Job Description
Job Title: Application Developer / Software Engineer
Location: Remote
Job Description:
Job Summary
We are seeking an experienced Technical Analyst with strong expertise in healthcare payer systems, compliance reporting, and data analysis. The ideal candidate will have hands-on experience with regulatory submissions, healthcare workflows, and modern data platforms to support compliance and reporting needs.
Key Responsibilities
- Manage and support medical management compliance reporting, including regulatory submissions such as ODAG, CDAG, and CMS
- Analyze and interpret healthcare data related to Medicare Advantage, Utilization Management (UM), and Care Management (CM) processes
- Develop, validate, and reconcile data using SQL to ensure accuracy and completeness of reports