Back-End Developer

This is a fully remote position, open to applicants in Florida.

📋 Description

• Ensure compliance with best practices and industry standards.

• Collaborate with cross-functional teams to collect requirements and convert business needs into technical solutions.

• Design and enhance database structures for effective data storage and retrieval within the adjudication system.

• Implement backend functionalities and business logic that support business processes, accuracy, and regulatory compliance.

• Provide guidance to leadership and the technology team regarding project status and opportunities for improvement.

• Work autonomously and as part of a team on both special one-time and ongoing projects.

• Adhere to HIPAA regulations related to Protected Health Information (PHI).

• Complete mandatory HIPAA training and demonstrate proficiency.

• Mentor junior developers on cost-effective development practices and coding best practices.

• Diagnose issues and propose effective solutions.

• Document architecture, workflows, and implementation guidelines for both internal and external stakeholders.

• Develop and integrate RESTful APIs.

• Communicate effectively with management, customers, vendors, business partners, and external technical teams.

• Ensure adherence to HIPAA, HITRUST, and other healthcare data security requirements.

⛳️ Requirements

• Proficiency in Visual Studio.

• Proficiency in C#.

• Proficiency with SQL Server stored procedures, functions, and overall administration.

• Experience with Git repositories.

• Experience using flow-charting tools such as Lucid Charts.

• Some understanding and experience with Figma.

• Experience with Azure DevOps build pipelines and releases.

• Ability to work with external APIs for internal business processes.

• Capability to identify cost-effective development solutions.

• Ability to mentor junior developers.

• Effective communication skills across management levels, customers, vendors, and business partners.

• Ability to troubleshoot issues in unfamiliar situations and offer constructive feedback.

• Ability to work independently and make sound business decisions with general guidance.

• Ability to consolidate ideas and collaborate with cross-functional teams.

• Working knowledge of prescription claim electronic data interchange and the pharmacy reimbursement cycle.

• Familiarity with pharmacy management, including adjudication, formularies, and pricing is a significant advantage.

• Ability to communicate with external vendors and their technical teams.

• Compliance with HIPAA, HITRUST, and other healthcare data security standards.

• Proficiency in RESTful API development and integration.

• A minimum of five years of software engineering experience.

• At least five years of experience in the Healthcare or Claims Adjudication sector.

• Preferred: two years of software engineering experience in a healthcare finance environment.

• Direct experience in healthcare finance, particularly with self-funded medical benefit plans or healthcare provider connectivity.

• Experience with Surescripts RTPC, ePrescriber, and Touchless PA.

• Familiarity with NCPDP Script, X12, and other pharmacy-related standards.

• Experience with Mirth Connect, Redox, or InterSystems HealthShare.

• Familiarity with EHR systems and pharmacy benefit managers (PBMs).

• Working knowledge of MediSpan drug data.

• Availability during core hours of 8:00 AM to 5:00 PM CT.

• Willingness to work extended hours, weekends, and holidays as required by industry demands.

🏝️ Benefits

• Medical, Dental, and Vision Insurance.

• Disability and Life Insurance.

• Employee Assistance Program.

• Options for Remote Work.

• Generous Paid-Time Off.

• Annual Reviews and Development Plans.

• Retirement Plan with company match, fully vested immediately.

• Minimal travel (1% - 5%) may be required from the remote location.