Full-Time

Principal Insights Analyst

Healthcare

Updated on 9/4/2026

Deadline 8/12/27
Cotiviti

Cotiviti

1,001-5,000 employees

Healthcare payment accuracy analytics provider

Compensation Overview

$94k - $116k/yr

+ Discretionary bonus

Remote in USA

Remote

Bachelor's

Category
Data & Analytics (1)
Required Skills
Power BI
Microsoft Office
Agile
Market Research
Python
Data Visualization
Data Science
R
SQL
Visio
Tableau
SCRUM
Business Analytics
Data Governance
Data Analysis
Excel/Numbers/Sheets
Financial Modeling
PowerPoint/Keynote/Slides

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Requirements
  • A bachelor's degree with a quantitative focus in Economics, Engineering, Computer Science, Mathematics, Statistics, or Accounting, or equivalent practical experience.
  • Eight to ten years of progressive experience in data analytics, business analytics, data science, management consulting, investment banking, business strategy, operational excellence or process improvement, and/or Finance.
  • Deep expertise in advanced data analysis, statistical modeling, and data visualization, with strong proficiency in SQL and database management and experience using tools such as Python, R, Tableau, Power BI, MicroStrategy, Power Pivot, or similar business intelligence platforms.
  • Expertise in analyzing large, complex datasets to uncover predictive insights and prescriptive solutions that drive business decisions.
  • Expertise in data storytelling that transforms complex technical concepts into clear, compelling narratives for non-technical and executive audiences.
  • Business acumen, including experience conducting business optimization, return on investment analysis, financial modeling, and opportunity cost evaluations aligned to organizational objectives.
  • Experience managing multiple complex projects and ad hoc analytical requests simultaneously in fast-paced, ambiguous environments with minimal direction.
  • Experience with data governance, data quality management, and data security best practices.
  • A track record of developing high-performing analytical teams through mentoring, technical guidance, and strategic career coaching.
  • Proficiency in Microsoft Office Suite, including Excel, PowerPoint, Visio, and Access, with advanced modeling and executive presentation capabilities.
  • Familiarity with Lean principles, process improvement methodologies, and project management frameworks such as Agile or Scrum.
  • Critical thinking and the ability to evaluate information objectively before drawing conclusions or making recommendations.
  • Attention to detail to ensure accuracy in data analysis, interpretation, and reporting.
  • Strong numerical skills for quantitative analysis, statistical methods and models, and data manipulation using mathematical operations.
  • Skill in interpreting data visualizations, charts, graphs, and other data presentations to extract meaningful insights and communicate findings effectively.
  • Effective written, presentation, and verbal communication of complex technical concepts and insights to non-technical stakeholders.
  • The ability to learn and explore new methodologies, techniques, and tools in data analysis and insights generation.
  • The ability to handle pressure, adapt to changing priorities, and overcome setbacks in a fast-paced and ambiguous analytical environment.
  • The ability to uphold ethical standards and maintain integrity when handling sensitive data and information.
  • The ability to remain stationary, often standing or sitting, for prolonged periods and perform repetitive motions involving the wrists, hands, and/or fingers.
  • A dedicated, secure work area and high-speed internet access, connectivity, and office setup and maintenance.
Responsibilities
  • Lead sophisticated data analysis and modeling to identify trends, mitigate risks, and uncover opportunities across complex, diverse datasets.
  • Interpret analytical findings within business and industry context to deliver actionable recommendations to stakeholders.
  • Conduct strategic deep-dive analyses to identify root causes, eliminate operational bottlenecks, and uncover growth opportunities.
  • Design and build dashboards, automated tools, and key performance indicator reporting products that support data-driven decisions.
  • Design data models and complex analytical tools that support broad trend analysis and scalable insight generation.
  • Conduct return on investment, opportunity cost, and resource allocation analyses to inform capital investments, operational priorities, and new business opportunities.
  • Lead strategic monthly and quarterly business reviews that benchmark performance, illuminate cost trends, and drive continuous improvement.
  • Conduct market research and competitive analysis to identify emerging trends, best practices, and competitive advantages.
  • Synthesize external market intelligence with internal data to inform strategic initiatives and business planning.
  • Stay current on advancements in analytics, business intelligence, and industry-specific methodologies, and lead adoption of new tools and approaches as appropriate.
  • Lead requirements-gathering sessions that align analytical solutions with strategic business objectives and drive measurable impact.
  • Collaborate with marketing, sales, product, operations, finance, clinical, and technology teams to define key performance indicators and drive analytical initiatives.
  • Collaborate with data scientists and engineers on planning, testing, quality assurance, and deployment of analytical and software solutions.
  • Present insights, recommendations, and narratives to senior leadership.
  • Solicit and manage requirements and service-level expectations for ad hoc and complex reporting requests.
  • Champion process optimization initiatives that accelerate time-to-value and maximize organizational efficiency.
  • Drive transformational business practices that strengthen operational rigor, accountability, and organizational performance.
  • Own and drive strategic initiatives that directly impact revenue growth and operational excellence.
  • Mentor and develop junior analysts.
  • Serve as a subject matter expert in data analysis tools, methodologies, and database schemas across enterprise data environments.
  • Create and maintain training materials and best practices for analytical teams.
  • Train and coach analysts and business partners in advanced analytical practices, data storytelling, and new tools.
  • Ensure adherence to data governance policies, data privacy regulations, and industry standards.
  • Safeguard sensitive data through appropriate access controls and data integrity practices.
  • Complete responsibilities outlined in the annual performance review and/or goal setting.
  • Complete special projects and other assigned duties.
  • Perform duties with or without reasonable accommodation.
Desired Qualifications
  • Experience in healthcare, healthcare payment accuracy, and/or software industries.
  • Certifications in data analytics, business intelligence, project management, or related disciplines.

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 Jobs

Simplify's Take

What believers are saying

  • Cotiviti launched AI-enabled dental claim accuracy on August 4, 2026.
  • Cotiviti certified all NCQA Digital HEDIS measures on June 2, 2026.
  • Ric Sinclair’s March 16, 2026 CEO appointment signals a new growth phase.

What critics are saying

  • Bloomberg and Axios said Cotiviti’s debt reached roughly $7 billion after Edifecs.
  • KKR and Veritas control Cotiviti, forcing exit pressure over product investment timing.
  • Any failed Edifecs integration undermines interoperability claims and weakens the platform story.

What makes Cotiviti unique

  • Cotiviti’s 2026 Proactive COB shifts payment integrity upstream at enrollment.
  • Its Edifecs acquisition deepens interoperability, risk adjustment, and pre-payment workflows.
  • Everest Group named Cotiviti a 2026 market-impact leader for pre-payment integrity.

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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

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.

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.