Cotiviti, Inc.

Cotiviti is a solutions and analytics company that leverages clinical and financial datasets to provide insights into healthcare system performance. Its mission is to improve the healthcare system by reducing costs and enhancing health outcomes through advanced technology and data analytics. The company's headquarters are located in South Jordan, UT.

Cotiviti offers a suite of data-driven healthcare solutions, including payment accuracy, risk adjustment, quality improvement, and consumer engagement programs. Key services encompass payment policy management, coding validation, contract compliance, medical record retrieval and abstraction, and fraud, waste, and abuse (FWA) solutions. The company also provides Quality and Stars solutions to help payers meet evolving requirements for HEDIS®, Star Ratings, and state reporting. While primarily serving healthcare payers and health systems, including a majority of the top 25 U.S. plans, Cotiviti also extends its audit and recovery services to government programs and the retail industry.

In a significant leadership transition, Ric Sinclair assumed the role of CEO on March 16, 2026, succeeding Emad Rizk. The company has recently been active in strategic developments, including entering an agreement in February 2025 to acquire Edifecs, a healthcare data interoperability pioneer, to enhance connectivity between payers and providers. In February 2024, Cotiviti underwent a recapitalization with Veritas Capital and KKR, making both firms co-sponsors with equal ownership stakes. Furthermore, in September 2024, Cotiviti launched an employee ownership program, making all employees equity owners. The company is recognized as a leader in its field, having been named the Highest-Designated Leader by Everest Group in the Payment Integrity Solutions PEAK Matrix® Assessment for 2025/2026.