Full-Time

Senior Enterprise Process Specialist

Deadline 3/12/27
Cotiviti

Cotiviti

1,001-5,000 employees

Healthcare payment accuracy analytics provider

Compensation Overview

$135k - $170k/yr

+ Bonus

Remote in USA

Remote

Category
Business & Strategy (2)
,
Required Skills
Six Sigma
Word/Pages/Docs
Requirements
  • Minimum 12 years’ experience identifying, scoping, and leading process improvement efforts at large companies with international operations and measurable outcomes.
  • Minimum of 12 years’ experience in operations and/or projects at large companies with international operations.
  • Bachelor’s Degree in Computer Science, Engineering, Business, Health, or Medical discipline.
  • Black Belt certification in Lean Six Sigma, with demonstrated experience managing a successful project portfolio.
  • Experience coordinating directly with C-level executives.
  • Experience with mergers and acquisitions related process improvement projects.
  • Excellent verbal and written communication skills with strong executive presence.
  • Highly Proficient in Microsoft Office Suite (Word, Access, and Outlook), project management tools, video conferencing, and other standard project tools.
  • Organized and able to prioritize, multi-task, and work under pressure on multiple simultaneous projects with tight timeframes.
  • Self-driven and able to drive efforts that are constantly changing and always working with new groups and processes.
  • Familiarity with major financial reporting techniques and terminology, and experience working directly with a large finance team.
  • Travel is expected to be less than 10% but may be required for some efforts.
  • Strategic Systems Thinking: Ability to understand complex, interconnected technology, business, and operational systems and anticipate downstream impacts of decisions across the enterprise.
  • Advanced Analytical Reasoning: Quickly analyze large volumes of qualitative and quantitative information to identify patterns, risks, dependencies, and opportunities within transformation programs.
  • Executive Judgment & Decision-Making: Apply sound judgment in ambiguous, high-stakes environments, balancing competing priorities, constraints, and stakeholder interests.
  • Rapid Learning & Adaptability: Assimilate new technical concepts, business models, and program objectives quickly, adjusting strategies and execution plans as conditions evolve.
  • Problem Solving in Ambiguity: Define problems that are not clearly articulated, evaluate multiple solution paths, and drive resolution in dynamic and uncertain environments.
  • Risk Anticipation & Mitigation Thinking: Proactively identify potential program, technology, andorganizational risks and develop mitigation strategies before issues escalate.
  • Synthesis & Abstraction: Distill complex program details into clear, concise insights and narratives appropriate for executive-level decision-making.
  • Change & Impact Assessment: Evaluate organizational readiness, behavioral impacts, and adoption risks associated with large-scale technology transformation initiatives.
  • Prioritization & Trade-Off Analysis: Assess relative value, urgency, and impact to sequence work effectively and guide leaders through informed trade-off decisions.
  • Innovation & Continuous Improvement Mindset: Identify opportunities to improve processes,leverage emerging technologies, and challenge existing assumptions to drive transformation outcomes.
Responsibilities
  • Drive critical process improvement projects to successful completion with impact over $1M per project.
  • As part of the Transformation team, it may be required to act in a Project Management role including post-merger integrations and strategic initiatives as deemed necessary by leadership.
  • Experience gathering voice of the (internal) customer, conducting process discovery sessions, and conducting situational assessments.
  • Engage with Executive Stakeholders to identify, scope and conduct process specific consulting engagements to successful completion while maintaining alignment and support.
  • Coordinate simultaneously across disparate organizations and disciplines with many different owners, tasks, and deliverables from different teams.
  • Provide regular executive updates on project status.
  • Interact directly with the highest levels of company leadership, including SLT members and company owners.
  • Adapt different process improvement approaches based on the specific effort at hand.
  • Quickly summarize process improvement status at an executive level while also maintaining detailed project plans.
  • Coordinate with PMO/project managers on related projects and handoffs to implement agreed solutions.
  • Drive adoption of industry standard process improvement methodologies.
  • Remain current in the latest Lean Six Sigma process improvement developments, techniques, and industry trends.
  • Support LSS training and certification programs through content delivery, coaching, mentoring and project oversight.
  • Ability to consult, prioritize, and communicate clearly with stakeholders related to project pipelines, expectations, and feedback.
  • Provide prompt attention and response to inquires from Executives and SLT to provide white glove service.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
Desired Qualifications
  • Previous experience in a business consulting role is a plus.
  • PMP Certification in Project Management is a plus.
  • MBA or equivalent business knowledge.
  • Publication or conference presentation experience in Lean Six Sigma or related topics is a plus.
  • Experience working in large software companies and with software development lifecycle management methodologies is a plus.

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