Backend Engineer

• Lead the architecture, design, and implementation of scalable GraphQL services and RESTful APIs.
• Define and enforce API standards, schema design best practices, and versioning strategies.
• Drive decisions around backend frameworks, tooling, infrastructure, and observability.
• Ensure systems are secure, performant, resilient, and maintainable.
• Oversee API lifecycle management, including documentation, testing, monitoring, and deprecation.
• Hire, mentor, and develop a high-performing backend engineering team.
• Foster a culture of ownership, accountability, collaboration, and continuous improvement.
• Partner with Product, Client Engineering, DevOps, Research, and Architecture teams to deliver aligned solutions.
• Own roadmap planning, prioritization, and execution for backend services.
• Establish engineering best practices for code quality, CI/CD, testing, and deployment.
• Manage technical debt proactively while balancing feature development.
• Drive observability, logging, metrics, and performance monitoring standards.
• Lead incident response and root cause analysis for backend services.
• Implement reliability practices such as SLIs/SLOs and capacity planning.
• Ensure compliance with security and data governance standards.

Senior Manager, Backend Services

• Build products within billing and revenue management.
• Support the growth of the organization.
• Collaborate with the team on vision, strategy, and execution of Finance products.

Member of Technical Staff – Transparency, Billing & Revenue

• Utilize knowledge of applications development procedures and concepts, and basic knowledge of other technical areas to identify and define necessary system enhancements, including using script tools and analyzing/interpreting code
• Consult with users, clients, and other technology groups on issues, and recommend programming solutions, install, and support customer exposure systems
• Apply fundamental knowledge of programming languages for design specifications. Analyze applications to identify vulnerabilities and security issues, as well as conduct testing and debugging
• Serve as advisor or coach to new or lower level analysts
• Identify problems, analyze information, and make evaluative judgements to recommend and implement solutions
• Resolve issues by identifying and selecting solutions through the applications of acquired technical experience and guided by precedents
• Has the ability to operate with a limited level of direct supervision. Can exercise independence of judgement and autonomy. Acts as SME to senior stakeholders and /or other team members.

Officer, .NET Programmer Analyst

• Establish and maintain active monitoring of ANSI X12 277CA claim acknowledgment transactions to confirm payers have received submitted claims
• Implement a tracking and escalation process for claims that have not received 277CA acknowledgment within defined payer-specific windows
• Partner with the Front End Revenue Cycle Manager and Engineering to ensure clean claim submission and minimize rejection rates at the clearinghouse level
• Maintain working knowledge of clearinghouse workflows and claim status tracking capabilities
• Own the Athena Health AR aging report — ensuring it accurately reflects payment status and is actively worked on a defined cadence
• Establish AR follow-up workflows by payer and aging bucket, with defined SLAs and escalation paths for each tier
• Drive systematic reduction of the over-180-day AR balance through targeted payer follow-up, appeals, and collections activity
• Coordinate with Finance and the Manager/Director of Operational Effectiveness to ensure AR balances in Athena are accurately reflected in Zuora and NetSuite through a defined reconciliation process
• Identify and escalate AR balances where the insurance collection path has been exhausted and the employer guarantee of payment clause may apply
• Build and manage a structured denial work queue in Athena Health with assigned ownership, defined SLAs, and a clear resubmission process for each denial reason code
• Analyze denial trends by payer, reason code, and service line to identify root causes and implement upstream controls to prevent recurrence
• Prioritize denial resolution based on dollar value and timely filing window expiration — ensuring high-value, near-deadline denials are worked first
• Establish appeals workflows for payer-specific appeal processes, including supporting documentation requirements and submission timelines
• Monitor denial overturn rates by payer and reason code, and use outcomes data to refine appeal strategies
• Partner with the Front End Revenue Cycle Manager to address eligibility-driven denials at the root — denials reflecting coverage terminations that should have been caught upstream
• Manage the collections process for both claims-billed payer populations
• Establish payer-specific follow-up protocols including call queues, correspondence templates, and escalation timelines
• Coordinate with Client Success on employer group collections, including communication protocols and escalation to the employer guarantee of payment process when appropriate
• Monitor and report on cash collection rates by payer against contracted PMPM rates, identifying and investigating variances
• Recruit, onboard, and develop back-end RCM staff including AR follow-up specialists, denial management analysts, and collectors
• Establish competency requirements, training programs, and performance expectations for all back-end positions — with particular emphasis on experienced denial management and collections hires
• Conduct regular AR review sessions with staff to ensure accounts are being worked effectively and escalations are appropriate
• Build a culture of accountability, data-driven decision making, and continuous improvement within the back-end team

Senior Manager, Back End Revenue Cycle

• Guidehouse has an exciting opportunity for a Microsoft Dynamics Architect to support our client's Case Management system.
• As an Architect, you will work with the technical team to design and deliver the case management solution within a given time, identify risks and mitigate the risk during the design phase.
• You will be responsible for high-quality projects.
• You will work with the client, PM, and BA and streamline the communication between teams.
• Gather technical requirements and propose solutions based on client’s architectural and business needs.
• Drive Dynamics CRM implementations through all project phases, including discovery, definition, build, test, and deploy.
• Lead data-centric discussions with the client through discovery meetings.
• Translate concepts into user flows, wireframes, system diagrams, and prototypes.
• Develop integrations and customizations to Dynamics CRM.
• Design and lead the system architecture process to create, define specifications for, and implement customizations for any custom code or data migration requirements.
• Present tailored demonstrations of the technology solution.
• Work with technology and business groups to define project specifications.
• Develop technical solution designs and implementation plans and take full ownership of the Dynamics 365 solution.
• Interact with both prospective and current customers during product demos/evaluations.
• Enhance efficiency of development, testing and release process; develop tools and frameworks to ensure robust and high-quality delivery of Dynamics 365 Implementations.
• Document technical risks and issues, and actively work to avoid, mitigate, resolve risks and technical debt.
• Relay of the solution design to the development team and provide technical guidance during development of the solution to the development team.
• Travel to multiple customer locations for demos and meetings when required.

Microsoft Dynamics 365 Technical Architect

• leads important projects in design, development, implementation and management of databases
• develops database architectures to address business requirements, ensuring system scalability, security, performance and reliability
• designs database applications such as interfaces, data transfer mechanisms and data partitions to enable efficient access of the generic database structure
• creates plans for architecture updates and integrates new systems with existing warehouse structure to refine performance/functionality
• influences department’s strategy and makes decisions on moderately complex to complex issues regarding technical approach for project components

Backend Engineer jobs in South Dakota

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Senior Manager, Backend Services

Member of Technical Staff – Transparency, Billing & Revenue

Officer, .NET Programmer Analyst

Senior Manager, Back End Revenue Cycle

Microsoft Dynamics 365 Technical Architect

Senior Database Engineer