Jonathan Edwards

Opportunity Intelligence is a capability that delivers actionable insights powering Cotiviti's most important growth opportunities. Jonathan's organization develops analytical tools and leading practices to accelerate revenue growth, differentiate Cotiviti's value proposition, and deepen customer engagement. Opportunity Intelligence powers Cotiviti's double-digit growth strategy and differentiates Cotiviti as the leader in healthcare payment accuracy solutions.

- Developed and implemented go to market strategies for healthcare mobile disease management, fraud management, and patient privacy management solutions for payer and provider markets - Delivered $100M in medical claims cost containment savings for commercial payers through payment integrity analytics and overpayment prevention solutions - Developed and implemented high performing operating models, organization structures, and process models for care management and claims cost containment business units to improve operational performance and reduce administrative costs - Designed and implemented transformational health administration solutions for commercial payers including an outsourced claims processing unit and an enrollment, billing, claims, and customer service platform

- Managed accounting discrepancies, portfolio reconciliations, and month-end reporting process for institutional accounts - Audited team deliverables, provided guidance to peers and junior level resources, and trained new team members