Cotiviti

Cotiviti

Healthcare payment accuracy analytics provider

Generative AI/Agentic AI/Research Intern

Fall 2026Deadline 4/15/27
$32 - $40/hr
Internship
Master's, PhD
Remote in USA
Remote

Remote within the United States; a dedicated secure work area and high-speed internet are required.

About the job

Requirements
  • Currently pursuing or recently completed an advanced degree in healthcare, technology, or a related field, such as Biomedical Informatics, Computer Science, or Artificial Intelligence, with preference given to candidates pursuing a Doctor of Philosophy.
  • Demonstrated interest or experience in artificial intelligence, healthcare technology, or informatics research.
  • Strong foundational knowledge in generative artificial intelligence model development, architectures, and vector databases.
  • Hands-on experience working with machine learning and deep learning models.
  • Hands-on experience working with cloud services such as Amazon Web Services or Azure, large data sets, and building data pipelines for machine learning solutions.
  • Ability to work collaboratively and communicate effectively with cross-functional teams.
  • Ability to communicate with others to exchange information and assess the accuracy, neatness, and thoroughness of assigned work.
  • Ability to provide a dedicated, secure work area, high-speed internet access, and office setup and maintenance.
Responsibilities
  • Assist in developing and improving large language models and machine learning tools used across the organization.
  • Assist in establishing and maintaining an Artificial Intelligence Governance Program.
  • Gain hands-on experience in generative artificial intelligence model development, architecture design, and database management.
  • Conduct research on Agentic Artificial Intelligence models and their potential impact on healthcare workflows and decision-making.
  • Assist in designing, developing, and testing autonomous artificial intelligence agents and generative artificial intelligence systems tailored for healthcare informatics.
  • Support efforts to establish and maintain an Artificial Intelligence Governance Program with a focus on agentic artificial intelligence ethics and safety.
  • Communicate technology-related updates and requirements to other departments and contribute to presentations for senior management.
  • Collaborate with research and development teams, product management, and strategic analysts to support ongoing projects.
  • Partner with Business Units to provide reliable intelligence, validated technology options, and insights on enterprise and industry trends.
  • Support technology project teams by coordinating specific tasks, assisting with day-to-day operations, and contributing to the successful delivery of solutions.
  • Assist in collaborative efforts with academic research teams, practicums, internships, and vendor proofs of concept.
  • Support vendor evaluations and contribute to collaborations with vendors.
  • Assist as a liaison between academic institutions, professional organizations, and research groups as needed.
  • Complete all responsibilities and goals outlined in the internship program.
  • Complete all special projects and other assigned duties.
  • Perform duties with or without reasonable accommodation.
Desired Qualifications
  • Experience with large language model and retrieval-augmented generation models.
  • Experience with large language model fine-tuning.
  • Experience with vector embeddings and databases.

About the company

Cotiviti provides healthcare data analytics and payment integrity services for health plans, providers, and retailers. It uses analytics and technology to review medical claims before and after payment to identify improper or duplicate payments, validate coding, and recover overpayments. The company combines capabilities from its predecessors (Connolly and iHealth Technologies) into a single end-to-end platform for pre-payment and post-payment review, enabling more accurate, efficient claims processing. Compared with competitors, Cotiviti leverages its large-scale data assets, extensive experience in healthcare payer analytics, and a broad, end-to-end workflow that covers the full lifecycle of claims payment and audit. Its goal is to reduce waste and abuse in the U.S. healthcare system by improving payment accuracy and recovering improper payments across the claims process.

Company Size

1,001-5,000

Company Stage

IPO

Headquarters

South Jordan, Utah

Founded

1979

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Simplify's Take

What believers are saying

  • August 2026 Proactive COB shifts recovery left, reducing overpayments before claims adjudication.
  • September 2026 contract-compliance expansion opens manufacturing and hospitality revenue beyond healthcare.
  • Ric Sinclair's March 2026 appointment and Erin Schmuker's September 2026 hire sharpen execution.

What critics are saying

  • Cotiviti's September 2026 AI push heightens governance and cybersecurity exposure across payer workflows.
  • Healthcare payers already internalize payment integrity; UnitedHealthcare and Optum pressure pricing and retention.
  • If Edifecs integration slips, KKR and Veritas lose platform leverage and exit optionality.

What makes Cotiviti unique

  • Cotiviti spans pre-payment, post-payment, and retail audits across 300 million covered lives.
  • Edifecs adds interoperability and CMS payer workflow depth, widening its system-level platform.
  • URAC-accredited, AI-enabled workflows combine proprietary claims data with clinical review and audit trails.

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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.