Frontend Engineer

• Own the end-to-end member eligibility process — from receipt of client eligibility files through verification of active insurance coverage in Athena Health
• Define and enforce client eligibility file completeness standards; establish intake SLA with Client Success for incomplete or missing demographic and insurance data
• Implement and manage real-time eligibility (RTE) verification (using ANSI X12 270/271) transactions to confirm active coverage before claims are submitted
• Develop and maintain a reconciliation process to ensure all active members in Zuora have corresponding verified records in Athena
• Identify and resolve eligibility discrepancies, retroactive terminations, and coverage changes before they result in denied claims or revenue loss
• Monitor eligibility-related denial trends and implement upstream controls to reduce recurrence
• Oversee the accuracy and completeness of claims preparation and entry across all Virta Health products — Diabetes Reversal, Diabetes Management, and Sustainable Weight Loss
• Ensure all claims are coded correctly and submitted within payer-specific timely filing windows
• Monitor claim submission lag — the time between billing period close and claim submission — and establish benchmarks to reduce exposure
• Work with Engineering to improve the flow of billing trigger data from Spark into Athena, reducing manual intervention in claims entry
• Implement pre-submission claim scrubbing processes to improve clean claim rates and reduce first-pass rejections
• Maintain working knowledge of CPT, HCPCS, and ICD-10 coding requirements relevant to Virta Health's digital health and value-based care model
• Manage provider and program credentialing and payer enrollment for all applicable Virta Health providers, locations, and product lines
• Ensure all providers are enrolled with payers prior to service delivery to prevent claim denials related to credentialing status
• Maintain a credentialing tracking system with defined renewal timelines, expiration alerts, and re-credentialing workflows
• Coordinate with Legal, HR, and Clinical Operations on provider onboarding and payer network participation requirements
• Recruit, onboard, and develop front-end RCM staff including eligibility specialists, claims entry staff, and credentialing coordinators
• Establish role-specific SOPs, training programs, and performance expectations for all front-end positions
• Conduct regular performance reviews and provide coaching to develop staff competency in eligibility verification, coding, and claims entry
• Partner with the Manager/Director of Operational Effectiveness on reporting and process improvement initiatives affecting front-end functions.

Manager, Front End Revenue Cycle

• Implementing and deploying new pages and digital experiences across web platforms using CMS tools and structured markup.
• Ensuring the technical accuracy, responsiveness, and performance of all front-end builds, adhering to SEO best practices and web standards.
• Collaborating with design, content, and engineering teams to translate requirements into effective, well-structured web implementations.
• Managing and integrating digital assets within the CMS and technical repositories.
• Conducting rigorous cross-browser and device QA and validation of page builds prior to launch.
• Utilizing web analytics tools to monitor page performance metrics and identify technical areas for optimization.
• Maintaining the integrity and organization of the front-end asset library and site structure.

Front-End Web, CMS Specialist

• Collaborate with program and factory customers to identify, develop, and define manufacturing automation and digital solutions.
• Support early ‘New Product Introduction’ activities including Design for Manufacturing engagements to shape Raytheon products and automation solutions.
• Gain alignment between Industry 4.0 and factory/program strategic roadmaps.
• Provide technical leadership through early project phases (ideation through project definition) and continued technical guidance after transition to the project execution team.
• Expected to Travel 25-50% of the time.

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Manager, Front End Revenue Cycle

Front-End Web, CMS Specialist

Principal Engineer, I4.0 Front End of the Business Lead