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Cotiviti
Enabling a high-quality and viable healthcare system
Company Information
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Conpas Rating

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Overview

Cotiviti is a leading healthcare analytics company enabling payers, providers, and government agencies to deliver better care at lower cost through advanced technology, data analytics, and 25+ years of specialized expertise.

Groups

Number of Employees

5,001-10,000

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Services Provided

ConsultingDigital Solutions

Capabilities
Industries
Serviced Businesses
Footprint
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Regions

Asia, North America

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Countries

India, Nepal, United States Of America

Additional Information
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Year of foundation

1979

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Structure

Privately Held

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Industry

High Tech

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About

About Us

Reshaping the Economics of Healthcare

Cotiviti is a leading solutions and analytics company that leverages unparalleled clinical and financial datasets to deliver deep insight into the performance of the healthcare system. We work with more than 200 healthcare payers and health systems—including all of the top 25 plans in the United States—to deliver higher-performing payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. Our dynamic, integrated SaaS solutions deliver speed and precision while minimizing internal resource burden, and our unique data and analytics ecosystem enables clients to maximize insights from both financial and clinical data to drive better care at lower cost. We also support the retail industry with data management and recovery audit services that improve business outcomes.

Who we are

A Team Built on Expertise, Precision, and Purpose

We are a team of data scientists, clinicians, technologists, and industry experts united by a single mission: improving the healthcare system. Our specialized and talented teams work in tandem to ensure operational efficiency and deliver services with high accuracy, exceeding industry standards. With 25+ years of experience and a passionate commitment to client success, we bring together the brightest minds to tackle the most complex challenges facing healthcare payers, providers, and government agencies. From our offshore development center in Nepal to our teams across North America, Asia, and Europe, every Cotiviti colleague shares a single focus—delivering results for our clients.

What we do

Turning Data Into a Better Healthcare System

We take in billions of clinical and financial data points, analyze them, and help our clients discover ways to improve efficiency, payment accuracy, and care quality. Our solutions span the full healthcare performance lifecycle: payment accuracy programs that reduce waste and improper payments; risk adjustment solutions that ensure accurate member risk coding; quality and Stars programs that drive HEDIS performance and CMS Star Ratings; and consumer engagement platforms that connect health plans with their members. We also support the world's largest retailers with procure-to-pay audit and recovery solutions that eliminate overpayments and accelerate recoveries.

Our Purpose

Improving Healthcare for Everyone

Our mission is to improve the healthcare system through our combination of advanced technology, data analytics, and specialized expertise. We believe a better healthcare system is achievable—one where payers and providers collaborate effectively, where every dollar is spent wisely, and where every member receives the quality of care they deserve. Through our work, we help ensure the quality and sustainability of how healthcare is delivered in the United States.

Our Values

The Values That Drive Us

At Cotiviti, we are guided by a commitment to accountability, collaboration, and results. We celebrate individuals who exemplify these core values each quarter through our employee recognition programs. Through Cotiviti Cares, our corporate social responsibility program, we hold ourselves accountable to respect and improve our planet and build a better world for its people. We see a diverse workforce as an important competitive advantage and promote an inclusive culture centered on every individual.

Why working with us

The Most Complete Solution. The Deepest Expertise.

We pledge to drive exceptional value through the depth of our insights, our comprehensive portfolio of healthcare solutions, and our 25+ years of experience optimizing results. Our Payment Accuracy solutions achieve a six sigma level of accuracy of 99.90%. We have supported the CMS Recovery Audit Contractor (RAC) program since its inception, returning more than $6.8 billion to the Medicare Trust Fund at a combined 97.5% accuracy rate. Our Quality Measurement and Reporting Solution has achieved 25 consecutive years of HEDIS® Measure Certification. Clients trust us not just for point solutions, but as a structural utility layer connecting data, workflows, and responsible AI.

Sustainability

Cotiviti Cares: Accountable to Our Planet and Its People

Through Cotiviti Cares, our corporate social responsibility program, we embrace our corporate values and hold ourselves accountable to respect and improve our planet—and build a better world for its people. Cotiviti Cares supports charitable organizations through our employee charitable request program and corporate donations, including environmental partners such as WWF-Canada, the US Water Alliance, and the Australian Conservation Foundation. Each year, our annual client conference includes a signature Cotiviti Cares activity, such as assembling hygiene kits for Gateway Center, a nonprofit supporting unhoused individuals and families.

Community & Impact

Giving Back, Together

Our team is dedicated to their communities and giving back. Members of Cotiviti's Black Employee Success Team (BEST), one of our employee resource groups, have volunteered with Atlanta non-profit Paint Love, Inc., bringing arts programming to youth facing poverty and trauma. Through our employee charitable request program, we support 30+ charitable organizations annually. Community service is woven into how we work—from local volunteer days to nationwide giving initiatives.

Inclusion & Diversity

Inclusive by Design

We see a diverse workforce as an important competitive advantage and promote an inclusive culture centered on each and every individual. Cotiviti's employee resource groups—including the Black Employee Success Team (BEST)—give employees a platform to connect, advocate, and lead. We are committed to building an environment where every team member can bring their full self to work and contribute meaningfully to our mission.

Awards & Accreditations

Recognition That Reflects Our Standards

Cotiviti's Quality Measurement and Reporting Solution has achieved 25 consecutive years of HEDIS® Measure Certification from NCQA. Cotiviti is the designated Recovery Audit Contractor (RAC) for CMS Regions 3, 4, and 5, having returned the highest dollar amount to the Medicare Trust Fund—more than $6... See more

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