ROLE Proactively participate in the development of data and data processes utilized for the automation of medical bill review pricing on a national scale. Assist in the implementation of departmental procedures and protocols with the Bill Review Pricing manager and Data Team counterparts. Work with the Regulatory Team Manager to document those processes and implement efficiencies within those processes to assure growth and productivity. RESPONSIBILITIES

• Assist in regulatory enhancements and data development to achieve national automation within a given timeframe
• Identify data source needs
• Actively seek comprehensive understanding of data, regulations and how each are utilized
• Detailed review of regulatory/legislative requirements necessary for bill review automation
• Implement/Enhance automated processes to expedite completion and increase efficiency

QUALIFICATIONS

• 2+ years data development experience
• SQL knowledge and experience required
• MySQL knowledge and experience preferred
• Medical Bill Review knowledge and experience desired
• Ability to work independently and within a coordinated team environment
• Ability to mentor and help train new analysts within the team
• Excellent interpersonal, written and verbal communication and listening skill

ROLE

Proactively participate in regulatory logic compliance and the development of documents, templates and processes utilized for the automation of medical bill review pricing on a national scale. Assist in the implementation of departmental procedures and protocols along with the Regulatory Manager and data team counterparts. Collaborate with the Compliance and Analyst teams to document the development logic needed for the application to access, utilize and successfully adjudicate medical bills in an automated fashion. Develop efficiencies within these processes to assure growth and productivity. Work with the Development team to automate appropriate bill pricing and payment logic.

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RESPONSIBILITIES

• Detailed review of regulatory/legislative requirements necessary for bill review automation
• Review converted data and regulations and refine based on application need
• Create and execute state/module specific testing scenarios for pricing and edits logic
• Develop processes for documenting issues encountered and report recommended changes or enhancements to further the automation of accūrō’s proprietary medical bill review pricing application
• Implement automated processes to expedite task completion and increase efficiency
• Perform other duties and assignments as directed by the Regulatory Manager
• Regulatory Analyst JD

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QUALIFICATIONS

• 2+ years of data development experience desired
• SQL knowledge and experience required
• MySQL knowledge and experience preferred
• Ability to manipulate MS Excel formulas and queries desired
• Medical Bill Review knowledge and experience preferred
• Ability to work independently and within a coordinated team environment
• Ability to mentor and help train new analysts within the team
• Excellent interpersonal, written, and verbal communication and listening skills

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*The responsibilities and duties of this position may be modified from time to time at the discretion of the executive team.

To apply, send resume and cover letter to [email protected]. 

Senior Software Engineer PURPOSE: To develop and maintain a custom medical billing application using Spring Boot’s service architecture. This position focuses on performance and leadership to reliably and independently provide quality solutions. RESPONSIBILITIES AND DUTIES:

• Develop updates to billing automation processes requiring strict security standards and high levels of performance for a high number of transactions.
• Develop new features within the application that will improve employee efficiencies and improve the quality of work for other departments.
• Assist in researching and resolving internal and external application problems or business workflow problems technically related to the application.
• Lead the design and architecture of complex software systems, drive high-impact projects from conception to execution, and ensure adherence to coding standards and best practices.
• Train and mentor other developers.
• Provide code review and assist with any other QA methods.
• Perform other duties and assignments as directed by the executive team.

QUALIFICATIONS:

• Bachelor’s Degree in CS, MIS, CE, or similar field of study.
• 7+ years of related experience.
• Must have a track record of successful projects.
• The ability to make well thought out design decisions.
• The ability to demonstrate knowledge of and adherence to programming best practices.
• Excellent interpersonal, written, verbal, and listening communication skills.
• Java, JPA, MariaDB, Spring Boot, GIT, REST, Docker, Kubernetes (EKS).

*The Responsibilities and duties of this position may be modified from time to time at the discretion of the executive team. To apply, send resume and cover letter to [email protected].