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Data Architect
✦ New
Salary not disclosed
New York, NY 1 day ago
Position Summary

We areseekingan experienced and forward-thinkingSolution Architect - Data Engineeringto lead the design and implementation of scalable, secure, and high-performance data solutions. The ideal candidate will have deep expertise withPython and SQL, experience with data warehouses (Snowflake or something similar), a strong command ofengineering best practices(includinglinters and code formatters, project organization, and managing environments), and practical experience buildingCI/CD pipelinesto ensure robust, automated delivery of data pipelines and services.


Responsibilities

  • Architect Scalable Data Solutions
    Design and implement end-to-end data engineering architectures that are scalable, maintainable, and performant across batch and real-time processing systems.


  • Engineering Leadership
    Lead by example with high-quality Python code,utilizinglinters (e.g.,pylint,flake8,black) and enforcing code cleanliness, readability, and best practices across teams.


  • CI/CD Pipeline Development
    Build, manage, and optimize CI/CD pipelines using tools such asGitHub Actions,GitLab CI,CircleCI, orJenkinsto automate testing, code quality checks, and deployment of data engineering components.


  • Data Governance & Quality
    Establish data validation, logging, and monitoring strategies to ensure data integrity and reliability at scale.


  • Collaborate Cross-Functionally
    Work closely with data scientists, software engineers, DevOps, and business stakeholders to translate requirements into technical solutions and ensure alignment with overall enterprise architecture.


  • Mentorship & Code Reviews
    Provide guidance to junior developers, lead technical reviews, and enforce clean coding standards throughout the data engineering team.


Required Skills & Experience

  • 7+ years of experience in software or data engineering, with 3+ years in an architectural or technical leadership role.


  • Expert-levelproficiencyinPython and SQL, with a deep understanding of best practices, performance tuning, and maintainable code patterns.


  • Proven experience withlinters,formatters, and other static analysis tools to ensure code quality and compliance.


  • Hands-on experience designing and implementingCI/CD pipelinesfor data pipelines, APIs, and other backend services.


  • Solid knowledge of modern data platforms and technologies (e.g., Spark, Airflow,dbt, Kafka, Snowflake,BigQuery, etc.).


  • Strong understanding of software engineering practices such as version control, testing, and continuous integration.


Desired Skills & Experience

  • Experience working in cloud environments (AWS, GCP, or Azure).
  • Familiarity with Infrastructure as Code (IaC) tools like Terraform or CloudFormation.
  • Understanding of security, compliance, and governance in data pipelines.
  • Excellent communication and documentation skills.
  • Strong leadership presence with the ability to mentor and influence teams.
  • Problem-solver with a focus on delivering value and simplicity through technology.


Wage and Benefits

We offer a Total Rewards package that includes medical and dental coverage, 401(k) plans, flex spending, life insurance, disability, employee discount program, employee stock purchase program and paid family benefits to support you and your family.The salary range for this position is posted below. Where an employee or prospective employee is paid within this range will depend on, among other factors, actual ranges for current/former employees in the subject position, market considerations, budgetary considerations, tenure and standing with the Company (applicable to current employees), as well as the employee's/applicant's skill set, level of experience, and qualifications.


Employment Transparency

It is the policy of our company to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, ethnicity, gender, age, religion, creed, national origin, sexual orientation, gender identity, marital status, citizenship, genetic information, veteran status, disability, or any other basis prohibited by applicable federal, state, or local law.


Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.


The employer will make reasonable accommodations in compliance with the American with Disabilities Act of 1990. The job description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and other job functions are subject to modification. Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions.


For applicants to jobs in the United States: In compliance with the current Americans with Disabilities Act and state and local laws, if you have a disability and would like to request an accommodation to apply for a position with our company, please email .

Salary Range$200,000—$220,000 USD
Not Specified
ICU Unit Service Techician Faulkner
✦ New
Salary not disclosed
Jamaica plain, MA 1 day ago
Unit Service Technician

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

The Unit Service Technician provides a broad range of care and services to patients, including but not limited to, EKG, phlebotomy, blood glucose monitoring, completing EKGs, applying simple dressings, using aseptic technique and responding to medical emergency situations utilizing Heartsaver CPR and AED skills, patient transport and securing equipment and supplies under the supervision of Nursing Supervisor. They will provide safe accurate transportation of patients throughout the hospital. They will perform 1:1 sitting when necessary. The Night Float Unit Service Technician will also assure the practice of the Patient and Family Centered Care Model in an environment that exemplifies best practice.

Does this position require patient care? Yes

Essential Functions:

Provision of a Safe Environment:

  • Utilizes proper body mechanics in moving and assisting patients to prevent personal injury.
  • Assists in the application of restraints under the direction of the provider. Follows and maintains restraint policies under supervision of licensed nurse.
  • Anticipates and identifies patient safety risks in cooperation with licensed nurse and take appropriate action.
  • Demonstrates knowledge of the location of emergency equipment.
  • Delivers back up Code Cart to area upon Code Blue announcement. Stands by in a Code Blue to assist in equipment retrieval and patient transport. Restocks back up Code carts as necessary.
  • Rounds and returns loose oxygen cylinders to appropriate storage areas.
  • Clears hallways of clutter.

Organizational Ethics:

  • Interacts with patients, families and staff in a professional manner, projecting a positive public image.
  • Respects and supports a culturally diverse staff and patient population.
  • Delivers care in a non-judgmental, non-discriminatory manner that is sensitive to and demonstrates respect for patient diversity.
  • Respects and maintains the confidentiality and privacy of patient, employee and hospital information at all times.
  • Works cooperatively with all staff members and takes appropriate steps to resolve interpersonal conflicts. Seeks assistance from RN, Nursing Director or Nursing Supervisor, as needed.
  • Dresses appropriately and according to dress code requirements, including wearing visible hospital I.D. badge that identifies self at all times.

Management of Resources:

  • Efficiently organizes time and prioritizes requests for service based on urgency.
  • Cleans equipment as needed.
  • Delivers linen to units as requested.
  • Disposing of trash, soiled linens, medical waste and disposable items, appropriately and as necessary.
  • Provides assistance to co-workers, as requested.
  • Is flexible and adapts to changing patient and department needs including, but not limited to, offering assistance to other team members and adjusting assignments.

Management of Information:

  • Reviews and is knowledgeable of appropriate policies, procedures and work rules.
  • Demonstrates an understanding of hospital emergency codes and how to call a code.
  • Utilizes hospital E-mail to access staff meeting minutes, notices and memos.
  • Reads and reviews meeting minutes and clinical updates.
  • Participates in staff meetings and appropriate in-services.
  • Maintains timely ongoing verbal communication with RN throughout the shift, regarding patient condition including, the status of completing delegated tasks. Recognizes and notifies RN immediately of any significant change in a patient's condition and/or monitoring alarms (for example: change in vital signs, change in patient's mental status, complaints of pain, abnormal blood sugar, patient fall or other injury, patient concerns with care).
  • Accurately collects and records patient data (vital signs, intake and output, blood sugar, weights, restraint care/monitoring, other) and complies with hospital documentation standards to ensure a complete and accurate patient record.

Collaborative Interdisciplinary Care:

  • Maintains and fosters a teamwork approach to patient care.
  • Transports patients and equipment throughout the hospital as requested. Uses appropriate safety techniques and body mechanics when moving patient. Remains with the patient or ensures patient is attended by staff when off other home unit. Stretcher is cleaned after every transport with an antibacterial as provided in the department.
  • Delivers specimens to laboratory as needed, following proper procedures related to the handling of specimens during transport, as requested by staff.
  • Strictly practices Standard Precautions. Checks with nursing staff for specific instructions if necessary.
  • Performs the transportation of the deceased to the morgue in a respectful manner. Always uses proper morgue stretcher and is accompanied by a second escort.
  • Performs technical duties including EKG and phlebotomy under the supervisor of a licensed Nurse.
  • Obtains lab specimens as requested by Nursing Supervisor.
  • Obtains labs for in-house draws on 11p-7a shift for 1am and 4am rounds, in accordance with lab policy.
  • Adheres to laboratory policy and procedure when retrieving lab specimens including the proper labeling of all specimens.
  • Performs EKG's as requested by nursing/provider and obtains old EKG's in MUSE system.
  • EKG's are brought to provider for immediate review upon completion.
  • Assist providers with patient procedures as needed.
  • Notification of need for repair of medical equipment to appropriate parties.
  • Covers the switchboard operator function during breaks. Is able to appropriately perform the function including Code Blue and RRT notification.

Patient/Family Education:

  • Addresses patient comfort and information needs by providing informative, non-clinical information to patients and families, orienting patients/visitors to the hospital, unit, patient room services.
  • In collaboration with the licensed nurse, reinforces the patient education provided by the nurse and provides patients/families with basic patient care instruction, such as instruction for using the call light and safety requirements.

Competency:

  • Complies with established practice standards, policies, procedures, protocols, guidelines, and regulations, (for example: DPH, JCAHO, Boston fire codes, OSHA).
  • Maintains and demonstrates compliance with hospital and nursing competencies and care standards.
  • Maintains competence in relation to a variety of technical skills that may include, but are not limited to, performing EKGs and blood glucose monitoring, applying simple dressings and Heartsaver CPR and AED skills.

Qualifications

Education: High School Diploma or Equivalent required. Can this role accept experience in lieu of a degree? No

Licenses and Credentials: Experience as a medical technician or patient care assistant preferred

Knowledge, Skills and Abilities:

  • Staff adheres to all I C.A.R.E. Standards.
  • Ability to effectively speak, read and write using the English language.
  • Ability to pass clinical competency, basic math and reading testing.
  • Ability to perform basic math calculations and measurements, in order to measure height and weight, intake and output and calorie counts.
  • Ability to accurately interpret and utilize basic medical terminology and abbreviations.
  • Ability to enter and retrieve computerized information.
  • Physical ability to push, transfer, and pull heavy loads throughout assigned shift.
  • Physical ability to meet core job requirements in accordance with practice setting demands, for the patient populations regularly served.
  • Effective communication and interpersonal skills to interact appropriately with nursing staff, patients, families/visitors, physicians, and other hospital staff.
  • Organizational skills to set priorities and efficiently complete assigned work.
  • Ability to manage stress related to patient care issues, and changing hospital climate and personnel issues.

Additional Job Details (if applicable)

Physical Requirements:

  • Standing Frequently (34-66%)
  • Walking Frequently (34-66%)
  • Sitting Occasionally (3-33%)
Not Specified
Lead Angular Developer with Python
✦ New
Salary not disclosed

Job Role: Lead Software Engineer - AI Application Platform

Location: Charlotte, NC (Onsite)

Eligibility: USC/GC/H4-EAD only

Pay Rate: $90/hr. on W2

The Opportunity

We are seeking a Lead Software Engineer to guide the architectural development and execution of AppGen, a sophisticated AI-powered application generation platform. This role suits a proven technical leader with deep, hands-on expertise across the full software stack who finds enabling a team to build better software deeply satisfying.

You will shape critical systems, mentor senior and junior developers through complex technical decisions, conduct rigorous code reviews across multiple technology domains, and directly influence the platform's trajectory through strategic engineering leadership.

This is for someone who:

• Engages thoughtfully when a junior developer asks targeted architectural questions—because you see an opportunity to shape how someone thinks about systems

• Takes time to explain subtle type-safety issues in code review, understanding that feedback is a teaching moment

• Can present architecture clearly to executives and confidently explain both what we're building and why it matters

• Finds more energy in the code your team ships than in the code you write individually

• Has proven depth across the full stack and a track record of developing engineers into stronger contributors

If that describes you, we'd like to talk.

Core Responsibilities

1. Technical Architecture & Systems Thinking (40%)

• Shape architectural decisions across the full stack: How should the component layer handle dynamically generated forms? What's the right approach to validate complex cross-field dependencies in the FormBuilder? What separation of concerns makes sense between the Generator Lambda and the Parent Backend?

• Guide architecture discussions: Help senior developers think through design trade-offs. Should we use NgRx or Angular signals for this feature? When does a new Lambda function become worthwhile given cold-start costs?

• Identify and address system-wide bottlenecks: Work across layers to improve performance. Explore Lambda cold-start optimization, RDS query efficiency, and DynamoDB access patterns.

• Establish patterns and guide consistency: Define coding conventions that work across Python, TypeScript, and Terraform. Help new team members understand the reasoning behind architectural choices.

What this looks like in practice: You're able to justify architectural decisions with technical reasoning. When someone questions an approach, you can explain the trade-offs you considered. You can write code in multiple languages to validate an approach if needed.

2. Code Review & Technical Guidance (30%)

• Full-stack PR reviews: Review Python FastAPI endpoints and Angular components with equal depth, understanding how they interact.

• Deep technical review: Catch issues thoughtful code review can surface:

o RxJS Observable lifecycle and potential memory patterns in Angular

o Query efficiency and data loading patterns in SQLAlchemy

o Terraform module organization and state management implications

o Type safety and TypeScript coverage gaps

o AWS security and IAM configurations

• Educational feedback: Your code reviews help the team learn. When you identify an issue, reviewees understand not just what changed, but how to think about similar problems in the future.

• Define quality expectations: Work with the team to establish what \"production-ready\" means for this platform and support consistent application of those standards.

What this requires: Experience reviewing code across teams and multiple languages. You know how to write feedback that resonates—clear, constructive, and focused on helping people improve.

3. Mentorship & Team Development (20%)

• Expand specialist capabilities: Help backend specialists learn to contribute to the forms-engine. Support frontend experts in understanding FastAPI patterns.

• Accelerate junior developers: Pair on complex problems. Explain the reasoning behind patterns like DataState. Connect architectural choices to implementation details and performance implications.

• Identify and address gaps: Recognize when someone is struggling with a technology and provide targeted support—training, pair programming, or guidance through architectural decisions.

• Create growth opportunities: Stretch the team into new areas. A backend engineer working on their first Terraform contribution. A frontend specialist implementing an AWS Lambda authorizer.

What this requires: Genuine investment in people's growth. You've walked developers through major transitions (generalist to specialist, specialist to full-stack, or into new technology areas). You understand that team strength grows when individuals expand their capabilities.

4. Stakeholder Communication & Technical Leadership (10%)

• Explain to diverse audiences: Translate architectural choices and trade-offs for product managers, executives, and business stakeholders. Connect \"optimizing DynamoDB queries\" to \"improving form submission latency by 30%.\"

• Shape technical direction: Contribute the engineering perspective on feasibility, risk, and what unlocks future capabilities.

• Support release confidence: You understand the code changes, comprehend the risks, and know what to monitor. You can stand behind releases.

Required Qualifications

Technical Skills

Frontend (Production Experience)

• 5+ years of Angular (including handling version migrations, optimizing change detection, and guiding teams through reactive patterns)

• Strong TypeScript skills with generics, discriminated unions, and strict mode

• RxJS depth: You understand hot vs. cold observables, unsubscription patterns, and can identify potential memory issues in reviews

• NgRx state management: You've designed stores at scale, optimized selectors, and evaluated architectural implications

• CSS Grid & Responsive Design: You can assess component hierarchy and layout decisions

• Material Design: You've worked within it and know when and how to extend it

Backend (Production Experience)

• 5+ years of Python (async/await, type hints, data modeling)

• FastAPI production experience: session management, dependency injection, middleware

• SQL and ORMs (SQLAlchemy): You write efficient queries and review them critically

• AWS services: Understanding of Lambda behavior, IAM least-privilege patterns, VPC networking

• REST API design: Versioning, error handling, idempotency

• Testing frameworks: pytest, testing st

Not Specified
Physician Advisor - Strategic Quality Performance
Salary not disclosed
Lakeland, FL 2 days ago

Position Details


Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.


Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally.


Work Hours per Biweekly Pay Period: 80.00

Shift:

Location: 1324 Lakeland Hills Blvd Lakeland, FL

Pay Rate: Min $161,200.00 Mid $215,300.80


Position Summary


The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.

Position Responsibilities


People At The Heart Of All We Do

  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.


Stewardship

  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.


Safety And Performance Improvement

  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.


Supervisor/Team Lead Capabilities

  • Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
  • Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
  • Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
  • Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
  • Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
  • Promotes a healthy and safe culture to advance system, team and service experien


Standard Work: Physician Advisor

  • Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
  • Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
  • Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
  • Assists with the evaluation and appeal of concurrent and restrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
  • Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
  • Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
  • Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
  • The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
  • Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
  • Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.


Competencies & Skills


Essential:

  • Broad knowledge base of clinical medicine across all specialties.
  • Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
  • Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
  • Computer skills appropriate to position
  • Excellent written and verbal communication skills.


Qualifications & Experience


Essential:

  • Medical Degree

Essential:

  • Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.

Other information:

Experience Essential:

- Minimum of two years of experience in conducting coding and CDI reviews.

- Knowledge of coding guidelines and how it translates from clinical documentation.

- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.

- Excellent computer skills with prior exposure to use of Microsoft Office suite

Not Specified
Certified Risk Adjustment Coder (Medical)
Salary not disclosed
Corpus Christi, TX 2 days ago

We are seeking a detail-oriented Certified Risk Adjustment Coder to join our healthcare team. This role involves working directly within a clinical or administrative unit to ensure accurate and compliant coding of medical procedures, diagnoses, and services. The ideal candidate will be embedded in day-to-day operations, collaborating closely with physicians, nurses, and billing staff to support efficient documentation and reimbursement processes.


This is a hybrid role, and requires 3 days a week in the office


Key Responsibilities:

  • Review and analyze patient medical records to assign appropriate ICD-10, CPT, and HCPCS codes.
  • Ensure coding accuracy and compliance with federal regulations, payer policies, and internal standards.
  • Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
  • Submit coded data to billing systems to initiate insurance claims and support reimbursement.
  • Maintain and update patient data for long-term tracking and reporting.
  • Participate in audits and quality reviews to ensure coding integrity.
  • Stay current with changes in medical coding guidelines, CMS updates, and payer requirements.
  • Support internal compliance and contribute to external audit readiness.

Qualifications:

  • Certified Risk Adjustment Coder (CRC) Certification
  • Minimum 2–3 years of experience in medical risk adjustment coding, preferably in an embedded or integrated healthcare setting.
  • Familiarity with value-based care and risk-bearing contracts.
  • Strong understanding of medical terminology, anatomy, and disease classification systems.
  • Proficiency with Electronic Health Records (EHR) and coding software.
  • Working knowledge of Microsoft Office.
  • Excellent attention to detail and analytical skills.
  • Ability to work collaboratively in a fast-paced clinical environment.

Preferred Skills:

  • Experience with inpatient, outpatient, or specialty coding.
  • Ability to engage with providers.
  • Familiarity with payer-specific coding requirements and reimbursement processes.
  • Strong communication skills for cross-functional collaboration.
  • Knowledge of HIPAA and confidentiality protocols.
Not Specified
Medical Coder
✦ New
Salary not disclosed

Health Plan Coding Contractor (Dental & Vision Experience Preferred)

Role Type: Contract

Experience Level: 2 - 3 year minimum preferred

Work Arrangement: Remote eligible (certain time zones preferred)

Hourly Rate Range - $30 / hour - $34/hour

Overview

We are seeking two Health Plan Coding Contractors to support backend medical benefit configuration and coding for health plan implementations. One of the roles requires specific experience in dental and vision coding.

These contractors will work closely with internal operations teams and implementation stakeholders to build, configure, and maintain accurate benefit structures within a health plan platform. The work involves handling protected health information (PHI), reviewing plan documents, and translating benefit details into coded system configurations.

Candidates should be comfortable working in a collaborative environment with operational leaders while also managing technical coding responsibilities independently.

Key Responsibilities

Health Plan Coding & Configuration

  • Perform backend medical benefit coding and configuration within the claims adjudication system.
  • Translate complex plan documentation such as Summary Plan Descriptions (SPDs) and Evidence of Coverage (EOC) into accurate system configurations.
  • Support the build and implementation of member benefits based on plan documentation and contractual agreements.
  • Work with internal teams to ensure coded benefits align with operational and compliance requirements.

Quality Assurance & Compliance

  • Conduct validation and quality checks to ensure coding accuracy, consistency, and compliance with applicable regulations.
  • Perform audits on coded benefits to ensure correct implementation across systems.
  • Identify and resolve edge cases or complex benefit scenarios affecting claim processing.

Cross-Functional Collaboration

  • Partner with internal operational managers on backend initiatives and process improvements.
  • Work closely with implementation and launch teams responsible for onboarding new health plans and coordinating with insurance partners.
  • Collaborate with operations teams to support benefit updates, claim processing accuracy, and issue resolution.

Process & Workflow Support

  • Assist with workflow processes related to benefit configuration changes, including:
  • Creating system rules to pause impacted claims when updates are required
  • Conducting manual review to ensure proper claim adjudication
  • Monitoring results before releasing claims back into automated processing

Required Qualifications

  • Minimum 2years - 3 year of experience in medical coding, health plan coding, or benefit configuration.
  • Experience working with health plan benefit structures or claims systems.
  • Dental and vision coding experience required for one role.
  • Familiarity with payer or third-party administrator (TPA) environments is preferred.
  • Strong attention to detail and ability to interpret complex plan documentation.
  • Ability to manage tasks independently while collaborating with cross-functional teams.

Preferred Qualifications

  • Experience working with enterprise benefit platforms such as Facets, QNXT, HealthRules, or similar systems.
  • Knowledge of healthcare regulatory frameworks affecting benefit design and claims processing.
  • Prior experience supporting health plan implementations or benefit builds.


Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

Not Specified
Bioinformatics Research Associate II
✦ New
Salary not disclosed
Waltham, MA 10 hours ago

Immediate need for a talented Bioinformatics Research Associate II . This is a 12+months contract opportunity with long-term potential and is located in Waltham, MA (Onsite). Please review the job description below and contact me ASAP if you are interested.


Job ID:26-08726


Pay Range: $40 - $50/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).


Key Responsibilities:


  • Manager Notes:
  • DIL: bio to support next-gen sequencing group. Some are in the lab, some are writing codes and analytical pipelines, working with Client coding and development systems, collaborating with the lab team, lots of coding, working with quality teams to ensure meeting metrics.
  • Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.). NGS pipeline development.
  • 9-5 some wiggle room if they need to come in earlier leave earlier, Onsite but if they need a day or two here and there they can request a day to work remote A strong candidate would have Coding experience, papers published on coding, need next gen sequencing analysis, gene therapy group so if they have some exp in that or bio that would be a great advantage.
  • Relevant experience is more important than a degree for the role.
  • Does not want to see anyone with zero coding experience. No mention of the tools list would be a hard pass.
  • Support computational needs for the development and validation of NGS-based assays.
  • Work closely with a multi-disciplinary team of scientists and engineers to implement genomic analytical solutions for programs spanning precandidate selection through late phase clinical development.
  • Develop, execute, and maintain NGS analysis pipelines for execution in cloud-based computational environments.
  • Keep records of development work and testing in a GxP environment utilizing electronic notebook solutions.
  • Represent the group at internal meetings.


Key Requirements and Technology Experience:


  • Key Skills;Should have experience with at least one or two of the following. e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.)
  • Minimum of 1 year of experience with NGS, spanning knowledge and hands-on dry-lab experience.
  • Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
  • A strong candidate would have Coding experience, papers published on coding, need next-gen sequencing analysis, and gene therapy.
  • Degree in a relevant computer science discipline with a minimum of 3 years of relevant industry experience.
  • Minimum of 1 year experience with NGS, spanning knowledge and hands-on dry-lab experience.
  • Expertise in bioinformatics with a working understanding of genomic analysis solutions (e.g., FastQC, Bowtie2, SAMtools, NCBI BLAST+, Nextflow, etc.).
  • Scripting experience in coding languages (e.g., bash, awk, Python, R, etc.).
  • Understanding of NGS platforms, specifically those utilizing the synthesis by sequencing technique (i.e., Illumina platforms).
  • Ability to work independently and adapt under aggressive and/or changing timelines.
  • Familiarity with the software development lifecycle (e.g., Git).
  • Automated unit testing for test-driven design (TDD).
  • Familiarity with basic molecular biology techniques (e.g., ligation, PCR, and qPCR) as well as nucleic acid extraction and analysis techniques (e.g., Nanodrop, DNA fragment analyzers, ddPCR, etc.).
  • Knowledge of and experience with other sequencing platforms (i.e., SMRT sequencing).
  • Prior experience in leading the internalization of custom NGS analysis pipelines is highly preferred.
  • Wet-lab method development experience to support NGS workflows.


Our client is a leading Pharmaceutical Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.


Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, 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.


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Not Specified
Medical Records Director Non Nurse/HIM
Salary not disclosed
Houston, TX 4 days ago


Position Summary

  • The Medical Records Director (Non-Nurse) maintains the patients’ clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures in accordance with all applicable laws, regulations, and Life Care standards. Serves as the designated Privacy Officer for the facility.
  • Reports to Executive Director (ED)

Education, Experience, and Licensure/Certifications

  • Bachelor’s degree OR an equivalent combination of education and experience
  • Credentialed as a Registered Health Information Administrator (RHIA) OR as a Registered Health Information Technician (RHIT) OR have a degree in a health related field with extensive training and demonstrated competence in the HIM field
  • Training in post-acute care health information management

Specific Requirements

  • Demonstrate knowledge of State and Federal legal requirements relating to documentation, confidentiality, and legal issues pertaining to health information
  • Demonstrate efficient usage of complex computer software systems
  • Functional knowledge in field of practice
  • Make independent decisions when circumstances warrant such action
  • Knowledgeable of medical records practices and procedures as well as the laws, regulations, and guidelines governing medical records functions in the post-acute care facility
  • Implement and interpret the programs, goals, objectives, policies, and procedures of the medical records department
  • Perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation
  • Maintains confidentiality of all proprietary and/or confidential information
  • Understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
  • Promotes a culture of integrity, maintains an “open door” policy, and does not participate in or allow retaliation against those who report good faith concerns
  • Actively implements the compliance program and Code of Conduct and ensures 100% participation by department staff

Essential Functions

  • Audit and complete ongoing review of all patients’ clinical records to ensure documentation and performance compliance
  • Maintain current, overflow, and discharged record filing systems
  • Serve as the facility’s Privacy Officer for HIPAA compliance
  • Understand and apply LTC payment systems, including Medicare
  • Use ICD-10-CM coding
  • Use CPT/HCPCS coding systems
  • Effectively communicate with physicians, nursing staff, and allied health personnel
  • Interview, hire, train, evaluate, counsel, and supervise medical records staff
  • Exhibit excellent customer service and a positive attitude towards patients
  • Assist in the evacuation of patients
  • Demonstrate dependable, regular attendance
  • Concentrate and use reasoning skills and good judgment
  • Communicate and function productively on an interdisciplinary team
  • Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Read, write, speak, and understand the English language
  • Must be able to lift 35 lbs floor to waist, lift 35 lbs waist to shoulder, lift and carry 35 lbs, and push/pull 35 lbs
permanent
MERN/MEAN Stack Developer
✦ New
Salary not disclosed
Philadelphia, PA 1 day ago

Hi Rameez here from Beaconfire. I hope you're doing well! We’re currently hiring for an exciting MERN/MEAN Developer role, and I wanted to reach out to see if you or someone in your network might be interested. This is a fantastic opportunity to work on high-impact projects using modern technologies in a collaborative and growth-oriented environment.


About the Company

BeaconFire is based in Central NJ, specializing in Software Development, Web Development, and Business Intelligence; looking for candidates with a strong background in Software Engineering or Computer Science for a Python/Node Developer position.


About the Role

The role involves developing websites and writing scalable, secure, maintainable code while collaborating with team members to achieve project goals.


Responsibilities

  • Develop websites using HTML, CSS, Node.js, React.js, and Angular2+, among other tools;
  • Write scalable, secure, maintainable code that powers our clients’ platforms;
  • Create, deploy, and maintain automated system tests;
  • Work with Testers to understand defects opened and resolves them in a timely manner;
  • Supports continuous improvement by investigating alternatives and technologies and presenting these for architectural review;
  • Collaborate effectively with other team members to accomplish shared user story and sprint goals;
  • Invest time in constant professional development to stay up to date with new technological development and programming languages;
  • Discover and fix programming bugs;
  • Other duties as assigned.


Qualifications

  • Proficient understanding of HTML and CSS;
  • Experience in programming language JavaScript or similar (e.g. Java, Python, C, C++, C#, etc.) and understanding of the software development life cycle;
  • Basic knowledge of code versioning (e.g. Git, SVN);
  • A passion for coding pixel perfect web pages;
  • Good verbal communication and interpersonal skills.


Required Skills

  • Proficient understanding of HTML and CSS;
  • Experience in programming language JavaScript or similar (e.g. Java, Python, C, C++, C#, etc.) and understanding of the software development life cycle;
  • A passion for coding pixel perfect web pages;
  • Good verbal communication and interpersonal skills.


Preferred Skills

  • Bachelor's degree or higher in Computer Science or related fields;
  • 0-1 year of practical experience in JavaScript coding;
  • Familiarity with at least one JavaScript framework (Angular2+, React.js, Express.js);
  • Experience with unit and integration testing of code, with an understanding of JavaScript testing frameworks like Jasmine, Cucumber, Mocha, and Karma;
  • Experience providing REST/SOAP APIs for user interface consumption;
  • Experience working within an Agile development methodology Scrum.


BeaconFire is an E-verified company and provides equal employment opportunities (visa sponsorship provided).


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Not Specified
Facilities Plant Engineer 3
Salary not disclosed
Title- Facilities Plant Engineer 3

Location- North Charleston, SC

Duration-12 Months


Shifts: 1st shift

Job description

  • Develops moderately complex conceptual designs, final designs, cost estimates and provides maintenance support for the architectural phases of buildings, equipment installations, utility systems and grounds.
  • Reviews architectural designs to assess compliance with customer requirements, building codes and applicable regulations by applying knowledge of construction principles, practices, and materials.
  • Communicates problems and issues to others for resolution. Integrates the activities of multiple engineering disciplines, outside consultants and government agencies.
  • Develops moderately complex conceptual designs, final designs, cost estimates and provides maintenance support for the civil/structural phases of buildings, equipment installations, utility systems and grounds.
  • Reviews civil/structural designs to assess compliance with customer requirements, building codes and applicable regulations by applying knowledge of construction principles, practices, and materials.
  • Communicates problems and issues to others for resolution.
  • Develops moderately complex conceptual analysis to determine the cause of asset failures and reduction in asset capacity by using reliability tools and methods (e.g., life cycle analysis, condition based maintenance, root cause failure methodology, mean time between failures, fault tree analysis, etc.).
  • Facilitates the implementation of moderately complex improvements in asset effectiveness, availability, and maintainability; to specify configuration of new assets in order to support reliability programs.
  • Communicates problems and issues to others for resolution.
  • Develops moderately complex conceptual designs, final designs, cost estimates and provides maintenance support for the electrical phases of buildings, equipment installations, utility systems and grounds.
  • Reviews electrical designs to assess compliance with customer requirements, building codes and applicable regulations by applying knowledge of construction principles, practices, and materials.
  • Integrates the activities of multiple engineering disciplines, outside consultants and government agencies.
  • Develops moderately complex conceptual designs, final designs, cost estimates and provides maintenance support for the mechanical phases of buildings, equipment installations, utility systems and grounds.
  • Reviews mechanical designs to assess compliance with customer requirements, building codes and applicable regulations by applying knowledge of construction principles, practices, and materials.
  • Ensures accuracy of drawing archives/libraries by reviewing contractor redlines.
  • Identifies errors and documents construction changes to comply with regulatory requirements, facility standards, and record retention requirements.
  • Manages or supports construction projects by providing input on vendor selection; reviews contractor proposals; interfaces with government/regulatory agencies; monitors project progress and vendor/consultant performance.
  • Prepares and presents project information to ensure compliance with applicable construction documents and jurisdictional requirements and to meet project objectives.Produces or procures detailed design documents.
  • Uses appropriate resources to produce project drawings, specifications, and permit application packages in accordance with project parameters.
  • Coordinates designs. Reviews and approves documents.
  • Translates customer requirements into design options with documents and estimates.
  • Identifies appropriate materials, equipment, and services by applying engineering principles and methodology.
  • With limited supervision, develops and updates design standards and site-specific operating procedures in order to establish common practices.
  • Provides input to strategic, short-term, and long-term infrastructure planning; completes studies; analyzes current conditions and future requirements; recommends capital improvements; gathers and analyzes data; and works with both internal and external customers in order to identify and assess alternatives and impacts.
  • Translates customer requirements into conceptual design by analyzing intended use/occupancy and desired aesthetics, conducting code research, developing preliminary design elements, determining interdisciplinary engineering support requirements, estimating resource costs/requirements, identifying materials, equipment, and services, and developing initial project schedule in order to establish project scope in response to customer requirements.
  • Plans, manages, and executes projects. Leads a team of stakeholders in the acquisition and modification of assets to enable the customer to achieve the defined business objectives in accordance with company and accounting policies.
  • Manages project expenditures within authorized budgets.
  • Creates, maintains, and communicates project management information.
  • Assists in the creation of contract scope.
  • Ensures suppliers comply with all contract obligations.
  • Interprets and analyzes applicable regulations, standards, codes, and ordinances with respect to project requirements.
  • Offers project alternatives in order to assure compliance. Provides support, as required, to secure permits.
  • Provide civil/structural engineering support for the manufacturing operations, including new construction projects, existing building modifications and machine foundations.
  • Provide maintenance support for the civil/structural phases of buildings, equipment installations, utility systems and grounds.
  • Reviews civil/structural designs to assess compliance with customer requirements, building codes and applicable regulations by applying knowledge of construction principles, practices, and materials
  • Manages or supports construction projects by providing input on vendor selection; reviews contractor proposals; monitors project progress and vendor/consultant performance
  • Review detailed design documents
  • Review and approve documents


MINIMUM 3 years experience
Not Specified
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