Full-stack Engineer

• 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

Backend Engineer

• 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

Software Engineer

• 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

Senior Product Developer – Diversified Business

• 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

Senior Database Engineer

• Lead the design, development, and delivery of AI-driven capabilities across technology platforms
• Scale Applied AI and generative AI initiatives while collaborating with product, data, and business teams
• Coordinate with multiple teams to drive innovation, ensure delivery excellence, and align AI capabilities with business goals
• Build and nurture a team of AI Engineers and improve the technical foundation for Applied AI engineering team going forward
• Drive the technical roadmap for Applied AI across key enterprise applications and business workflows
• Evaluate and implement cutting-edge AI techniques, frameworks, and best practices including LLMs
• Drive development of custom AI solutions using Retrieval-Augmented Generation (RAG) pipelines and model fine-tuning
• Design and lead systems that extract value from large structured and unstructured datasets
• Build Agentic AI systems that streamline & automate workflows using LLMs
• Cultivate a culture of experimentation, engineering rigor, and inclusiveness
• Oversee the full lifecycle of Agentic AI applications
• Partner with Data Engineering and Data Science teams to design data pipelines and experimentation workflows
• Drive AI-enabled data accessibility across the organization
• Partner with Product and Business Analysts team to co-develop AI-enabled features
• Work closely with Application Engineering teams to embed Agentic AI into production systems
• Build and maintain scalable, cloud-based AI infrastructure

Director of Engineering, Applied AI

• We are looking for a hands-on senior software engineer with deep knowledge of Microsoft Power Apps, including Microsoft Dynamics 365 developer.
• An expert on Power Apps to design, configure and develop custom solutions in Microsoft Power platform.
• The candidate will take an active role in supporting and building on the MPP application.
• The candidate will have excellent presentation, communication, leadership, and client development skills to effectively present information to C-level management, public groups, and/or the board of directors.
• The candidate should have excellent organizational and multi-tasking skills, attention to quality, self-motivation and a strong desire to succeed.

Senior Dynamics 365 CE Developer

• Design, implement, and maintain software components within complex systems
• Lead or significantly contribute to software planning, including requirements refinement, task estimation, and design reviews
• Perform and document both preliminary and detailed designs for software modules
• Implement software solutions from established design artifacts
• Develop, execute, and document unit tests, integration tests, and system-level tests
• Prepare test plans, test procedures, and formal test reports
• Manage and analyze configuration change requests following Configuration Management (CM) processes
• Participate in and occasionally facilitate technical reviews for documents and code
• Collaborate closely with Systems Engineers, Software Engineers, and cross-functional project teams to ensure cohesive, high-quality solutions
• Independently execute engineering tasks
• Mentor junior staff where applicable
• Contribute to the full life cycle of software development

• Conduct tasks related to feasibility studies, time and cost estimates, IT planning, risk technology, applications development, model development, and establish and implement new or revised applications systems and programs to meet specific business needs or user areas
• Monitor and control all phases of development process and analysis, design, construction, testing, and implementation as well as provide user and operational support on applications to business users
• Utilize in-depth specialty knowledge of applications development to analyze complex problems/issues, provide evaluation of business process, system process, and industry standards, and make evaluative judgement
• Recommend and develop security measures in post implementation analysis of business usage to ensure successful system design and functionality
• Consult with users/clients and other technology groups on issues, recommend advanced programming solutions, and install and assist customer exposure systems
• Ensure essential procedures are followed and help define operating standards and processes
• Serve as advisor or coach to new or lower level analysts
• Has the ability to operate with a limited level of direct supervision. Can exercise independence of judgement and autonomy.

Developer, Mainframe Expertise

• Research and identify technology upgrades which will enhance the ability to deliver robust solutions
• Ensure the new projects and enhancements to legacy solutions (where possible) work towards an enterprise architecture as opposed to a proliferation of point solutions
• Work with other technical teams to define and identify cross-functional solutions for integration with new or existing technologies
• Lead application and system architecture design working in conjunction with partners in the areas of architecture and infrastructure
• Lead the effort for design, development and implementation to deliver solutions which are easily maintainable and scalable
• Direct or indirect involvement in the development of policies, standards, and guidelines that direct the selection, development, implementation and use of Information Technology within the enterprise
• Provide coaching and guidance to colleagues to ensure applications, services, and processes are developed in a way that complies with architectural guidelines and established methodologies
• Informs management and provides recommendations for mitigation of potential bottlenecks or single-points of failure within the environment that may affect system performance or availability
• Estimate effort required for the design, development and implementation of technical solutions
• Other duties as assigned

Senior Software Engineer

• Design and ship the data normalization, schema mapping, validation, enrichment, and distribution pipeline for a net-new intelligent data warehouse
• Write production code as a hands-on individual contributor - this is not a role that delegates implementation to others
• Take technical ownership from architecture through deployment, with accountability for reliability, performance, and correctness
• Partner with a small seed team to define the end-to-end architecture for an AI-native data warehouse serving institutional financial clients
• Bring opinionated decisions on schema design, normalization strategies, API exposure patterns, and data distribution approaches
• Evaluate and select technologies with a bias toward what ships well and scales sustainably
• Design and implement the evaluation framework that makes AI-generated outputs trustworthy in high-stakes financial data contexts
• Build cross-model comparison tooling, deterministic validation checks, and human-in-the-loop review workflows
• Contribute to shared AI evaluation infrastructure that can serve as a foundation across multiple products
• Use agentic coding tools and LLM-assisted development as your primary workflow - this is how the entire team operates
• Bring strong opinions about how to get the most from AI-assisted development while maintaining quality and reliability
• Set coding standards, review practices, and architectural documentation that will scale as the team grows
• Help define what "good" looks like for a team building at speed without sacrificing quality
• Mentor engineers and provide technical guidance as the team expands

Staff Software Engineer, Data – AI

• Provide responsive technical assistance and document configuration to support processes.
• Work independently to understand and document business needs.
• Work with additional functional teams to ensure optimal operations of application development.
• Support change control and testing processes for modifications to application systems.
• Research and recommend innovative, and where possible automated approaches to business needs.
• Identify approaches that leverage our resources and provide economies of scale.
• Develop and maintain documentation of custom processes.
• Provide backup administration support to other ASA teammates.
• Provide after-hours support.
• Development within Microsoft SaaS platforms including Teams, SharePoint, and CoPilot
• Development within the Microsoft Power Platform with hands-on experience in RPA development, with expertise in complex bot development and automating revenue-related workflows preferred.
• Development within Atlassian SaaS platforms
• Development within Oracle Fusion, ORMB, OIC ERP platforms
• Development within Dynamics (D365) CRM Platform
• Development Administration within Data movement tools like SmartConnect
• Other duties as assigned

Senior Developer, Application Systems

• Design, develop, configure, and support the RightAngle application across multiple environments
• Collaborate with developers, business analysts, and business stakeholders to enhance commercial workflows
• Support day-to-day production operations, including incident resolution, root cause analysis, and performance tuning
• Participate in system upgrades, patches, and new module implementations
• Create and maintain technical documentation, including design specifications and support procedures

RightAngle Developer

• Designs, develops, and implements data integration packages for the organization
• Performs a wide variety of database programming assignments and research/troubleshooting in T-SQL
• Troubleshoots and maintains existing ETL packages
• Becomes a subject matter expert in the organization’s SSIS packages
• Creates new Extraction, Transformation, and Loading (ETL) packages to achieve data integration
• Tests and debugs code using departmental standards and protocols prior to elevation
• Acts as a subject matter expert in the existing ETL packages used to load Actimize
• Makes recommendations and implement improvements to the packages
• Reviews database design and code written by other developers, identifies issues, and discusses efficiencies
• Troubleshoots ETL issues as they arise by evaluating the ETL packages, source data, and destination systems
• Develops, updates, and maintains ETL specifications and documentation used to develop data migration mappings and transformations
• Performs other duties as assigned.

AVP Database Developer II

• Uses current programming language and technologies.
• Writes code and completes programming.
• Performs testing and debugging of applications.
• Completes documentation of procedures for installation and maintenance.
• Interacts with users to define system requirements and/or to add necessary modifications.
• Other duties as assigned.

Senior IT Software Engineer

• Analyses, designs, modifies, and programs software enhancements and/or new products used in local, networked, cloud-based or internet-related computer programs
• Uses current programming language and technologies
• Writes code and completes programming
• Performs testing and debugging of applications
• Completes documentation of procedures for installation and maintenance
• Interacts with users to define system requirements and/or to add necessary modifications
• Other duties as assigned

Principal IT Software Engineer

• Build high-performance applications: Design, develop, and maintain scalable software that powers the Opendorse platform.
• Own backend services: Write clean, testable code in .NET to deliver reliable APIs and business logic.
• Craft modern interfaces: Use React and TypeScript to build engaging, responsive UIs that deliver a great user experience.
• Leverage AI development tools: Use AI-assisted workflows to accelerate development, improve quality, reduce repetitive work, and help shape how our engineering team builds software.
• Move data with confidence: Work with SQL Server to store, query, and manage data efficiently.
• Focus on quality: Write unit and integration tests to ensure our systems are resilient and maintainable.
• Collaborate to deliver: Work closely with product, design, and engineering teammates to ship features that matter.
• Drive technical growth: Contribute to architectural decisions, code quality initiatives, and performance improvements across the stack.

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