C

Cotiviti

Catches billing errors for health insurers

AVP Account Management - Government

Full-TimeDeadline 7/15/27
$180k - $210k/yr+ Discretionary bonus
Expert
Bachelor's, Master's, MBA
Remote in USA
RemoteTravel to clients and prospective clients may be required, up to 15%.
Sales & Account ManagementAccount Management

About the job

Requirements
  • A Bachelor of Science or Master of Business Administration in Business Administration or a related degree is required.
  • Strong working knowledge of health insurance industry business operations is required.
  • Fifteen years of experience in the health care industry is required.
  • Experience with strategic planning, operations, marketing, product management, and business planning.
  • Strong presentation skills and customer problem diagnostics and solution design.
  • Strong contract knowledge and knowledge of HIPAA compliance related to the company's Business Associate classification.
  • Ability to maintain high ethical standards.
  • Ability to synthesize and utilize data, mentor staff, and build successful teams.
  • Knowledge of healthcare claims payment policy and processing, claims editing, and fraud detection.
  • Ability to establish and maintain multi-level customer relationships and understand client goals.
  • Willingness and availability to travel up to 15% as required.
  • Strong interpersonal, written, and oral communication skills.
  • Ability to anticipate, identify, and resolve simple to complex problems, with strong troubleshooting skills.
  • Ability to multitask in a fast-paced environment.
  • Excellent computer skills in Microsoft Word, Excel, PowerPoint, and Outlook.
  • Ability to provide a dedicated, secure work area and high-speed internet connectivity with office setup and maintenance.
  • Ability to perform duties with or without reasonable accommodation.
Responsibilities
  • Develop, foster, and maintain relationships with customer accounts as the liaison and client advocate between the company and clients or prospects.
  • Monitor and support client activity, manage problem resolution, escalate customer issues when necessary, and track and close client issues.
  • Manage overall client relationships and internal coordination to achieve customer satisfaction for existing client contracts.
  • Develop and maintain account management plans.
  • Meet regularly with clients to assess account status and progress, client needs and feedback, issue resolution, and account growth opportunities.
  • Communicate with clients regarding new audits, edits, system issues, and upgrades, and communicate client needs and ideas for future development.
  • Review client reporting to manage, monitor, and identify potential problems.
  • Develop and oversee routine client reporting, including Quarterly Business Reviews, weekly status reports, and steering committee updates for the government customer base.
  • Travel to clients and prospective clients to strategically manage client relationships and optimize use of core service offerings.
  • Monitor client needs, solicit requests for additional services and improvements, and ensure customer satisfaction by resolving issues quickly and creatively.
  • Interact with operations and marketing/sales to communicate notable client trends and align company communications with changing client issues, requirements, and attitudes.
  • Synthesize and articulate key findings for operations, sales, finance, product development, and executive audiences using financial and market analysis.
  • Present strategic recommendations proactively.
  • Work with sales, operations, and management to ensure ongoing customer satisfaction.
  • Partner with sales executives to identify sales opportunities and provide support.
  • Report weekly to senior leadership on client satisfaction levels, new client issues, unresolved client matters, and customer-requested needs.
  • Assist with marketing efforts, including attending trade shows and conferences, participating in webinars, and responding to requests for proposals.
  • Hire, develop, coach, lead, and retain top-tier talent while building and improving a team and culture that supports high internal and external customer satisfaction.
  • Complete responsibilities outlined in the annual performance plan and performance review or goal-setting process.
  • Complete special projects and other assigned duties.

About the company

Cotiviti sells software and review services that help US health insurers pay medical claims correctly, catch fraud, and track the quality of care their members receive. Its software for HEDIS, the care-quality scores US health plans report, has passed certification by the nonprofit NCQA every year since 2001. Insurers run claims through its coding and payment-policy checks before paying them, while its auditors review medical records and paid claims to recover overpayments. Clients pay it software fees or a share of the savings it finds. Cotiviti began in 1979 by auditing retailers' payments to suppliers, which it still does, and it is based in South Jordan, Utah, and owned by private equity firms Veritas Capital and KKR.

Company Size

5,001-10,000

Company Stage

IPO

Headquarters

South Jordan, Utah

Founded

1979

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Simplify's Take

What believers are saying

  • Its results are measurable: in July 2026, Cotiviti reported catching over $10 billion in claim payment errors during 2025.
  • Every employee shares in ownership: Prosperiti, a plan backed by owner KKR, has covered all 9,000-plus staff since September 2024.
  • Room to build AI skills: 20 of Cotiviti's 82 US openings in October 2026 were AI jobs, including three internships.

What critics are saying

  • Expect new bosses: Cotiviti replaced its CEO of 10 years in March 2026 and named a new COO in September.
  • Debt is heavy: a $5 billion bank loan helped fund KKR's 2024 deal valuing Cotiviti at about $11 billion.
  • An AI rival is bulking up: Machinify bought Medicare auditor Performant for $670 million in October 2025.

What makes Cotiviti unique

  • Medicare relies on it: Cotiviti holds three of the five regional contracts to audit paid Medicare claims.
  • Every major insurer is a client: Cotiviti works with all 25 of the largest US health plans.
  • Remote work is the norm: 81 of 82 US openings on Cotiviti's careers site in October 2026 were remote.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Paid Vacation

Paid Holidays

Remote Work Options

Company News

Yahoo Finance
Sep 14th, 2026
Cotiviti appoints Erin Schmuker as chief operating officer to scale operations

Cotiviti has appointed Erin Schmuker as chief operating officer. Schmuker will report to president and chief executive officer Ric Sinclair and join the executive leadership team. Schmuker brings over 20 years of healthcare leadership experience. She joins from Optum, where she most recently served as president of Integrated Pharmacies at OptumRx. Previously, she was managing director of Optum Ireland and UK. As chief operating officer, Schmuker will lead Cotiviti's enterprise operations, focusing on scaling the company's operating model and strengthening execution. She will work to simplify operations and help translate investments in technology and AI into measurable outcomes for clients. Cotiviti describes itself as "The Healthcare Infrastructure Company" and connects data, intelligence, and workflows in the US healthcare system.

Associated Press
Aug 13th, 2026
Cotiviti launches AI-enabled Proactive COB to resolve health insurance coordination at enrollment

Cotiviti has launched Proactive COB, a coordination of benefits capability that uses AI to identify health insurance coverage issues at member enrolment, before claims are submitted. The solution analyses enrollment and maintenance transactions to detect coverage discrepancies early, allowing health plans to prevent payment errors rather than recover overpayments after the fact. Traditional COB approaches rely on retrospective discovery methods, often missing errors until after claims are paid. Proactive COB combines AI-driven prioritisation with validated member databases and over 25 years of COB experience to maintain accurate coverage records throughout the benefit lifecycle. The capability operates on enrollment data and supports automated updates to eligibility platforms, reducing manual intervention whilst maintaining audit trails. Cotiviti's platform serves customers covering over 300 million members and patients in the US.

Yahoo Finance
Aug 4th, 2026
Cotiviti launches AI-powered dental claim accuracy solution amid $198B annual dental spending

Cotiviti has launched an enhanced Dental Claim Accuracy solution on its Payment Policy Management platform to help healthcare and dental payers improve claim processing. The URAC-accredited solution unifies dental and medical payment workflows on a single platform, supporting both batch and real-time processing. The new offering features AI-assisted rule authoring, clinical validation by licensed dentists, and enhanced fraud detection capabilities. It integrates with Cotiviti's Payment Clarity platform to provide explanations of claim decisions and executive reporting. Matthew Hawley, Executive Vice President of Payment Integrity for Cotiviti, noted that dental spending has reached an estimated $198 billion per year. The solution aims to address challenges including fraud, waste, abuse, overtreatment, and miscoding that contribute to improper payments and increased administrative burden for payers.

Yahoo Finance
Apr 24th, 2026
Cotiviti appoints John Hallock as chief corporate affairs officer to lead next growth phase

Cotiviti, a healthcare software and data-driven technology company, has appointed John Hallock as Chief Corporate Affairs Officer. Reporting to CEO Ric Sinclair, Hallock will oversee corporate communications, brand development, marketing strategy and investor relations. The appointment comes as Cotiviti expands beyond healthcare enterprise solutions into a system-level platform operating across the healthcare ecosystem. The company aims to establish a structural utility layer governing financial accuracy and decision-making whilst reducing administrative waste and costs. Hallock brings over 20 years of experience building category-defining companies. He previously led communications and investor positioning for Livongo's IPO and athenahealth's IPO. Most recently, he served on the founding leadership team at Smarter Technologies, helping shape the company's creation, platform build and strategic acquisitions.

Yahoo Finance
Apr 16th, 2026
Cotiviti showcases AI-enabled provider risk adjustment solutions at US healthcare conferences

Cotiviti, a healthcare software and data technology company, is presenting at the ACDIS Conference in Chicago (19–23 April) and NAACOS Spring Conference in Baltimore (22–24 April). The company is showcasing its AI-enabled risk adjustment solutions designed to improve coding workflows and patient outcomes for health systems and accountable care organisations. Cotiviti's expanded provider portfolio combines its clinical expertise with Edifecs' risk adjustment technology, offering capabilities including member suspecting, pre-visit preparation, post-visit review and retrospective coding reviews. The HITRUST-certified solutions aim to improve operational efficiency whilst reducing the need for cost-intensive clinical team reviews. At ACDIS, Cotiviti's Betty Stump will present on navigating risk adjustment challenges and HCC coding standards. Cotiviti's services support over 300 million healthcare consumers across the US.