[Remote] Sr. Data Scientist

Note: The job is a remote job and is open to candidates in USA. Cotiviti is seeking an Experienced Data Scientist to lead the development of Intelligent Claims Routing models and optimize claims workflows. The role involves designing scoring algorithms and supporting AI system expansion and training initiatives.

Responsibilities

• Lead development of Intelligent Claims Routing models
• Design complexity scoring engine and optimal routing algorithms
• Develop dynamic priority scoring algorithms for optimal workflows
• Create documentation and training for AI features
• Support expansion planning and optimization for AI systems
• Lead user enablement and training initiatives

Skills

• 5+ years' experience in data science with focus on predictive models
• Expertise with intelligent routing and prioritization systems
• Strong knowledge of data pipeline design and ML model integration
• Experience with healthcare claims data and processing workflows
• Knowledge of model evaluation and validation techniques
• Understanding of SLA compliance and business metrics

Company Overview

Cotiviti enables healthcare organizations to deliver better care at lower cost through advanced technology and data analytics that improve the quality and sustainability of healthcare in the United States. It was founded in 1979, and is headquartered in South Jordan, UT, US, with a workforce of 5001-10000 employees. Its website is http://www.cotiviti.com.

Company H1B Sponsorship

Cotiviti has a track record of offering H1B sponsorships, with 72 in 2026, 164 in 2025, 118 in 2024, 90 in 2023, 102 in 2022, 72 in 2021, 67 in 2020. Please note that this does not guarantee sponsorship for this specific role.