Cotiviti

Principal AI Engineer

Cotiviti$208K — $260K *
US-AnywhereRemote in United States
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's or Master's degree in Computer Science, Engineering, or a related field.
  • 12+ years of software engineering experience with 2+ years in AI/ML platforms or infrastructure.
  • Experience with large-scale distributed systems and microservices.
  • Strong programming skills in Python and Java.
  • Hands-on experience with agentic AI frameworks like LangChain or similar.
  • Experience with containerization and orchestration (Docker, Kubernetes).
  • Familiarity with MLOps tools such as MLflow, Kubeflow, or Databricks.

Responsibilities

  • Design and implement scalable agentic solutions for diverse use cases.
  • Leverage open-source AI technologies to create and maintain a centralized AI platform with unified APIs.
  • Collaborate with Product Engineers to integrate AI agents in customer-facing and internal applications.
  • Lead technical discussions and mentor junior engineers on the AI platform vision.
  • Ensure compliance with security, privacy, and regulatory requirements throughout the development lifecycle.
  • Optimize performance of AI workloads using cloud-native solutions.
  • Conduct performance analysis and capacity planning for platform scalability.

Benefits

  • Medical, dental, and vision insurance coverage.
  • Disability and life insurance coverage.
  • 401(k) savings plans with employer contributions.
  • Paid family leave and up to 27 days of Paid Time Off (PTO) per year.
  • 9 paid holidays per year.
Full Job Description
Overview

We areseekinga highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for theRisk Adjustment (RA)Coding Agent, you will own the end-to-end technical architecturefrom clinical NLP integration and production routing to core AI platform components that enable scalable, secure, and compliant AI solutions across clinical use cases. You will design advanced clinical AI capabilities, including evidence classifiers, structured clinical evidence graphs, and deterministic policy engines that produce explainable, auditable decisions in a CMS-regulated environment. Working closely with Data Scientists,MLOpsEngineers, Data Engineers, and Product Engineering teams, you willestablishfoundational architecture, mentor engineering teams, and drive the technical vision, governance, and evaluation frameworks that ensure platform scalability, reliability, and regulatory compliance.

Responsibilities
  • Design and implement scalable agentic solutions for diverse use cases
  • Leverage a broad stack ofOpen-SourceAI technologies to build andmaintaina centralized AI platform with unified APIs for cross-functional team access and buildvarious typesof agents
  • Work with Product Engineers to integrate AI agents into customer-facing applications and internal tools
  • Lead technical discussions, mentor junior engineers, and help set the technical vision for the AI platform roadmap.
  • Ensure compliance with security, privacy, and regulatory requirements across the software development lifecycle.
  • Optimizeperformance of AI-powered workloads acrosscomputeand storage layers using cloud-native and open-source solutions.
  • Conduct performance analysis and capacity planning to ensure platform scalability
  • Complete all responsibilities as outlined in the annualperformance review and/or goal setting.
  • Complete all special projects and otherduties asassigned.
  • 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 skillsrequired. This job descriptiondoes not constitutean employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.

Qualifications
  • Bachelors orMasters degree in Computer Science, Engineering, ora relatedfield.
  • 12+ years of software engineering experience, including 2+ years working on AI/ML platforms or infrastructure.
  • Experience in building large-scale distributed systems and microservices.
  • Strong programming skills inPythonand Java
  • Hands-on experience with agentic AI frameworks such asLangChain,LangGraph,CrewAI,AutoGen, or similar.
  • Experience with containerization and orchestration (e.g., Docker, Kubernetes).
  • Understanding ofMLOpstools such asMLflow, Kubeflow, SageMaker, Vertex AI, or Databricks
  • Cloud platform experience (AWS, GCP, or Azure)

Nice to have:

  • Experience inRisk Adjustment coding

Cognitive/Metal Requirements:

  • Ability to navigate complex,ambiguousand fast-changing technologies and requirements
  • Ability to work independently as well as collaborate as a team with a sense of urgency.
  • Professional withabilityto properly handle confidential information.
  • Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort.
  • Ability to handle multiple tasks,prioritizeand meet deadlines.

Physical Requirements and Working Conditions:

  • Flexibility to work with global teams aswellgeographically dispersed US based teams.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
  • Must be able to provide a dedicated, secure work area.

Base compensation ranges from $208,000 to $260,000 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.

Since this job will be based remotely, all interviews will be conducted virtually.

Date of posting: 8/12/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/12/2026, 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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About Cotiviti

Cotiviti is a healthcare technology company that provides analytics-driven payment accuracy solutions mainly to the healthcare and retail sectors. The company's solutions help clients improve their financial performance and reduce healthcare costs. Cotiviti's solutions include prospective and retrospective claims accuracy solutions, payment integrity, risk adjustment, quality improvement, and advisory services. The company was founded in 1979 and is headquartered in Atlanta, Georgia.
Learn more about Cotiviti
Size
4,400 employees
Industry
Founded
1979

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