The Lead Full Stack Software Engineer will drive the design, architecture, and development of scalable, cloud-native healthcare applications. This role involves providing technical leadership, mentoring engineers, and ensuring high-quality delivery through code reviews and production support.
The EDI Lead Engineer will spearhead the modernization of the healthcare interoperability platform by designing and implementing scalable EDI and FHIR integration solutions. This role involves providing technical leadership, mentoring engineering staff, and collaborating with cross-functional teams to ensure high-availability data exchange.
The Medical Director conducts clinical reviews of DMEPOS authorization requests to ensure determinations align with Medicare, Medicaid, and health plan criteria. They also provide clinical guidance to the UM team, participate in peer-to-peer discussions, and maintain documentation standards for regulatory compliance.
The analyst will support pricing models, sales analytics, and business development initiatives by analyzing healthcare claims and financial performance. They will collaborate cross-functionally to provide actionable insights and maintain accurate reporting for strategic decision-making.
The EDI Engineer will manage data transformation processes for healthcare-specific formats and ensure reliable data exchange between applications and external partners. They will also collaborate with the SRE team to automate build and deployment processes while monitoring application performance and health.
The Director of Utilization Management oversees clinical and non-clinical teams to ensure efficient prior authorization and appeals processes while maintaining regulatory and NCQA standards. They collaborate with executive leadership and account managers to align UM programs with corporate initiatives and client contractual requirements.
The Sales Director will be responsible for creating a robust pipeline of new business opportunities and managing all sales activities to convert revenue opportunities. This includes prospecting, generating qualified leads, and developing relationships with key decision makers in the healthcare sector.
The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, report findings to leadership, and collaborate with operations to reduce defects and improve reimbursement outcomes.
The analyst monitors and documents production quality within the Revenue Cycle Management function, focusing on claims auditing and compliance. They identify trends, prepare quality reports, and collaborate with leadership to drive continuous improvement and training.
