Technical Specialist – Healthcare

Cotiviti

. Collaborate with the RCA - Content & Enablement Department, Implementations Team, and Audit Operations and R&D teams.

Posted 10/7/2026full-timeRemote • United StatesMid-LevelSenior💰 $70,000 - $90,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in designing and developing rule logic for Business Rules Management Systems, with strong analytical skills for auditing and analyzing large datasets. Proficient in SQL and familiar with tools like Power BI and Datameer to support data-driven decision-making.

Highest-signal resume keywords

Business Rules Management System (BRMS)SQL ProgrammingData AnalysisMicrosoft Office SuiteHealthcare Industry Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Basic Coding SkillsSQLJavaData AnalysisBusiness Rules DesignAuditing Payment InaccuraciesDocumentation MaintenanceImpact ReportingRule Logic DevelopmentTesting and Deployment

Soft Skills

Excellent Communication SkillsAnalytical Problem-SolvingOrganizational SkillsCollaborationFlexibility

Tools & Technologies

Power BIDatameerSQL Server Management Studio (SSMS)AccessHUEMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft VisioOutlook

Industry Keywords

Cotiviti ExperienceHealthcare IndustryBusiness RulesDROOLSRedHat Decision Manager

Tech Stack

Tools & technologies

JavaSQL

About the role

Key responsibilities & impact

Collaborate with the RCA - Content & Enablement Department, Implementations Team, and Audit Operations and R&D teams.
Receive business rules from various internal Cotiviti teams.
Collaborate with internal partners to clarify the intent of each rule.
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 verify accuracy.
Implement rules into production environments.
Communicate with operations and key stakeholders following production deployment.
Maintain and update documentation associated with each rule.
Produce impact reports and analyses.
Use tools and technology to track and report on requests.
Partner with teams across the organization to support end user needs.
Act as a liaison between the operations team and the BRMS Center of Excellence.

Requirements

What you’ll need

High School Diploma Required.
Bachelor’s degree in education, technical writing, communications, or related fields strongly preferred.
Equivalent experience may be considered in lieu of a degree.
Minimum 3-4 years Cotiviti experience or equivalent within healthcare industry.
Basic coding skills; understanding of basic programming languages and ability to write and understand code in SQL, Java, or other.
Familiarity with Access, HUE, Datameer, Power BI, or SQL Server Management Studio (SSMS).
Familiarity with complex business rules and products like DROOLS in RedHat Decision Manager.
Experience analyzing large datasets and auditing payment inaccuracies.
Ability to work independently and communicate and collaborate with others.
Excellent analytical and problem-solving skills.
Ability to manage multiple assignments simultaneously while meeting deadlines and quality standards.
Excellent organization, communication, and presentation skills.
Flexibility to work in different shifts as required.
Strong working experience with Microsoft Word, Excel, PowerPoint, Visio, and Outlook.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
At least 1-year Cotiviti experience is recommended for individuals seeking their next opportunity internally.

Benefits

Comp & perks

Discretionary bonus consideration
Medical insurance coverage
Dental insurance coverage
Vision insurance coverage
Disability insurance coverage
Life insurance coverage
401(k) savings plans
Paid family leave
9 paid holidays per year
17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti
Dedicated, secure work area
High-speed internet access/connectivity and office setup and maintenance