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Cotiviti

Catches billing errors for health insurers

Senior Operations Engineer

Implementation & Technical Account ManagementConfirmed live in the last 24 hours
Full-timeRemote in USA$107k - $128k /yr

About the Job

Requirements

  • A bachelor's degree or foreign degree equivalent in Computer Science, Computer Engineering, Information Technology, or a related technical field, plus 5 years of progressive post-baccalaureate experience in product support or implementation in the healthcare industry.
  • Seven years of experience reading and writing relational database queries using T-SQL or ANSI-SQL.
  • Seven years of hands-on experience developing or supporting applications using one or more of COM, VB, Jscript, Java, Perl, C#, or VB.Net.
  • Seven years of experience working with EDI and EDI systems, with knowledge of HIPAA and Enrollment Management in the healthcare domain.
  • Seven years of experience working with HTML/XML.
  • Six years of experience working with code, including code debugging and analyzing defects within code.
  • At least two years of hands-on experience with Kubernetes and AWS, specifically deploying and managing Edifecs applications.
  • Ability to analyze complex problems, interpret data, and make decisions; maintain accuracy and precision; identify issues, evaluate options, and implement solutions; quickly learn technologies, processes, and tools; understand and convey technical concepts; and handle pressure and multiple priorities.
  • Ability to provide a dedicated, secure work area and high-speed internet access/connectivity, including office setup and maintenance.
  • Ability to perform the duties with or without reasonable accommodation.

Responsibilities

  • Provide technical and operational support to enterprise clients for product-related issues.
  • Respond promptly and professionally to customer inquiries by email and phone.
  • Host online troubleshooting and investigation sessions in customer production environments.
  • Collect and document the necessary problem details to drive effective resolution.
  • Reproduce customer-reported issues in controlled test environments for root cause analysis.
  • Develop custom utilities, workarounds, and new solutions to resolve critical issues and improve product functionality.
  • Deploy and manage Edifecs applications on Kubernetes and AWS to support enterprise clients’ cloud infrastructure needs.
  • Implement fixes for defects identified during troubleshooting or reported by customers.
  • Assist Product and Development teams with performance analysis, functional testing, and validation during release cycles, including service packs and hotfixes.
  • Partner with Product Implementation and Development teams to address complex issues and ensure smooth product delivery.
  • Collaborate virtually with Product Operations staff to support teamwork and knowledge sharing.
  • Provide mentorship and task guidance to Product Support and Product Operations teams.
  • Deliver a consistent, responsive, and positive customer experience in each interaction.
  • Complete responsibilities outlined in the annual Performance Plan and complete special projects and other assigned duties.

About the Company

Cotiviti

Catches billing errors for health insurers

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, UT
Founded
1979

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