Empower AI

Engineer

• DIGIT is seeking a Senior Mobile Device Management Engineer to support the design, implementation, monitoring, management, change management, software upgrades, problem/incident resolution, and root cause analysis of GSA’s Mobile Devices.
• Perform Level 3 / Tier 3 Mobile Device Management (MDM) Engineering and Administration of applicable mobile devices to include all phases of the life cycle.
• Update all iOS devices in the environment.
• Work with Maas360 (IBM) to comply with audit recommendations for the GSA Mobile environment.
• Assisting with refresh efforts of mobile devices.
• Develop analytical and computational techniques and methodology for problem solution.
• Prepare and present written and oral reports.

Senior Mobile Device Management Engineer

Customer Support

• Contact and communicate with providers to obtain required medical record documentation in an expeditious manner
• Respond to telephone inquiries promptly, professionally, and efficiently to provide resolution
• Analyze provider questions to determine best use of resources to resolve the situation
• Serve as liaison between the providers and the various departments or team members in response to inquiries
• Professionally respond to all written inquiries (letter, e-fax, email)
• Process rejected records that do not meet initial inspection criteria and contacts providers to resubmit legible copies
• Assist providers in identifying what is being requested and answers their inquiries
• Process and verifies received records through provider communication indicating when invalid documentation is replaced or ready for assignment
• Maintain competency and attends required education and training programs
• Comply with all departmental protocols, policies and procedures
• Perform other duties as assigned by Call Center Manager/Medical Records Supervisor

Customer Service Representative

• Installing, monitoring, and upgrading UNIX system software.
• Provide support for on-premise and Cloud based systems.
• Creating and maintaining UNIX user accounts and access management systems.
• Creating and setting standardized backup and recovery policies, as well as security policies.
• Applying patches and upgrades in accordance with agreed upon schedules.
• Resolution of hardware/software platform problems in complex, multi-layered environments.
• Analyzing impact of software changes across other functional units.
• Maintaining space utilization statistics, forecast future space requirements.
• Establish, implement, and record Unix Administrator best practices.
• Implementing and managing systems to proactively monitor infrastructure.
• Making recommendations for upgrades to hardware and software based on existing operations, pending needs and available budget.
• Recognize trends and issues; foresee any upcoming risks, identify existing risks and take necessary measures to eliminate them.
• Function as Level / Tier III support for analyzing, troubleshooting, and implementing solutions related to Unix OS technical problems.
• Actively involved with third parties engaged in to ensure acceptable quality of service delivery and, prevent information security incidents.
• Establish relationships with third-party vendors to facilitate the timely release and distribution of information on infrastructure product security issues and patches.

Unix Engineer

Systems Engineer

• Installing, monitoring, and upgrading UNIX system software.
• Provide support for on-premise and Cloud based systems.
• Creating and maintaining UNIX user accounts and access management systems.
• Creating and setting standardized backup and recovery policies, as well as security policies.
• Applying patches and upgrades in accordance with agreed upon schedules.
• Resolution of hardware/software platform problems in complex, multi-layered environments.
• Analyzing impact of software changes across other functional units.
• Function as Level / Tier III support for analyzing, troubleshooting, and implementing solutions related to Unix OS technical problems.

Systems Engineer III

Architect

• Installing, monitoring, and upgrading UNIX system software
• Provide support for on-premise and Cloud based systems
• Creating and maintaining UNIX user accounts and access management systems
• Applying patches and upgrades in accordance with schedules
• Function as Level / Tier III support for Unix OS technical problems
• Supervise other Unix technicians and assess their performance

Unix Engineer – Architect

Medical Reviewer

• Review and analyze Medicare claims sampled by the Department of Justice, using associated medical records, to make payment determinations based on coverage, coding and utilization of services and practice guidelines.
• Conducts medical record claims review to determine correct coding, utilizing ICD-9-CM, ICD-10, CPT-4, and HCPCS Level II coding principles.
• Review medical documentation for medical necessity utilizing clinical knowledge and CMS policies and guidelines, as well as other state and board regulations.
• Conducts in-depth claims analysis of suspected over-utilizers who are suspect of fraudulent billing practices.
• Completes summary report upon completion of the records review, summarizing claim determinations, clinical observations and other information requested by the DOJ.
• Reviews and completes the required number of claims reviews in accordance to pre-established production standards for the project.
• Produces and submits required reports according to established content and timeframes.
• Communicates internally with all levels of the group.
• Participates in Quality Assurance (QA) and IRR monitoring as requested.
• Complies with departmental policies and procedures.
• Complies with Medicare and DOJ guidelines and CMS directives, policies and regulations pertaining to integrity, fraud, overpayments, and the handling and disclosure of information.
• Attends departmental and required education and training programs.
• Reviews information contained in Standard Claims Processing System to determine provider billing patterns and detect fraudulent or abusive billing practices or vulnerabilities in Medicare payment policies.
• Utilizes the Medicare/Medicaid guidelines for coverage determinations.
• Performs in-depth research and investigation utilizing the Internet and other tools, including data analysis tools.
• Maintains chain of custody on all documents, follows all confidentiality and security guidelines.

Medical Review Specialist V

• Act as a model of customer service excellence in the ITS/DMM System Support.
• Provide advanced systems and application support, operational readiness, and cybersecurity compliance.
• Provide Tier III technical support for ITS, DMM, BearTracks, and WebDOX applications.
• Support front-end application troubleshooting.
• Troubleshoot complex system, application, and integration issues.
• Conduct routine system health checks and proactively identify potential issues.
• Follow cybersecurity compliance and ATO sustainment activities.
• Support SQL Server and data-level troubleshooting.
• Collaborate with various teams and maintain documentation.

Systems Engineer – ITS/DMM Support

Security Engineer

• Conduct information system security inspections, tests, and reviews of the Risk Management Framework (RMF) Information Assurance Package to ensure AROWS maintains an Authority to Operate (ATO).
• Update artifacts and information within the Enterprise Mission Assurance Support Service (eMASS) to validate Security Controls and Assessments.
• Develop Plan of Actions and Milestones (POAMs) for non-compliant items.
• Implement and enforce a formal information system security program, including development and review of security concept of operations, systems security plans, cyber security policies, security control assessments, contingency plans, configuration management plans, incident response plans, plan of actions and milestones, risk management plans, vulnerability scanning, and/or vulnerability management plans.
• Demonstrate hands-on knowledge and experience with Information Assurance/Cyber Engineering requirements, design and implementation to include systems engineering principles, requirements analysis, system development (software and hardware), network security architecture concepts (e.g., topology, protocols, components, etc.), and IT security principles and methods (e.g., firewalls, demilitarized zones, encryption, etc.).
• Ensures software, hardware, and firmware complies with appropriate security configuration guidelines (e.g., security technical implementation guides /security requirement guides).
• Ensures cybersecurity-related events or configuration changes that impact AF IT authorization or adversely impact the security posture are formally reported to the AO and other affected parties, such as IOs and stewards and AOs of interconnected IT.
• Implement Security Information and Event Management Processes, including log aggregation, log analytics, visualization, alerting, and log retention.

Information System Security Manager

• Perform Medicare comprehensive medical record and claims review to make payment determinations for Diagnosis Related Group (DRG) claims.
• Perform projects or duties as assigned as a Medical Review Specialist.
• You will serve as a critical component in meeting our mission of providing excellent services to our clients.
• Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles.
• Utilize electronic health information imaging and input medical review decisions by electronic database module.
• Make clinical judgment decisions based on clinical experience when applicable.
• Responsible for review of Medicare DRG claims and meeting quality and production standards.