C

Cotiviti

Catches billing errors for health insurers

Technical Architect

Full-TimeDeadline 4/16/27
$128k - $168k/yr+ Discretionary bonus
Expert
Remote in USA
Remote
Software Engineering

About the job

Requirements
  • The candidate must have 12+ years of progressive software engineering experience, including at least 4 years in an architect or technical lead role.
  • The candidate must have delivered large-scale enterprise platform architecture decisions across the full stack, including user interface, application programming interface, data, and cloud.
  • The candidate must have deep expertise in microservices architecture patterns, including event-driven architecture, API-first architecture, domain-driven design, command query responsibility segregation, and strangler fig modernization.
  • The candidate must have strong data architecture skills across relational databases, analytical warehouses, and cloud data pipelines.
  • The candidate must have hands-on experience with cloud platforms, preferably Amazon Web Services, including compute, storage, data, and security services.
  • The candidate must have experience establishing and governing API design standards, testing practices, and continuous integration and continuous delivery pipeline architecture.
  • The candidate must have led legacy-to-modern migration programs without disrupting production operations.
  • The candidate must be able to think critically and evaluate information objectively before drawing conclusions or making recommendations.
  • The candidate must have strong attention to detail to ensure accuracy in data analysis, interpretation, and reporting.
  • The candidate must have strong numerical skills for conducting quantitative analysis, working with statistical methods and models, and manipulating data using mathematical operations.
  • The candidate must be skilled in interpreting data visualizations, charts, graphs, and other forms of data presentation.
  • The candidate must communicate complex technical concepts and insights clearly to technical and non-technical audiences through written reports, presentations, and verbal discussions.
  • The candidate must be able to learn and explore new methodologies, techniques, and tools in data analysis and insights generation.
  • The candidate must be able to handle pressure, adapt to changing priorities, and overcome setbacks in a fast-paced and ambiguous analytical environment.
  • The candidate must uphold ethical standards and maintain integrity when handling sensitive data and information.
  • The candidate must provide a dedicated, secure work area with high-speed internet access and an appropriate office setup and maintenance.
Responsibilities
  • Define and maintain the overall technical architecture for applications, platforms, or enterprise systems.
  • Evaluate business requirements and translate them into robust, scalable, and secure technical solutions.
  • Author and maintain Architecture Decision Records for all major design choices.
  • Conduct design reviews, assess risks, and provide recommendations to leadership.
  • Architect AI feedback loops in which auditor accept or reject signals retrain and improve model relevance scoring over time.
  • Implement AI governance frameworks, including explainability, confidence scoring, human-in-the-loop controls, and audit trails, for AI outputs influencing CMS audit findings.
  • Champion AI-assisted software development life cycle adoption across the engineering team using Claude Code, GitHub Copilot, Cursor, Windsurf, and similar tools.
  • Establish engineering productivity baselines and measure quantifiable AI-driven velocity improvements.
  • Run structured artificial intelligence proof-of-concept programs that translate into shipped production features.
  • Lead, mentor, and elevate teams of 8–15 engineers across mixed experience levels.
  • Translate complex architectural decisions into clear communication for non-technical stakeholders.
  • Produce Architecture Decision Records, component diagrams, data flow maps, and integration specifications.
  • Collaborate across product, operations, security, and compliance teams.
  • Partner with product managers, business analysts, and other stakeholders to ensure solutions meet functional and non-functional requirements.
  • Work with project managers to align timelines, risks, and dependencies.
  • Communicate complex technical concepts clearly to technical and non-technical audiences.
  • Define coding standards, patterns, and best practices to improve maintainability and reliability.
  • Conduct performance reviews, security assessments, and compliance checks.
  • Stay updated with emerging technologies and evaluate their potential impact on the organization.

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

Get referred to Cotiviti

See people who can refer or advise you

Simplify Jobs

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.

Help us improve and share your feedback! Did you find this helpful?

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.