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

Software Engineer

• Lead and manage a portfolio of process re-engineering and operational improvement projects
• Develop and execute programs to reduce customer complaints
• Manage and develop a team who monitors and analyses data
• Analyze operational and customer experience data
• Shape large-scale re-engineering programs
• Partner with Senior Operations Managers, Legal, Risk, and Technology teams
• Maintain rigorous governance across all programs

Senior Vice President, Process Re-Engineering and Operational Excellence

• 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

• Design, develop, test, and deploy Guidewire-based solutions, including customizations and new features
• Configure product models, rating engines, and business rules using the Claim center Configuration tool
• Develop and integrate the platform with other internal and external systems using tools like REST APIs
• Write clean, high-quality code in GOSU and Java
• Troubleshoot and resolve issues related to Claim center configuration, data migration, and integrations
• Participate in quality assurance activities and perform unit and integration testing

Guidewire Claim Centre Configuration, Developer

Full-stack Engineer

• Develops flexible, maintainable solutions using the guidelines, requirements and standard practices.
• Solves development problems through the use of good design and practical experience.
• Reviews, modifies, enhances, and maintains existing systems by fixing issues, remediating security vulnerabilities, and improving system performance.
• Participates in planning and user story analysis by providing feedback and demonstrating an understanding of user requirements.
• Assists in solving business problems by implementing technical solutions based on solid design principles and best practices.
• Actively participates in and follows software development processes and procedures.
• Documents software changes, best practices, and standards.
• Keeps up to date with current and future changes in tools, technology, programming best practices, and industry standards through training and development opportunities.
• Performs other duties as assigned.

Senior Software Engineer

• Writes code, debugs and performs unit testing in all application layers and data access layer.
• Participates in code reviews with manager to ensure accurate code and design techniques are being used.
• Assists in the full software lifecycle activities including project planning, requirement analysis, design, development, quality assurance and documentation.

Software Engineer I – Full-Stack

• Design, develop, test, and deploy cross-platform mobile apps using React Native and TypeScript
• Build and maintain backend APIs using .NET/C# and relational databases
• Own assigned features across the full lifecycle, from design and implementation through testing, release, monitoring, and support
• Collaborate with Product, QA, UX, and DevOps to deliver high-quality features
• Participate in code reviews, share knowledge with teammates, and help improve engineering practices
• Troubleshoot production issues across mobile and backend systems
• Contribute to API performance, scalability, reliability, and observability improvements
• Contribute to CI/CD and testing automation improvements
• Document technical solutions and follow team coding standards, review practices, and quality expectations
• Leverage AI-assisted development tools (e.g., code generation, debugging, test creation) to improve productivity and solution quality
• Experiment with and adopt emerging AI technologies to enhance development workflows and engineering outcomes
• Apply critical thinking to validate AI-generated outputs to ensure accuracy, security, and maintainability of code

Software Engineer – Full Stack, Mobile Apps

• Manage and update our custom extensions in Infor LN supporting Procurement, Inventory, Production, and Order Management
• Develop integrations using ION, REST APIs, and Mongoose
• Maintain and enhance ERP database and application logic
• Collaborate with business analysts to gather requirements and deliver solutions
• Support data migration, testing, and deployment activities
• Document technical specifications and maintain source control
• Participate in DevOps workflows and CI/CD pipelines
• Use Jira, Bitbucket, and Confluence (or equivalents)
• Participate in on-call support and incident resolution

Senior Software Engineer – Infor LN

• Own the engineering organization: team structure, hiring, performance, career growth, and culture
• Set and hold the bar for engineering quality, reliability, and delivery cadence
• Partner with the Director of Product to translate roadmap priorities into sequenced, executable engineering plans
• Drive architectural decisions that support scale, maintainability, and AI integration
• Lead incident response culture: fast resolution, clear communication, and real learning afterward
• Build direct relationships with individual contributors. You know who your strongest engineers are, what they need to grow, and what would make them leave
• Define engineering metrics that connect system health to customer experience and business outcomes
• Own the evaluation and integration of AI-powered development tooling and practices across the team
• Partner with Erin on technical strategy, roadmap sequencing, and organizational priorities

Director of Engineering

• Lead and support a growing team of software engineers through mentorship, coaching, and technical guidance.
• Partner with engineering and product leaders to build and scale a new compliance-focused development team.
• Design and develop backend systems and cloud-based applications.
• Collaborate with stakeholders to deliver innovative solutions that support the client's strategic initiatives.
• Establish and improve development processes, engineering standards, and team best practices.
• Review architecture decisions and help drive technical direction across projects.
• Foster a collaborative, high-performing engineering culture.
• Evaluate and adopt emerging technologies, including AI-driven tools and solutions where appropriate.
• Contribute directly to software development while balancing leadership responsibilities.

Software Engineer – Team Lead

• Lead and support SAP S/4HANA projects across SAP SD, TM, and BN4L modules
• Gather business requirements and design functional solutions aligned with logistics and transportation processes
• Configure SAP SD processes including Order-to-Cash (OTC), pricing, billing, and delivery management
• Configure SAP TM processes including freight planning, transportation execution, and freight settlement
• Enable carrier collaboration through SAP Business Network for Logistics (BN4L), including tendering and shipment visibility
• Ensure seamless integration between SAP TM, BN4L, SAP S/4HANA, and external logistics platforms
• Prepare functional specifications (RICEFW) and collaborate with technical teams for developments and enhancements
• Execute SIT/UAT testing, support defect resolution, and participate in go-live and hypercare activities
• Provide L2/L3 production support, troubleshoot issues, and implement continuous improvements
• Create project documentation, conduct knowledge transfer sessions, and support successful project roll-offs

Associate Staff Engineer, SAP SD, SAP TM

• 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

• Contribute to the end-to-end development of Network Monitoring features, from ideation to implementation within the Datadog Agent
• Build and maintain shared eBPF functionality for product teams to use in their eBPF-based products
• Investigate and debug complex production issues that span the kernel, eBPF programs, and agent runtime
• Research, prototype, develop, and document solutions to hard problems in the eBPF and network monitoring space
• Provide technical input to product and architecture decisions

Senior Software Engineer – Linux Kernel, eBPF

• Designing and implementing code for assigned projects, both independently and with teammates
• Writing unit and integration tests for your team's code
• Testing, debugging, and troubleshooting all across the CrashPlan technology stack
• Documenting code and design, and reviewing code and design docs from others
• Demoing progress on team deliverables
• Participating in story mapping and sizing sessions for small to medium-size product features
• Synthesizing requirements into cohesive designs, identifying gaps and contradictions
• Collaborating with the UX team by providing feedback on designs, accessibility, and performance

Full-Stack Software Engineer

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

• 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

• Own a system end-to-end.
• Prevent fires, not just fight them.
• Proactively make the system better.
• Raise the bar.
• Ship reliably at scale.
• Think in terms of process and systems.

Lead Engineer – Hardware Platform, Camera Cloud & Edge

• 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

• Responsible for Full-stack development, testing, and maintenance of CBO web applications and backend services
• Builds features across ReactJS front-end and Python/FastAPI backend; manages PostgreSQL data models/migrations; containerizes with Docker and deploys to AWS (ECS/EKS, EC2, S3, RDS, CloudWatch, IAM, VPC)
• Operates in CBO trunk-based development (short-lived branches, feature flags, frequent merge)
• Participates in sprint ceremonies and peer code review
• Writes automated tests (pytest, Jest/RTL)
• Resolves defects/tech debt
• Maintains technical documentation (API docs, ADRs, setup guides)
• Section 508-compliant UI.

Full Stack Software Developer

• Leads the development of ideas from inception through successive stages of the product development process to market launch
• Contributes to the commercial success of product initiatives by owning key components, including business case development, design, and go-to-market execution
• Evaluates product opportunities and external vendor partnerships to determine impact on sales and profitability
• Works cross-functionally across the enterprise to develop proofs of concept, business cases, product designs, business requirements, program management models, and functional specifications
• Presents product and program designs and business cases across multiple levels of the organization and the Diversified Business Group’s portfolio of asset companies to secure approval, resources, budget, and stakeholder buy-in
• Collaborates with actuarial resources to define pricing strategy and obtain leadership alignment
• Partners with marketing and sales leadership to define go-to-market strategy and launch plans
• Updates product documentation to reflect product or program changes
• Reviews and approves marketing materials, training content, technical specifications, and testing plans and results
• Develops and maintains expertise in competitive products and broader market dynamics
• Serves as a product and program resource across the enterprise
• Prepares projections, analyzes operational impacts, and identifies actions needed to manage and enhance product lines
• Collaborates within a dynamic team on highly visible, high-impact initiatives that drive value for Blue Cross NC, the Diversified Business Group, and external partners
• Demonstrates the ability to quickly learn and apply knowledge across domains, including payer operations, care delivery, and emerging industry trends

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