Top Tech Jobs & Startup Jobs

Design, build, and support HL7 v2.x interfaces using InterSystems Ensemble/IRIS and Epic Bridges. Translate clinical requirements into mappings, perform Epic-side builds, troubleshoot production interface failures, monitor queues, support Epic upgrades, and ensure HIPAA-compliant data exchange in a 24x7 healthcare environment.

Manage accounting activities including implementing reinsurance agreements, PeopleSoft ledger tree management, monthly/quarterly close support, 401(k) plan statement preparation, audit support, staff coaching, and ad-hoc accounting projects and reporting.

The Medicare Sales Agent consults customers on insurance needs, converts calls to sales, and assists in enrollment applications. Involves following up with members, documenting information, and meeting performance goals.

Design and develop backend services and APIs, implement microservices, manage databases, and integrate AI/ML features, ensuring production readiness and engineering best practices.

The Underwriting Consultant analyzes health plans, assesses risks, develops pricing options, and builds financial models for clients.

Field-based Account Executive responsible for growing hospice referrals by building relationships with referral sources, providing education and community in-services, managing sales activities and documentation, and serving as liaison between community providers, patients/families, and agency teams.

Lead identification, investigation, and prevention of healthcare fraud, waste, and abuse. Use claims data and regulations to detect aberrant billing, conduct field investigations and interviews, collect evidence, maintain case records, support settlements and legal proceedings, and collaborate with state/federal partners and regulators.

Lead business analysis and governance for an Agentic AI portfolio in claims operations. Standardize requirements, translate claims logic into AI rules and prompts, manage cross-functional delivery, implement AI rule libraries, ensure compliance and audit readiness, and track value realization across adjudication, payment integrity, and rework automation.

Manage a portfolio of residential and healthcare pharmacy partner accounts, serving as primary liaison to resolve service, operational, and billing issues. Support onboarding, retention, growth, regular site outreach (in-person/virtual), vaccination and event coordination, and cross-functional collaboration with pharmacy, billing, and business development teams to ensure service continuity and client satisfaction.

Lead actuarial analytics and Medicare Supplement rate filing processes, build and validate pricing models, engage regulators, provide performance insights, monitor market and regulatory changes, and collaborate cross-functionally to influence strategy.