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60 Cotiviti Operations Manager Jobs Hiring Near You

Cotiviti

Senior Manager Quality Audit Operations

Grounded in Cotiviti's values-Deeply Curious, People Obsessed, Make it Count, and Build it Better ... The Senior Manager serves as a business partner to operational leaders while fostering alignment ...

Cotiviti

Payment Accuracy Specialist*

Utilizes Cotiviti audit tools Recovery Management System (RMS), specific client systems) to ... Understands and embodies Cotiviti Core Values, Strategic Pillars, and Operations Disciplines to ...

Cotiviti

Payment Accuracy COB Specialist

Leverages cutting-edge Cotiviti audit tools such as the Recovery Management System (RMS), COB ... Understands and embodies Cotiviti's Core Values, Strategic Pillars, and Operations Disciplines to ...

Cotiviti

Medical Policy Release Manager

Act as the liaison between Clinical Policy teams, IT, and Business operations to communicate ... Maintains current knowledge of industry and Cotiviti content, applications, procedures and policies.

Cotiviti

DRG Validation Auditor (Clinical & Coding)

$45.67/hr

Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit ... Maintains production goals set by the audit operations management team. * Meets or Exceed Standards ...

Cotiviti

Auditor Clinical Validation DRG

$45.67/hr

Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit ... Maintains production goals set by the audit operations management team. * Meets or Exceed Standards ...

Cotiviti

Medical Policy Release Manager

Act as the liaison between Clinical Policy teams, IT, and Business operations to communicate ... Maintains current knowledge of industry and Cotiviti content, applications, procedures and policies.

Cotiviti

Project Manager - Payment

$100K - $135K/yr

Business stakeholders * Product * R&D * Operations * Vendors (if applicable) * Complete all ... This does not constitute an employment agreement and is subject to change as the needs of Cotiviti ...

Cotiviti

Corporate Development Associate

$95K - $125K/yr

Manage data rooms, diligence trackers and transaction process timelines. * Perform competitive ... Develop deep understanding of Cotiviti's business units and near adjacent markets. * Complete all ...

Cotiviti

Lead Sales Solutions Consultant

The role will support clients across Cotiviti's Health Enablement, Interoperability, and Payment ... Capacity to manage multiple proprieties and maintain attention to detail. * Effective memory and ...

Cotiviti

Senior AI Product Manager

$153K - $194K/yr

Work closely with operations teams and drive adoption across the portfolio. * Establish trusting ... This does not constitute an employment agreement and is subject to change as the needs of Cotiviti ...

Cotiviti

Associate Auditor Clinical Validation DRG

$31.25 - $38.46/hr

Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit ... Maintains production goals set by the audit operations management team. * Meets or Exceed Standards ...

Cotiviti

Associate Auditor Clinical Validation DRG

$31.25 - $38.46/hr

Utilizes Cotiviti proprietary auditing systems with a high level of proficiency to make audit ... Maintains production goals set by the audit operations management team. * Meets or Exceed Standards ...

Cotiviti

Medical Director

$225K - $275K/yr

Experience in Health plan operations as a Medical Director, with focus on medical policy, medical ... Exhibits behaviors consistent with Cotiviti values. Job Demands: * The role can work at home ...

Cotiviti

Corporate Development Associate

$95K - $125K/yr

Manage data rooms, diligence trackers and transaction process timelines. * Perform competitive ... Develop deep understanding of Cotiviti's business units and near adjacent markets. * Complete all ...

Cotiviti

Senior Generative AI Scientist I

A Data Scientist at Cotiviti will be given the opportunity to work directly with a team of health ... well as Operations, along with product management to assess the potential value and risks ...

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Do workers at Cotiviti get paid breaks?

Yes. Most people get paid breaks.
88% of people say they get paid breaks.
Based on data from 25 people who took the Breakroom Quiz between December 2024 and May 2026.

Does Cotiviti pay people when they’re sick?

Yes. Most people get paid when they’re sick.
69% of people say they would get paid if they were sick but scheduled to work.
Based on data from 29 people who took the Breakroom Quiz between January 2025 and May 2026.

At Cotiviti, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 21 people who took the Breakroom Quiz between May 2025 and May 2026.

Is the health insurance from Cotiviti affordable enough for their workers?

Most people say the health insurance costs are okay.
90% of people say the health insurance costs are okay
Based on data from 21 people who took the Breakroom Quiz between March 2025 and May 2026.

Do people get paid time off at Cotiviti?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 21 people who took the Breakroom Quiz between May 2025 and May 2026.

How far ahead of time do people find out their work schedule?

Most people find out their schedule less than four weeks ahead of time.
  • 100% of people with changing schedules find out their shifts one week or less ahead of time.
  • 0% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 0% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 7 people who took the Breakroom Quiz between January 2025 and February 2026.

Do workers at Cotiviti worry about hours?

Most people don’t worry about getting enough hours.
94% of people report they don’t worry about getting enough hours.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and February 2026.

Do Cotiviti workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
38% report that they don’t have enough control over which shifts they work.
Based on data from 8 people who took the Breakroom Quiz between December 2024 and January 2026.

How easy is it for Cotiviti workers to change shifts?

Most people find it easy to change shifts.
80% of people report that it’s easy to change shifts if they need to.
Based on data from 15 people who took the Breakroom Quiz between January 2025 and February 2026.

How easy is it to get time off at Cotiviti?

Most people find it easy to get time off.
87% of people report it’s easy to get time off.
Based on data from 31 people who took the Breakroom Quiz between December 2024 and May 2026.

Do Cotiviti managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
94% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 18 people who took the Breakroom Quiz between December 2024 and February 2026.

Do jobs at Cotiviti spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
11% of people report that their job takes up time that they don’t get paid for.
Based on data from 19 people who took the Breakroom Quiz between December 2024 and February 2026.

How easy is it to take sick days at Cotiviti?

Most people find it easy to take sick days.
83% of people report that it’s easy to take time off if they are sick.
Based on data from 29 people who took the Breakroom Quiz between December 2024 and May 2026.

Is working at Cotiviti good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
91% of people who care for a child or other relative report this is a good place to work.
Based on data from 11 people who took the Breakroom Quiz between December 2024 and April 2026.

Do people at Cotiviti feel treated with respect by their managers?

Most people feel treated with respect by their managers.
80% of people say they’re treated with respect by their managers.
Based on data from 30 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people at Cotiviti get to take their breaks without interruption?

Most people get breaks without interruption.
86% of people report that they get to take their breaks without interruption.
Based on data from 29 people who took the Breakroom Quiz between December 2024 and May 2026.

Is it stressful to work at Cotiviti?

Some people feel stressed out here.
61% of people say they often feel stressed out at work.
Based on data from 33 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people at Cotiviti enjoy their jobs?

Most people enjoy their job.
71% of people report they enjoy their job.
Based on data from 28 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people at Cotiviti recommend working with their team?

Only some people recommend working with their team.
42% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 33 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people get enough training when they start at Cotiviti?

Some people didn’t get enough training when they started.
38% of people report they didn’t get enough training when they started working here.
Based on data from 32 people who took the Breakroom Quiz between December 2024 and May 2026.

Do people get support to advance at Cotiviti?

Only some people are given support to advance their career here.
In the last year, 48% of people report not being given support to advance their career here.
Based on data from 27 people who took the Breakroom Quiz between January 2025 and May 2026.

Do people think Cotiviti’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
81% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 31 people who took the Breakroom Quiz between December 2024 and May 2026.

Do workers feel well informed about how Cotiviti is doing?

Only some people feel well informed about how the company is doing.
39% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 28 people who took the Breakroom Quiz between December 2024 and May 2026.

What other companies are hiring for Operations Manager jobs?

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Infographic showing various Operations Manager job openings at Cotiviti in the United States as of August 2026, with employment types broken down into 1% Internship, and 99% Full Time. Highlights an 28% Physical, and 72% Remote job distribution.

Senior Manager Quality Audit Operations

Cotiviti

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

Cotiviti rating

8.3

Company rating: 8.3 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

51st of 224 rated it services

Job description

Overview
The Senior Manager, Quality Assurance leads a team of quality-focused individuals across multiple review types responsible for developing, executing, and continuously improving CCV's quality assurance programs, and ultimately, delivering value to our clients. This leader oversees the governance of quality standards, criteria, audit guidelines, and monitoring processes to ensure programs are evaluated, maintained, and refined over time. The Senior Manager is responsible for ensuring the accurate application of audit guidelines applied through AI-supported and human-reviewed processes, to support high audit accuracy, consistent and sustainable review outcomes, and reliable identification of quality opportunities. Grounded in Cotiviti's values-Deeply Curious, People Obsessed, Make it Count, and Build it Better-the Senior Manager fosters a culture of inquiry, accountability, collaboration, and continuous improvement. This role will also focus on incorporating innovation and AI into the QA program to make it more proactive and effective in identifying, prioritizing, and closing vulnerabilities. The role is expected to move beyond reporting results to proactively identify emerging risks, influence corrective action, and confirm measurable, sustained improvement across AI-supported and human-reviewed workflows. The Senior Manager serves as a business partner to operational leaders while fostering alignment among key stakeholders across CCV operations, concept development, machine learning and strategic analytics, and client service teams.
Responsibilities
AI-Enabled Quality Program Governance
  • Owns and matures the quality program framework, including quality controls, sampling strategy, escalation routines, governance cadence, and sustained monitoring.
  • Defines, measures, and monitors accuracy, consistency, and decision quality across AI-supported and human-reviewed workflows.
  • Identifies early quality signals, accuracy drift, and client-facing or operational exposure before issues escalate externally, using root cause analysis, trend monitoring, and risk segmentation to determine whether issues are isolated, systemic, or likely to affect our clients.
  • Partners consultatively with operations, analytics, technology, training, and client-facing leaders to translate quality findings into action.
  • Develops remediation plans that include containment, ownership, timelines, measurable success criteria, governance checkpoints, and evidence of sustained improvement.
  • Ensures changes to AI-supported workflows are supported by controlled pilots, release-readiness criteria, risk-based testing, documentation, post-implementation monitoring, and stakeholder alignment.
  • Champions innovation and responsible use of AI to creatively improve audit performance, increase review effectiveness, strengthen quality insights, and identify scalable opportunities to improve accuracy, productivity, risk detection, and client value.
  • Drives continuous improvement by establishing clear accountability, ensuring disciplined execution of quality actions, and positively influencing auditor and audit behavior through data-driven coaching, feedback loops, reinforcement of expectations, and sustained monitoring of outcomes. Communicates emerging risks and remediation progress clearly to senior leadership with appropriate urgency, balance, and action orientation.

Relationship Management
  • Maintains professional relationships across the quality organization and audit enterprise. Identifies opportunities to expand the scope of quality initiatives to create unique value for clients. Communicates opportunities to Cotiviti Leadership.
  • Establishes reporting and insights on quality program performance and business patterns utilizing metrics that matter.

Productivity Management
  • Ensures that QA productivity goals and standards set are consistently met or exceeded. Removes roadblocks to great performance.
  • Monitors team coverage of responsibilities to assist with redistribution of work as necessary to achieve set targets.
  • Promptly addresses and resolves issues impacting productivity.
  • Builds trust, respect and an engagement through communication and positive reinforcement to create a tradition of maintaining and exceeding internal and external expectations.
  • Strives to continuously Build Better.

Leadership
  • Provides People Obsessed leadership by communicating all expectations as well as future goals. Motivates employees by using a combination of individual, team, and department recognition. Responsible for the operationalization of new quality programs and initiatives. This effort is executed in collaboration with internal stakeholders including but not limited to the CCV Operations and Validiti team, content teams, and the Client Service team.
  • Works closely with the client service team to ensure appropriate execution, monitoring, and maintenance of quality standards.
  • Works closely with the teams responsible for developing clinical, coding, and quality-related content used across quality programs.
  • Facilitates execution of new concept development and maintenance of existing quality criteria within program tools, and provides program oversight.

Project Management
  • Manages expectations of external stake holders via clear communication with client service managers and business unit leadership.
  • Grasps internal operational cycles and processes as well as their impact upon delivery. Understands project scope, schedule, and resources.
  • Anticipates disconnects and identifies solutions.
  • Maintains a Deeply Curious mindset to follow projects to drive results and document improvement.

Additional Responsibilities
  • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction.
  • Complete all responsibilities as outlined in the annual performance review and/or goal setting.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

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 requirements of the job change.
Qualifications
  • Bachelor's degree in related field required; Bachelor's degree with a quality, healthcare, or analytical focus preferred - quality management or health administration preferred, but may also include statistics, mathematics, industrial engineering, or computer science (focus in data management and analysis).
  • 3+ years of technical leadership experience: people and projects.
  • AI-native experience using generative AI applications such as Claude, Microsoft Copilot, or similar tools to improve analysis, workflow efficiency, communication, decision support, and quality program execution.
  • AI accuracy mindset: understanding of validation, exception review, quality drift, and human-in-the-loop controls, with the ability to translate these into measurable accuracy improvement. Consultative influence: uses data and business context to influence teams and drive corrective action without creating defensiveness.
  • Proven experience influencing behavior, reinforcing expectations, and driving adoption of process, quality, or performance improvements across audit teams.
  • Remediation execution: builds practical remediation plans with clear owners, milestones, measurable success criteria, and follow-through.
  • Executive communication: able to communicate complex quality and risk concerns in a concise, balanced, and leadership-ready manner, with appropriate urgency.
  • Advanced knowledge of Excel (Pivot Tables, Macro's, V Lookups, queries, advanced written formulas).
  • Strong analytical and problem-solving ability.
  • Organizational skills.
  • Attention to detail and accuracy.
  • Desire and capacity to learn new concepts and software.
  • Excellent written and verbal communication skills.
  • Experience in a HIPAA-regulated environment.
  • Comfortable speaking in front of a group, with clients, and working with physician executives. Professional with ability to properly handle confidential information.
  • Ability to work well independently and in a team environment.
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to mentor staff and enhance performance.
  • Skilled in root cause analysis, trend monitoring, and risk segmentation to distinguish isolated issues from systemic or client-impacting trends.

Preferred Skills
  • Experience with quality management methodologies (e.g., Six Sigma, Lean, or CAPA) is a plus.
  • Experience developing or maintaining quality assurance programs, audit methodologies, or quality monitoring systems is a plus.
  • Knowledge of medical reimbursement/payment policies, audit review methodologies, and medical terminology is a plus.

Cognitive/Mental Requirements:
  • Communicating with others to exchange information.
  • Problem-solving and thinking critically.
  • Completing tasks independently.
  • Interpreting data.
  • Making timely decisions in the context of a workflow.
  • Maintaining focus.
  • Assessing the accuracy, neatness and thoroughness of the work assigned.
  • Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols.
  • Applying established protocols in a timely manner.

Working Conditions and Physical Requirements:
  • 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 a dedicated, secure work area.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.

Base compensation ranges from $120,000 to $ $160,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.
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: 7/28/2026
Applications are assessed on a rolling basis. We anticipate that the application window will close on 9/28/2026, 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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