Frontend Engineer

• Design, develop, test, and maintain back-end services, RESTful APIs, and microservices using Java and the Spring framework.
• Implement enhancements and new features for mission-critical, customer-facing applications as part of an Agile delivery team.
• Diagnose high-severity production defects and develop and deploy rapid hotfixes to minimize downtime.
• Develop comprehensive automated unit tests in alignment with organizational standards and leverage tools such as SonarQube to drive continuous improvement in code quality.
• Build, deploy, and operate application components in the cloud, and support performance, scalability, and reliability.
• Modernize and upgrade legacy applications to enable cloud migration, including leading technical discovery, estimating upgrade effort, identifying dependencies, and creating development tickets.
• Develop reusable frameworks and patterns that accelerate the development and maintenance of web services and future project delivery.
• Contribute to and maintain CI/CD pipelines to support consistent, automated builds, testing, and deployments.
• Support release, regression, and user acceptance testing activities and assist with deployment coordination.
• Create and maintain technical documentation, including design notes, deployment guides, and knowledge base content.
• Participate in Agile/SAFe ceremonies and collaborate with product owners, testers, and operations staff to improve delivery and system quality.

Java Developer – Web Services

• 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.

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Java Developer – Web Services

Manager, Front End Revenue Cycle