Overview

The Business Operations group works in small project teams to identify and address complex business challenges. The team operates like an internal consulting group to define and drive strategic, operational, and organizational improvements across the business.

Successful candidates will be self-motivated, intellectually curious, a fast learner, comfortable with ambiguity and working independently, able to focus on details while thinking strategically. They will have the ability to solve business problems of moderate to complex scope and deliver insights that enable timely and effective operational decision-making.

Responsibilities

• Leads consultative requirements gathering sessions with internal operational stakeholders to scope analytical support needs and provide solutions that empower data driven decision making and revenue growth.
• Conducts sophisticated data analysis, modeling, prescriptive/diagnostic insight generation and data storytelling across all facets of the Retrospective Claims Auditing business.
• Leads process optimization exercises to compress the time-to-value in reporting/production and charged with maximizing the utility of individuals across the organization.
• Creates simplistic automated business tools, templates, and KPI reporting products that allow departments (operations/yield) to work effectively.
• Conducts ROI and opportunity cost evaluations for the reallocation of resources, capital investments, and sizing new business opportunities for account management teams.
• Assists management in transformational execution of new business practices and in driving operational accountability.
• Develop and leads monthly/quarterly business reviews that benchmarks each departments trending financial performance, evaluates cost, and measures the overall productivity/health of the business.
• Works cross functionally to build out solutions and insights for competitive intelligence.
• When necessary creates, delivers, and maintains basic client/internal reporting.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

• Bachelor's degree with quantitative focus (Economics, Engineering, Computer Science, Mathematics, Statistics or Accounting) or equivalent experience.
• 5+ combined years experience in management consulting, investment banking, business strategy, operational excellence/process improvement, and/or Finance.
• Strong analytical, quantitative, written, and interpersonal skills.
• Proficient in data storytelling, predictive/prescriptive analysis and in manipulating large quantities of data with strong spreadsheet and database query experience (e.g. SQL).
• Prior experience leading business optimization, ROI analysis, and financial modeling exercises.
• Comfort working in fast-paced environment with limited guidance.
• Advanced experience in Microsoft office suite (Excel, Power Point, Vizio, and Access).
• Prior experience with BI tools including Microstrategy, Tableau, Power Pivot, and DataMeer.
• SQL and database management experience (preferred).
• Extremely well-organized and capable of handling multiple projects and ad-hoc requests simultaneously.
• Lean knowledge/experience to apply lean concepts and principles across respective value streams (preferred).
• Experience in healthcare and/or software industries a plus.

Mental Requirements:

• Communicating with others to exchange information.
• Problem-solving and thinking critically.
• Completing tasks independently.
• Interpreting data.
• Maintaining focus.
• Assessing the accuracy, neatness and thoroughness of the work assigned.
• Handling multiple tasks simultaneous.

Physical Requirements and Working Conditions:

• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
• Must be able to provide a dedicated, secure work area.

Base compensation ranges from $72,000 to $108,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 9/22/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/22/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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