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Software Engineer - Healthcare Claims

The Software Engineer - Healthcare Claims position inside the ZELIS/Payer Compass R&D Technology team focuses on troubleshooting and post-release maintenance of the Payer Compass healthcare RCM (Revenue Cycle Management) claims modeling technology, which batch-processes large claim datasets through various repricing scenarios to envision effects on overall revenue. This system is also used as part of our DevOps release-testing Quality Assurance process.

This Software Engineer - Healthcare Claims position interacts frequently with the core engineering team. The ensuing exposure to many aspects of the system opens up other roles and advancement possibilities within the organization. The position entails frequent troubleshooting and debugging from stakeholder-originated support requests, and collaborating with other Engineering Team members, but also includes crafting bugfixes when appropriate. As such, this position requires participation in all aspects of the software development lifecycle including the development of design specifications, solution prototyping, implementation, development of unit and system tests.

The Software Engineer will

• Develop high quality object-oriented code using C# and a mixture of internal and external frameworks

• Analyze datasets, collaborate with analysts to devise ways to ingest data from a large number of data sources

• Optimize data structures and processing algorithms for horizontal scalability and parallel execution

• Develop automated data validation tools designed to work with problematic data sets

• Develop unit and system tests for code developed by self and others

• Produce technical specifications and code documentation

• Assist in the design and development of relational data structures needed to support new development efforts (including keys, indexes, triggers and stored procedures).

• Assist in the design and development of document database structures needed to support new engineering efforts.

• Assist and perform application performance analysis and tuning

• Conduct and participate in training sessions

• Identify and recommend process improvements

• Accurately estimate level of effort and forecast completion targets

Education and Work Experience:

• Minimum 3+ years experience using the .NET stack and SQL Server

• Experience with software development using Agile methodologies preferred

• Experience in requirements gathering from project stakeholders

• BA/BS in Computer Science preferred

Knowledge, Skills and Key Competencies:

• Knowledge of object-oriented programming using C#. Ability to write maintainable, scalable code that adheres to approved patterns and design principles.

• Understanding of relational databases in general and Microsoft SQL Server specifically.

• Familiarity with advanced design principles, such as service-oriented architectures, domain-driven design, IoC and events.

• Understanding of algorithm complexity analysis and selection for large datasets.

• Ability to troubleshoot and debug complex defects with debugger and profiler tools, such as Microsoft Visual Studio.

• Understanding of Windows security principles and Powershell scripting.

• Familiarity with Microsoft IDE’s such as Visual Studio and Visual Studio Code

• Familiarity with Atlassian tools (Jira, Bitbucket, Confluence)

• Familiarity with JetBrains tools (ReSharper)

• Working knowledge of Git based version control systems

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

As the leading healthcare payments company, we price, pay and explain care for payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care.Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.