Education: Bachelor's degree or related field
Experience: 8+ years
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.
Qualifications Bachelor's degree in healthcare, business, computer science, or a related field 8+ years of experience in healthcare payer technology, solution consulting, or solution engineering in a client-facing pre-sales role Strong hands-on experience within the payer ecosystem, including core administrative platforms (e.g., claims, enrollment, prior authorization), data integration, and operational workflows Proven ability to lead technical pre-sales engagements, including discovery, solution design, architecture discussions, and technical validation Understanding of healthcare interoperability standards and technologies, including APIs, FHIR, HL7, and data exchange frameworks Broad knowledge of Health Enablement (risk adjustment, quality improvement, consumer engagement), Interoperability, and Payment Integrity domains Ability to translate complex technical concepts into clear business value for both technical and non-technical stakeholders Excellent communication, presentation, and whiteboarding skills, with experience engaging senior client stakeholders Experience working effectively across cross-functional teams (sales, product, engineering, delivery) and manage multiple concurrent priorities Willingness to travel as required for client-facing engagements Preferred Qualifications Experience with Cotiviti solutions or similar healthcare analytics and payer platforms Deep domain and technical expertise in one or more areas such as Payment Integrity, Interoperability, or Risk/Quality solutions Experience with end-to-end solution architecture, including integration patterns, ETL processes, and cloud-based data platforms Familiarity with regulatory requirements (e.g., CMS mandates, interoperability and prior authorization rules) Cognitive/Mental
Requirements: Ability to analyze complex information and communicate it clearly to diverse audiences. Strong critical thinking, problem solving, and decision-making skills. Capacity to manage multiple proprieties and maintain attention to detail.
Effective memory and recall staying current on solution knowledge and industry practices. Mental flexibility to adapt communication style and approach to different situations. Ability to remain composed and think quickly under pressure.
Strong organizational and planning skills to support client engagements and sales activities. Working Conditions and Physical
Requirements: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands and/or fingers. Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access / connectivity and office setup and maintenance. Base compensation ranges from $160,000 to $200,000 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. 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. Since this job will be based remotely, all interviews will be conducted virtually. Date of posting: xx/xx/2026 Applications are assessed on a rolling basis.
We anticipate that the application window will close on xx/xx/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. #LI-REMOTE #LI-AK1 #director Options Apply for this job online Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment.
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Selection of employees is made without regard to race, color, creed, sex, age, religion, pregnancy or pregnancy-related conditions, national origin, sexual orientation, gender identity, marital status, genetic carrier status, military service, veteran status, uniformed service member status, disability, or any other category of class protected by federal, state or local laws.
All employment decisions and personnel actions, such as hiring, promotion, compensation, benefits, and termination, are and will continue to be administered in accordance with, and to further the principle of, equal employment opportunity. Pay Transparency Nondiscrimination Provision Cotiviti will not discharge or in any manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
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This posting was published by Cotiviti on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.