The Senior Coding Specialist independently reviews, assigns, and abstracts diagnostic and procedural codes for medical encounters. They also perform MS-DRG validation and interact with physicians to ensure coding accuracy and documentation quality.
The Director of Business Development is responsible for owning growth across the Department of Veterans Affairs by building trusted relationships and aligning company capabilities with mission needs. They will lead the full lifecycle of business capture, including market research, proposal support, and pipeline management to meet annual award targets.
Perform coding-focused medical reviews on Medicare Part A/B and DMEPOS claims to ensure accuracy and medical necessity. Research and apply CMS coding guidelines while identifying potential improper payments or documentation patterns indicative of fraud.
The Senior Nurse Reviewer conducts complex medical record reviews for Medicare claims to assess validity and potential fraud. They also serve as a technical mentor to staff and contribute to quality assurance and process improvement initiatives.
The Nurse Reviewer performs complex medical record reviews for Medicare claims to determine medical necessity and coverage validity. They also document defensible rationales for payment decisions and identify potential fraud, waste, or abuse.
The Senior Salesforce Developer will lead the design, architecture, and development of the company's Salesforce ecosystem to ensure scalability and performance. They will also manage complex multi-system integrations, particularly with AWS, and provide technical mentorship to junior team members.
The Director of Marketing will own the company brand and lead the full marketing function, aligning demand generation and market intelligence with revenue growth. This role involves building and scaling the marketing organization while positioning the company as a leader in AI-enabled health services across federal and commercial markets.
Conduct independent, remote clinical case reviews to evaluate medical necessity, quality of care, and appropriateness of services. Provide clear, well-supported written determinations while maintaining clinical neutrality and confidentiality.
The Systems Security Officer manages the Medicare information security program and ensures the implementation of necessary safeguards. They operate independently of IT operations to maintain compliance with CMS security requirements and respond to security incidents.
The Program Director serves as the primary point of contact for CMS, overseeing all aspects of contract performance and delivery timelines. They lead a large, multi-disciplinary team and ensure compliance with contractual standards while managing operational quality and reporting.
The Assistant Project Manager supports contract execution, manages regulatory reporting, and coordinates Joint Operating Agreements with Medicare Administrative Contractors. They also oversee program meeting structures, compliance tracking, and medical review workflow operations to ensure alignment with CMS performance standards.
The Sr. Advisor will guide the company's strategy across the Defense Health Agency and the Military Health System to drive impactful solutions. They will advise leadership on military health policy, budget structures, and program development while building relationships across the military health ecosystem.
The IT Security Governance Officer oversees the program's compliance with CMS information security requirements and serves as the primary point of accountability for the security program. They are responsible for implementing federal security policies, managing the SA&A process, and acting as the primary liaison to CMS for security and privacy matters.
The Security Lead will establish and oversee the cybersecurity, privacy, and compliance posture for a CMS case management program. They will serve as the primary security advisor to leadership and ensure security controls are embedded into cloud architecture and CI/CD pipelines.
Lead the technical implementation and migration of case management functionality from a legacy Pega system to the Salesforce platform. Collaborate with data teams to design integrations and enforce development standards across the project lifecycle.
The Technical Delivery Manager is responsible for planning, coordinating, and delivering technical projects across engineering, product, and data teams. They will drive end-to-end project management, including scope definition, dependency management, and stakeholder communication to ensure measurable outcomes.
You will design, develop, and maintain scalable front-end and back-end components for healthcare-focused web applications. The role involves collaborating with cross-functional teams to build secure, high-performance systems while providing technical mentorship to other engineers.
The consultant serves as the primary technical point of contact, responsible for deploying and configuring software to meet client operational needs. They act as a liaison between clients and internal teams to manage project timelines, provide training, and facilitate product improvements.
The Senior Site Reliability Engineer will own the reliability, scalability, and operational health of the mission-critical healthcare data platform. Responsibilities include designing observability infrastructure, leading incident response, and automating manual processes to reduce operational toil.
The Senior Full-Stack Engineer will design, develop, and maintain robust, scalable web applications across the full technology stack. They will collaborate with cross-functional teams to integrate APIs, deploy serverless cloud solutions, and optimize performance for large data sets.
The Senior Finance Manager leads key financial functions including project control, accounts receivable, and financial planning and analysis. They partner with leadership to ensure accurate forecasting, strong internal controls, and effective management of project-based financial performance.
The Senior Recruiter will own the full-cycle recruiting process for the Public Sector Growth Team, focusing on federal health IT talent. They will proactively build and maintain talent pipelines to support active contracts and future proposal staffing needs.
The Senior Business Analyst will lead requirements management, business process transformation, and stakeholder engagement for a CMS case management system. They will serve as a strategic advisor, ensuring business needs are translated into scalable, compliant, and interoperable solutions.
The Chief Architect owns the target-state architecture for a CMS case management program and holds final decision authority across cloud, data, security, and application layers. This role involves representing the program's architecture at technical review boards and setting standards for the engineering teams.
The architect will design and lead the delivery of scalable, secure, and high-performance data solutions across cloud-native environments. They will also collaborate with product and delivery teams to translate business needs into sustainable data architectures while providing technical leadership.
The Coder Reviewer performs clinical documentation reviews and audits to support independent dispute resolutions at federal and state levels. They are responsible for generating accurate audit findings, interpreting payment policies, and communicating rationales to hospital and client personnel.
The Sr. Advisor will guide the company's strategy across CMS by advising leadership on agency priorities, policy direction, and operational needs. They will also build relationships across the CMS ecosystem and translate complex regulatory and budgetary information into actionable business strategies.
