Cotiviti - US
*Technical Specialist (Healthcare)
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Job Description
- Req#: 16120
Employer Industry: Healthcare Technology
Why consider this job opportunity:
- Salary up to $85,000 per year
- Eligibility for discretionary bonus consideration
- Comprehensive benefits package including medical, dental, vision, disability, and life insurance
- Generous Paid Time Off (PTO) ranging from 17-27 days per year, plus 9 paid holidays
- Opportunity for career advancement and internal mobility
- Flexible remote work environment
What to Expect (Job Responsibilities):
- Receive and clarify business rules from various internal teams
- Design and develop rule logic for integration into the Business Rules Management System (BRMS)
- Conduct deployment and testing of rules in a test environment to ensure accuracy
- Maintain and update documentation associated with each rule, producing impact reports and analyses
- Collaborate with teams across the organization to support end user needs
What is Required (Qualifications):
- High School Diploma required; Bachelor’s degree in a relevant field strongly preferred
- Minimum 3-4 years of experience in the healthcare industry or equivalent
- Basic coding skills with knowledge of SQL, Java, or other programming languages
- Experience analyzing large datasets and auditing payment inaccuracies
- Strong organizational, communication, and presentation skills
How to Stand Out (Preferred Qualifications):
- Familiarity with tools such as Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS)
- Experience with complex business rules, particularly with products like DROOLS in RedHat Decision Manager
- At least 1 year of internal experience within the employer
#HealthcareTechnology #RemoteWork #CareerGrowth #CompetitiveBenefits #TechnicalSpecialist
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Cotiviti is a solutions and analytics company leveraging unparalleled clinical and financial datasets to deliver insight into the healthcare system’s performance.
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