Description

You will build and maintain backend systems and integrations for healthcare payer operations, focusing on claims processing and adjudication.

This role is remote.

Responsibilities

• Develop and support claims adjudication logic using the Facets Claims Engine.
• Build REST APIs and backend services for payer systems.
• Implement ETL processes and system integrations.
• Leverage AI coding assistants like GitHub Copilot to accelerate development.
• Ensure compliance with Medicare, Medicaid, and state healthcare program requirements.

Required Skills

• 5+ years of experience in .NET Development (C#, ASP.NET, Web APIs).
• Strong experience with SQL Server.
• Hands-on knowledge of Facets Claims Engine (pricing, benefits, edits).
• Experience with healthcare payer domains, specifically claims processing.
• Proficiency in REST APIs, integrations, and ETL.
• Familiarity with AI development tools (GitHub Copilot, OpenAI Codex).

Key Skills

Education

Bachelor's degree