provide technical support to enterprise clients related to technical and operational aspects of the products
• Partner with IT SaaS team to design, deploy and manage Docker containers and Kubernetes clusters and integrate with Edifecs Products
• Partner with Product and Engineering teams to obtain EKS-compatible builds
• Collaborate with developers and system administrators to optimize application performance and scalability
• Develop and maintain CI/CD pipelines for automated testing, deployment, and monitoring of containerized applications
• Troubleshoot and resolve issues related to containerized environments, Kubernetes clusters, and related infrastructure
• Analyze application and database performance, identify bottlenecks, and report/fix issues with development teams
• Provide workarounds or temporary fixes to clients to avoid processing disruption
• Proactive management of submission cycles and reactive management of customer-reported cases/issues
• Plan and execute file submissions workflow including schedule management, batch management, file monitoring, and potential automation
• Reproduce customer issues in controlled test environments and follow standard operational procedures for case management
• Continuously improve troubleshooting skills and update knowledge base with reusable documentation

Senior Operations Engineer

Full-stack Engineer

Principal Software Engineer, Full Stack

Backend Engineer

• The Product Analyst will contribute to the development and enhancement of a pre-encounter solution within Risk Adjustment Product team.
• Work closely with internal stakeholders and customer-facing teams, gather and document requirements from internal and external stakeholders, support new customer implementations, track regulatory updates and ensure the solution aligns with both business objectives and compliance standards.
• Elicit and validate requirements from internal and external customers, document analysis, workflow definitions, use cases, scenarios based on Edifecs product specifications
• Translate business needs into detailed documentation and user stories, actively participate in grooming sessions with the scrum team
• Conduct sprint planning, backlog prioritization, and user acceptance testing to ensure successful feature delivery
• Communication requirement changes and release notifications. To customers in a clear and timely manner
• Evaluate information gathered from multiple sources, resolve conflicts, break down high-level information into detailed requirements, and differentiate between user requests and underlying business needs
• Partner with customer success teams during implementations to configure the application according to customer specific needs
• Participate in go-live activities and conduct product training sessions to end users
• Work with internal risk adjustment teams to ensure timely integration of model updates (e.g., CMS, HHS, CDPS) into the product
• Collaborate with external and internal stakeholders to analyze information needs and translate them into functional deliverables such as business requirements documents, use cases, user interface(UI) mockups, screens/interfaces designs
• Work closely with with developers and subject matter experts to create product specification documents, business architecture diagrams, solution design etc.
• Apply experience in enterprise-wide requirement definitions, management tools and methodologies
• Manage multiple initiatives concurrently and ensure consistent progress across projects
• Understanding of companion guides and map requirements to internal product business rules and guidelines
• Adhere to and apply internal company policies and procedures throughout the product lifecycle

Product Analyst, Risk Adjustment

Support Engineer

Manage and troubleshoot Linux servers in production environments.
Develop and maintain automation scripts using Bash or Python.
Collaborate with cross-functional teams to deploy, configure, and support applications.
Monitor system performance and proactively resolve issues to ensure high availability.
Plan and execute system upgrades, patches, and migrations.
Maintain Git repositories and enforce version control best practices.
Participate in on-call rotations to address critical system issues.
Document system configurations, operational procedures, and troubleshooting guides.

Solutions Engineer

• Edifecs/Cotiviti/Cotiviti is seeking a Data Integration Engineer to join our innovative software teams.
• Responsible for onboarding customers to the Risk Adjustment workflow applications.
• Work with platform engineering, product, and implementation teams.
• Build scalable data pipelines that enable workflow applications, reporting, and customer confidence.
• Strong, hands-on technical expertise in big data technologies and communication abilities with non-tech and technical audiences.
• Design and develop data flows and extraction.
• Integrate client’s data into the Edifecs/Cotiviti/Cotiviti Risk Adjustment.
• Work with relational databases and Python.
• Implement open-source standards for data.
• Develop a new framework for data ELT jobs to scale implementation, monitoring, and.
• Build and scale automation that orchestrate complex.
• Ability to support existing processes while leading efforts to redefine the data.

Data Integration Engineer, Risk Adjustment

Product Analyst

• Act as a bridge between business stakeholders and development teams.
• Define product requirements, prioritization and feature validation for delivery of features in agile environment.
• Collaborate with customers and internal stakeholders to capture product/business requirements.
• Translate business needs to clear user stories and maintain a healthy product backlog.
• Participate in agile ceremonies.
• Support product backlog prioritization.
• Collaborate with UI/UX designers.
• Track and document customer concerns to collaborate internally for resolution.
• Assist with product release planning and creation of supporting documentation.
• Prepare status reports.
• Track customers’ bugs.
• Manage release risks.
• Manage help topics, create release notes.