Full-Time

Senior Generative AI Scientist 2

Model Risk & Validation

Deadline 11/24/27
Cotiviti

Cotiviti

1,001-5,000 employees

Healthcare payment accuracy analytics provider

Compensation Overview

$145k - $170k/yr

Remote in USA

Remote

Category
AI & Machine Learning (1)
Requirements
  • Graduate Degree in Computer Science/Engineering, Statistics, Operations Research covering Advanced Statistics, Machine Learning and Artificial Intelligence.
  • Experience with the latest techniques in natural language processing including transformers, fine-tuning large language models, measuring/benchmarking and deploying large language models with tools such as HuggingFace, Langchain, LLAMA/Mistral and OpenAI, vector databases.
  • 5+ years of hands-on data science/AI experience, using typical machine learning and data science tools including pandas, scikit-learn, keras, nltk, and TensorFlow/PyTorch, GPU.
  • General understanding of Responsible AI (RAI), including explainability (XAI), AI NIST Risk Management Framework, and related AI risk management frameworks.
  • Experience evaluating models for bias and fairness, with aptitude for detecting bias in the model design and data, as well as using metrics such as SHAP and LIME.
  • Understanding appropriate model metrics and techniques for managing, evaluating and monitoring GenAI models and LLMs.
  • Experience building production-grade machine learning deployments on AWS, Azure, or Google Cloud Platform.
  • Experience working with Apache Spark and large-scale distributed datasets.
  • Ability to communicate technical concepts to non-technical and technical audiences; collaboration and value-driven mindset.
Responsibilities
  • Deliver solutions that help clients identify payment integrity issues, reduce the cost of healthcare processes, or improve the quality of healthcare outcomes; work in a team and individually responsible for delivery of value associated with projects.
  • Conduct independent model validation of existing models for benchmarking, assessment, and gauging effectiveness; determine aspects of model drift and data drift for model risk management to reduce risk and identify opportunities for revenue growth and innovation; apply deep expertise with AI/ML/GenAI model development, including hands-on experience with model building and model evaluation.
  • Benchmark and potentially rebuild existing models as needed using updated data and newer, more modern algorithms.
  • Actively drive improvements in model monitoring activities, including methods for model registration, model metadata management, and conceptualizing approaches for related tools and techniques; complete responsibilities as outlined in annual performance review and any special projects.
  • Must be able to perform duties with or without reasonable accommodation.
Desired Qualifications
  • Familiarity with healthcare payor ecosystem and related data.
  • Understanding and familiarity with model governance and data governance best practices.
  • Strong understanding of technology systems for model development (e.g., Python, DataRobot, AWS Sagemaker), model deployments (AWS, Azure, DataRobot, Databricks), model monitoring (AWS Model Monitor, MLFlow, NannyML, FiddlerAI, Arize) and related tools for model management and metadata management.

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

Simplify Jobs

Simplify's Take

What believers are saying

  • Ric Sinclair's March 2026 CEO appointment accelerates platform expansion from Waystar.
  • Suvajit Gupta's December 2024 CTO hire drives low-code innovation for payers.
  • KKR-Veritas recapitalization funds 2026 growth in SaaS analytics solutions.

What critics are saying

  • KKR-Veritas debt burdens force asset sales within 6-12 months.
  • CMS penalizes HCC upcoding, slashing revenue 30-50% in 12-24 months.
  • Edifecs integration fails under Gupta, causing client exodus to Optum in 18-24 months.

What makes Cotiviti unique

  • Cotiviti merges pre- and post-payment accuracy from 2014 Connolly-iHealth merger.
  • Serves all top 25 U.S. healthcare payers with $10B annual payment error corrections.
  • Integrates Edifecs AI for risk adjustment across 300M consumers post-2025 acquisition.

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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

Business Wire
Mar 9th, 2026
Cotiviti appoints Ric Sinclair as CEO to drive healthcare platform innovation

Cotiviti, a healthcare software and technology solutions provider, has announced a leadership transition. Ric Sinclair will join as chief executive officer and board member on 16 March 2026, whilst Emad Rizk will transition from CEO, president and chairman to senior adviser. Dr Rizk led Cotiviti for a decade, overseeing transformational acquisitions including Edifecs and expanding the company's market presence in partnership with Veritas and KKR. Sinclair joins from Waystar, where he served as chief business officer and helped build a high-growth enterprise technology platform. His focus will be accelerating Cotiviti's transformation, expanding its platform and delivering efficiency improvements across medical and administrative challenges. Cotiviti's technology serves customers providing coverage and care for over 300 million members and patients across the United States.

PR Newswire
May 5th, 2025
Cotiviti Selects The Casepoint Platform For Its Innovative Technology

OPEXUS + Casepoint signs a multi-year contract with Cotiviti to automate the company's internal and external litigation-related processes with a secure and unified legal hold platform.WASHINGTON, May 5, 2025 /PRNewswire/ -- Cotiviti, a leader in data-driven healthcare solutions, has selected the Casepoint legal hold management solution from OPEXUS + Casepoint to support internal investigations and litigation workflows within a single, secure platform. OPEXUS + Casepoint, the trusted leader in regulatory and compliance workflows across corporate and government enterprises, today announced that it has signed a multi-year contract with Cotiviti to provide its powerful, end-to-end legal hold management and eDiscovery platform to the technology and analytics company

HIT Consultant
Dec 5th, 2024
Cotiviti Appoints Suvajit Gupta As Chief Technology Officer

Cotiviti Appoints Suvajit Gupta as Chief Technology Officer. by Healthcare Executives Hires 12/05/2024 Leave a Comment. Suvajit Gupta, Chief Technology Officer at CotivitiWhat You Should Know: – Cotiviti, a provider of data-driven healthcare solutions, has appointed seasoned technology leader Suvajit Gupta as its new Chief Technology Officer (CTO). – Gupta brings over 30 years of experience in technology leadership to Cotiviti, where he will play a key role in shaping the company’s technology strategy and driving innovation across its portfolio of solutions for healthcare payers and retailers.Gupta Bio/BackgroundGupta joins Cotiviti from Appian Corporation, where he served as executive vice president of engineering for over a decade. During his tenure at Appian, Gupta led a large team of engineers and spearheaded significant advancements in the company’s low-code platform, transforming the user experience for building and deploying web and mobile applications. Prior to Appian, Gupta held leadership roles at Eloqua, further demonstrating his expertise in enterprise software development. He will report directly to Dr

Cotiviti
Jun 3rd, 2024
Cotiviti Completes Recapitalization with KKR and Long-Standing Owner Veritas

Cotiviti announced today the close of its business recapitalization with two premier firms, affiliates of its long-standing partner Veritas Capital (Veritas) and investment funds managed by KKR.

Business Wire
May 2nd, 2024
Cotiviti Completes Recapitalization With Kkr And Long-Standing Owner Veritas

SALT LAKE CITY--(BUSINESS WIRE)--Cotiviti, a leading healthcare data analytics and technology business, announced today the close of its business recapitalization with two premier firms, affiliates of its long-standing partner Veritas Capital (Veritas) and investment funds managed by KKR. KKR and Veritas are now co-sponsors with equal ownership stakes in Cotiviti. Cotiviti’s mission is to improve the healthcare system through its combination of advanced technology, data analytics, and specialized expertise. Its dynamic, integrated SaaS solutions enable health plans to solve their biggest challenges by closing care gaps, helping to ensure claims are appropriately reimbursed, capturing population risk accurately, and engaging consumers through highly tailored, multichannel approaches. “This is a significant milestone for Cotiviti and one that positions us for continued growth across the healthcare ecosystem as we leverage our deep expertise and infrastructure,” said Emad Rizk, M.D., Chairman, President, and CEO of Cotiviti. “In Veritas and KKR, we have two world-class investment firms joining forces because of their belief in our mission