Cotiviti Looking for Senior Payment Accuracy Specialist (Pharmacy Data Mining) at South Jordan, UT  Full Time

• Bachelor’s degree preferred Three (3) years of Cotiviti direct audit experience OR four (4) years related experience (pharmaceutical billing, PBM audit processes, and Medical Pharmacy Payment Integrity, or analytics) required.
• Ideal candidates will showcase a nuanced understanding of how pharmaceutical claims are processed, adjudicated, and reimbursed within the healthcare ecosystem.
• Experience using Datameer and SQL preferred, as well as Pharmacy billing knowledge.
• Computer proficiency in Microsoft Excel, Access and system databases are required.
• Ability to mentor staff and enhance performance as it relates to the quality and productivity of their auditors.
• Prior Healthcare Billing and/or claims experience desired. Requires working knowledge of and applicable industry based standards including billing standards and practices concerning Drugs and Biologicals.
• Excellent verbal and written communication skills.
• Ability to work well in an individual and team environment.

Base compensation ranges from $36.50 to $39.00. 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: 5/2/2024
Applications are assessed on a rolling basis. We anticipate that the application window will close on 6/2/2024, 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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