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

• Serve as the primary liaison between IT and Project Execution (PEx) teams during early project phases
• Drive alignment on scope, schedule, budget, and design deliverables
• Ensure IT requirements are fully integrated into overall project planning
• Coordinate across design leads, procurement, engineering, and OT/IT stakeholders
• Establish infrastructure, connectivity, and system requirements ahead of construction
• Focus on front-end planning, risk identification, and readiness for execution
• Operate at the intersection of business, engineering, and technology
• Translate project needs into actionable IT deliverables
• Ensure continuity from design through downstream construction and commissioning phases
• Cultivate relationships with clients and company partners; mentor others
• Collaborate on software development process, including requirements gathering, analysis and design, development tools and technologies, release and version control, modern testing methodologies, and deployment management
• Track risks, dependencies, and interdependencies across multiple IT workstreams
• Support procurement efforts and help define field requirements related to infrastructure, security, and communications early in the project lifecycle
• Communicate clear status updates to stakeholders and leadership
• Identify and resolve design gaps to maintain momentum and execution readiness

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Manager, Front End Revenue Cycle

IT Project Manager IV – Front-End Engineering Design