System Engineer/Developer

3 weeks ago


Indianapolis, United States RADcube, LLC Full time
Job DescriptionJob DescriptionDescription:

We are seeking a Systems Engineer/Developer with a strong background in healthcare claims systems, specifically within the Medicaid and Medicare Information Systems (MMIS) environment.


This role involves designing, developing, and maintaining systems that optimize the performance and efficiency of the claims department. The ideal candidate is an adept problem solver with hands-on experience in developing and implementing solutions in high-volume claims environments.


Key Responsibilities:

  • System Design & Development: Architect and develop scalable, high-performance systems to enhance claims processing and support complex workflows. Collaborate with cross-functional teams to deliver robust, secure solutions that meet business needs.
  • Claims System Enhancement: Analyze existing systems and identify opportunities for improvements in efficiency, speed, and accuracy of claims processing. Implement changes and develop new features to optimize performance.
  • Integration & Interoperability: Design and implement system integrations between the claims platform and other MMIS components, ensuring seamless data flow, compliance with regulations, and real-time processing capabilities.
  • Technical Problem Solving: Investigate and resolve complex system issues impacting claims operations. Collaborate with stakeholders to troubleshoot problems and deploy rapid solutions to minimize downtime.
  • Compliance & Data Security: Ensure that all system enhancements and developments comply with Medicaid, Medicare, and HIPAA regulations, while implementing best practices for data security and integrity.
  • Automation & Process Improvement: Develop automation scripts and tools to streamline claims processing and reduce manual effort. Focus on automating routine tasks and enhancing system reliability.
  • Collaboration & Documentation: Work closely with project managers, business analysts, and claims operations teams to understand requirements and translate them into technical solutions. Maintain comprehensive documentation of system architecture, processes, and updates.
Requirements:
  • Bachelor’s degree in Computer Science, Engineering, or a related field (Master’s preferred).
  • 5+ years of experience in systems engineering or software development, with at least 2 years focused on Medicaid/Medicare claims systems. § Strong proficiency in programming languages such as Java, Python, or C#.
  • Experience with healthcare claims systems, MMIS, and knowledge of relevant regulations.
  • Hands-on experience with database management (e.g., SQL, PostgreSQL), integration tools, and middleware solutions.
  • Familiarity with cloud platforms (e.g., AWS, Azure) and experience with cloud-based system architectures.
  • Experience with Agile development methodologies and DevOps practices.
  • Excellent problem-solving and analytical skills, with the ability to troubleshoot complex issues in a fast-paced environment.
  • Strong communication and collaboration skills, capable of working with both technical and non-technical stakeholders


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