C# .Net Lead – US Healthcare Provider Enrollment

Posted 2 days ago

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

πŸ“‹ Description

β€’ Act as the technical lead for designated functional areas, applications, batch processes, interfaces, or workstreams.

β€’ Lead and assist with technical analysis, design, development, unit testing, implementation, defect resolution, and production support.

β€’ Convert functional and business requirements into technical designs, development tasks, implementation plans, and supportable system modifications.

β€’ Collaborate with architects, business analysts, developers, QA teams, operations teams, project managers, and client-facing stakeholders.

β€’ Evaluate technical designs, code, test evidence, implementation documentation, and materials for production readiness.

β€’ Offer technical guidance, mentorship, and daily direction to developers and members of the application team.

β€’ Serve as a subject matter expert for assigned applications, data flows, interfaces, batch jobs, functional modules, and system dependencies.

β€’ Assist in issue triage, root cause analysis, defect resolution, system maintenance, and response to production incidents.

β€’ Recognize opportunities to enhance code quality, batch performance, process efficiency, automation, documentation, and system stability.

β€’ Convey technical risks, dependencies, progress, trade-offs, and recommendations to project leaders, business stakeholders, and client-facing teams.

β€’ Oversee a range of projects without direct access to PHI, PII, or secured/confidential client information.


⛳️ Requirements

β€’ Experience in one or more Medicaid or healthcare technology functional domains, including Claims, Provider, Member, Business Process Analysis, Reference Data / Configuration, Finance, Reporting, Pharmacy, Interfaces, or Operations.

β€’ Proficiency in provider enrollment, credentialing, screening, provider maintenance, provider data management, provider workflows, provider portal functionality, and related integrations.

β€’ Experience in technical design and delivery related to provider enrollment, maintenance, credentialing, screening, provider-data updates, and provider workflow modifications.

β€’ Experience in conducting impact analysis for provider portals, workflow tools, provider master data, provider interfaces, reporting, correspondence, and downstream systems.

β€’ Experience in supporting provider data quality, duplicate resolution, validation rules, provider-related production defects, and root cause analysis.

β€’ Experience in coordinating with Provider SMEs, Provider Operations, business analysts, developers, testing teams, integration teams, and client-facing stakeholders.

β€’ Knowledge of provider enrollment, credentialing, screening, provider maintenance, provider lifecycle, provider status, taxonomy, specialty, affiliations, service locations, and provider data concepts.

β€’ Knowledge of provider portals, workflow queues, document intake, provider correspondence, provider interfaces, and operational reporting.

β€’ Awareness of downstream impacts to claims, reporting, directories, finance, data warehouses, and client systems.

β€’ Professional experience with .NET MVC.

β€’ Professional experience with Entity Framework and object-relational mapping tools.

β€’ Professional experience with Web API.

β€’ Professional experience with LINQ and jQuery.

β€’ Professional experience with web services.

β€’ Professional experience with MS-SQL and Oracle.

β€’ Professional experience with ASP.NET.

β€’ Professional experience with IIS configuration.

β€’ Experience using Visual Studio Editor.

β€’ Experience with VS Code.

β€’ Experience using GitHub.


🏝️ Benefits

β€’ Remote work environment.

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