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Cotiviti
The Medical Policy Director serves as a coding and medical payment policy subject matter expert for the Prospective Payment Management client team at a health plan. This role involves directing the Medical Policy Committee, developing client relationships, and presenting data-driven medical policy recommendations to optimize claims processing and value. The position requires acting as a trusted advisor by analyzing complex data, validating editing, and advocating for new policies to health plan stakeholders.
Headquarters
South Jordan, Utah, United States
Company Size
5001-10000 employees
Founded
1979
Cotiviti is a healthcare infrastructure and analytics company that connects data, workflows, and intelligence across the healthcare ecosystem to improve financial, clinical, and operational performance. It serves payers, providers, government programs, employers, and retailers with solutions spanning payment integrity, risk adjustment, quality and Stars, interoperability, and member engagement. By leveraging one of healthcare's broadest clinical and financial datasets alongside advanced AI and analytics, Cotiviti helps organizations reduce costs, improve payment accuracy, manage risk, and deliver better care outcomes.
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
View leadership team, funding history,
and employee contacts for Cotiviti.
57% above the average for this role