Job Opportunities
Join the Cognisight Team
Job Opportunities
Join the Cognisight Team
Cognisight, LLC is an Equal Opportunity Employer and does not discriminate against any person because of race, creed, color, religion, national origin, age, sex, sexual orientation, gender identity, genetic information, protected veteran status, or disability. If one of the opportunities below piques your interest, please email your cover letter and resume to careers@cognisight.com
Cognisight, LLC is an Equal Opportunity Employer and does not discriminate against any person because of race, creed, color, religion, national origin, age, sex, sexual orientation, gender identity, genetic information, protected veteran status, or disability. If one of the opportunities below piques your interest, please email your cover letter and resume to careers@cognisight.com
CLINICAL REVIEW SPECIALIST
The Clinical Review Specialist will be responsible reviewing medical records to abstract ICD-10 codes that map to HCCs from a variety of different CMS Hierarchy models including Medicare Advantage, PACE, Commercial, and Medicaid CDPS model. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
Responsibilities
- Conducts onsite and remote audits of medical records (paper, EMR, hybrid)
- Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
- Understands, respects, and applies client specific guidelines
- Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
- Shares trends (positive and constructive) with Coding Manager and Team Leads for client consultation/collaboration
- Regularly participates in peer review; provide and receive feedback
- Ensures accurate documentation to support all audits
- Assures adherence to and currency with internal and external regulatory guidelines:
- CMS/HHS
- DOH
- HIPAA, HITECH, and Fraud Waste & Abuse
- Medical coding protocols
- Provides clinical intellect and expertise to system analytics via project assignments as well as on an ad hoc basis
- Participates on client and prospect conference calls, presentations, and in-person meetings as needed
- Mentors remote contracted staff
- Demonstrates agility to meet client needs
- Maintain coding credentials as required by credentialing agency
- Maintain professional competence as evidenced through attendance in continuing education programs and the like; hours per year dependent on credential(s) held
Requirements
- Coding credential required (RHIT, RHIA, CCS, CPC, optional additional CRC)
- Minimum of one year HCC coding experience required
- Working knowledge of medical necessity
- Knowledge of Medicare Advantage, Commercial, Medicaid, and PACE risk adjustment methodologies preferred but not required
- High level of concentration and precision
- Ability to use a variety of software tools and reporting
- Must be able to work independently
- Preferably located in Rochester, New York
Close
CLINICAL REVIEW SPECIALIST
CLINICAL REVIEW SPECIALIST
The Clinical Review Specialist will be responsible reviewing medical records to abstract ICD-10 codes that map to HCCs from a variety of different CMS Hierarchy models including Medicare Advantage, PACE, Commercial, and Medicaid CDPS model. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
Responsibilities
- Conducts onsite and remote audits of medical records (paper, EMR, hybrid)
- Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
- Understands, respects, and applies client specific guidelines
- Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
- Shares trends (positive and constructive) with Coding Manager and Team Leads for client consultation/collaboration
- Regularly participates in peer review; provide and receive feedback
- Ensures accurate documentation to support all audits
- Assures adherence to and currency with internal and external regulatory guidelines:
- CMS/HHS
- DOH
- HIPAA, HITECH, and Fraud Waste & Abuse
- Medical coding protocols
- Provides clinical intellect and expertise to system analytics via project assignments as well as on an ad hoc basis
- Participates on client and prospect conference calls, presentations, and in-person meetings as needed
- Mentors remote contracted staff
- Demonstrates agility to meet client needs
- Maintain coding credentials as required by credentialing agency
- Maintain professional competence as evidenced through attendance in continuing education programs and the like; hours per year dependent on credential(s) held
Requirements
- Coding credential required (RHIT, RHIA, CCS, CPC, optional additional CRC)
- Minimum of one year HCC coding experience required
- Working knowledge of medical necessity
- Knowledge of Medicare Advantage, Commercial, Medicaid, and PACE risk adjustment methodologies preferred but not required
- High level of concentration and precision
- Ability to use a variety of software tools and reporting
- Must be able to work independently
- Preferably located in Rochester, NY
Close
ACCOUNT MANAGER
We are seeking a highly organized and detail-oriented individual to join our Account Management team. Managing multiple client accounts, the Account Manager’s responsibilities include maintaining a thorough knowledge of our business and offerings, managing and strengthening client relationships, identifying new business opportunities, and coordinating with internal teams to deliver on internal and external client expectations.
Responsibilities
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective account management support to multiple clients
- Managing multiple clients in different time zones while developing strong relationships to ensure customer satisfaction
- Develop client work plans
- Coordinate and manage all client activities aligned to work plans
- Daily monitoring of all aspects of current client activity to meet contracted Statement of Work and Cognisight work flows
- In depth knowledge and ability to articulate all interdependencies associated with client reports
- Strong communication skills to conduct client calls with all levels of leadership
- Develop and deliver client Webinars
- Own all client status’ and provide accurate updates, gaps and gap closing plans regularly to Operation Huddles
- Staying apprised of the Department of Health and Human Services (HHS) regulations, guidelines, and programs and ability to weave into all work flows and articulate with clients
Requirements
- Healthcare/Health Plan or Medicare/ACA background strongly preferred
- Must be self-directed and escalate concerns with potential solutions
- Minimum of 3 years demonstrated experience in Account/Client Management
- High level of professionalism
- Bachelor’s degree required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Minimal client travel required
- Must be located in Rochester, NY
Close
ACCOUNT MANAGER
ACCOUNT MANAGER
We are seeking a highly organized and detail-oriented individual to join our Account Management team. Managing multiple client accounts, the Account Manager’s responsibilities include maintaining a thorough knowledge of our business and offerings, managing and strengthening client relationships, identifying new business opportunities, and coordinating with internal teams to deliver on internal and external client expectations.
Responsibilities
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective account management support to multiple clients
- Managing multiple clients in different time zones while developing strong relationships to ensure customer satisfaction
- Develop client work plans
- Coordinate and manage all client activities aligned to work plans
- Daily monitoring of all aspects of current client activity to meet contracted Statement of Work and Cognisight work flows
- In depth knowledge and ability to articulate all interdependencies associated with client reports
- Strong communication skills to conduct client calls with all levels of leadership
- Develop and deliver client Webinars
- Own all client status’ and provide accurate updates, gaps and gap closing plans regularly to Operation Huddles
- Staying apprised of the Department of Health and Human Services (HHS) regulations, guidelines, and programs and ability to weave into all work flows and articulate with clients
Requirements
- Healthcare/Health Plan or Medicare/ACA background strongly preferred
- Must be self-directed and escalate concerns with potential solutions
- Minimum of 3 years demonstrated experience in Account/Client Management
- High level of professionalism
- Bachelor’s degree required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Minimal client travel required
- Must be located in Rochester, NY
Close
CLIENT SUPPORT SPECIALIST
Provide client support with duties that include, but are not limited to:
- Strong working knowledge in Healthcare/Health Plans; relative to Medical Record Acquisition for Risk Adjustment audits and validation reviews.
- Ability to work in a fast paced, complex organization, securely handling Protected Health Information (PHI); supporting regulated deadlines while providing effective audit support to Account Managers for multiple clients.
- Develop and maintain excellent working relationships; internally within team setting and externally across large client base as required to support status reporting and Medical Record operations.
- Accountable for performing critical Medical Record Operations across multiple client accounts, in support of audit readiness and performance. This role requires strong research, quality control and organizational skills in the areas of Medical Record Acquisition and escalations, Medical Record Intake and problem resolution, Medical Record invoice processing, Medical Records Attestation processing, Quality Control processes.
- Supports Account Manager on client status and other essential activities, with the ability to analyze client reporting for progress, performance and quality control. Provide accurate updates in the areas of Medical Record Acquisition, Intake and Medical Record processing.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Medical Record Acquisition for Risk Adjustment audits and validation reviews.
Requirements
- Associate’s degree preferred with Healthcare/Health Plan or Medicare/ACA experience
- Minimum of 2 years’ experience in a healthcare, health insurance; with strong working knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication and presentation skills internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
Close
CLIENT SUPPORT SPECIALIST
CLIENT SUPPORT SPECIALIST
Provide client support with duties that include, but are not limited to:
- Strong working knowledge in Healthcare/Health Plans; relative to Medical Record Acquisition for Risk Adjustment audits and validation reviews.
- Ability to work in a fast paced, complex organization, securely handling Protected Health Information (PHI); supporting regulated deadlines while providing effective audit support to Account Managers for multiple clients.
- Develop and maintain excellent working relationships; internally within team setting and externally across large client base as required to support status reporting and Medical Record operations.
- Accountable for performing critical Medical Record Operations across multiple client accounts, in support of audit readiness and performance. This role requires strong research, quality control and organizational skills in the areas of Medical Record Acquisition and escalations, Medical Record Intake and problem resolution, Medical Record invoice processing, Medical Records Attestation processing, Quality Control processes.
- Supports Account Manager on client status and other essential activities, with the ability to analyze client reporting for progress, performance and quality control. Provide accurate updates in the areas of Medical Record Acquisition, Intake and Medical Record processing.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Medical Record Acquisition for Risk Adjustment audits and validation reviews.
Requirements
- Associate’s degree preferred with Healthcare/Health Plan or Medicare/ACA experience
- Minimum of 2 years’ experience in a healthcare, health insurance; with strong working knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication and presentation skills internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
Close
CODING LEAD
Job Description
Ensure overall coding quality review completion:
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
- Be the subject matter expert for all LOB coding
- Ongoing quality review of coders – approximately 120-150 charts per week, to ensure quality review for coders assigned are completed and maintain 95% or higher
- Provide quality results to Quality Supervisor, discussing any identified trends or training needs
- Ability to analyze patterns seen within quality results
Requirements
- Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
- HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
- High level of professionalism
- Experienced conference and client presentation skills
- Healthcare/Health Plan or Medicare/ACA background required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Must be self-directed and strong business acumen
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self
- Bachelor’s degree preferred
Additional Requirements
- Physical ability to travel is necessary
If interested, please forward your cover letter and resume to Careers@Cognisight.com.
Close
CODING LEAD
CODING LEAD
Job Description
Ensure overall coding quality review completion:
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
- Be the subject matter expert for all LOB coding
- Ongoing quality review of coders – approximately 120-150 charts per week, to ensure quality review for coders assigned are completed and maintain 95% or higher
- Provide quality results to Quality Supervisor, discussing any identified trends or training needs
- Ability to analyze patterns seen within quality results
Requirements
- Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
- HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
- High level of professionalism
- Experienced conference and client presentation skills
- Healthcare/Health Plan or Medicare/ACA background required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Must be self-directed and strong business acumen
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self
- Bachelor’s degree preferred
Additional Requirements
- Physical ability to travel is necessary
If interested, please forward your cover letter and resume to Careers@Cognisight.com.
Close
BUSINESS SYSTEMS ANALYST
The Business Systems Analyst (BSA) is responsible for requirements gathering, analysis, and creation of requirements documents (a.k.a., “development stories”) for the Software System Development team. This position is a liaison between the business team’s subject matter experts for existing risk adjustment business operations and the overall systems development activities. The BSA will work with the project managers, product managers, stakeholders, and software developers.
Job Description
Following is a summary of the essential functions of the BSA. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
- Drive requirements gathering sessions for new work and implementation questions.
- Capture requirements for review and approval.
- Convert requirements documentation into actionable development tasks (“development stories”) with the assistance of lead and senior developers.
- Actively participate in Scrum Agile Meetings.
- Liaison with current business operation leadership and product development team to ensure solutions are understood and implemented.
- Actively participate in collaborative design and development sessions.
- Ensure the operational feasibility of UI/UX designs.
- Collect and assess maintenance, support, bug fixes, and issue resolution efforts. Translate those observations into actionable requirements for product platform improvement.
- Stay current with evaluating new technologies to enhance web product development.
- Adhere to development principles while delivering solutions on time and on budget.
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions.
Requirements
The requirements below represent the required knowledge, skill, and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field. An equivalent combination of education and experience will be considered.
- 3+ years of business software application experience.
- Healthcare IT experience required.
- 3-5 years of application development experience, working with IT and software development teams.
- Ability to translate business operations workflow and risk adjustment industry requirements into software development requirements, including user interface layout and user experience workflows.
- Proficient in Jira and Confluence for managing all tasks and documentation.
- Must possess a good understanding of application development, database structures, and systems design.
- Must perform well in high-energy, dynamic, and team-oriented environments.
- Demonstrates attention to detail, organization, and timeliness to meet customer service expectations.
- Demonstrates practical problem-solving skills.
- Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines.
- Work independently with little supervision.
- Perform tasks within predefined guidelines and procedures.
Desired/Preferred Skills
- 5+ years of Risk Adjustment (RA) experience, with specific exposure to Initial Validation Audit (IVA) complete cycle project management.
- Knowledge of HIPAA regulations and Healthcare Technology.
- Understanding conceptual database design and ability to work with the database architecture team.
Additional Requirements
- Remote work location considered.
- As an affiliate of Rochester Regional Health, GRIPA|Cognisight requires employees who reside in New York State to be vaccinated against COVID-19. If you reside in New York State, you will be required to provide proof of vaccination upon hire or upon establishment of residency in New York.
If interested, please forward your cover letter and resume to Careers@Cognisight.com.
Close
BUSINESS SYSTEMS ANALYST
BUSINESS SYSTEMS ANALYST
The Business Systems Analyst (BSA) is responsible for requirements gathering, analysis, and creation of requirements documents (a.k.a., “development stories”) for the Software System Development team. This position is a liaison between the business team’s subject matter experts for existing risk adjustment business operations and the overall systems development activities. The BSA will work with the project managers, product managers, stakeholders, and software developers.
Job Description
Following is a summary of the essential functions of the BSA. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
- Drive requirements gathering sessions for new work and implementation questions.
- Capture requirements for review and approval.
- Convert requirements documentation into actionable development tasks (“development stories”) with the assistance of lead and senior developers.
- Actively participate in Scrum Agile Meetings.
- Liaison with current business operation leadership and product development team to ensure solutions are understood and implemented.
- Actively participate in collaborative design and development sessions.
- Ensure the operational feasibility of UI/UX designs.
- Collect and assess maintenance, support, bug fixes, and issue resolution efforts. Translate those observations into actionable requirements for product platform improvement.
- Stay current with evaluating new technologies to enhance web product development.
- Adhere to development principles while delivering solutions on time and on budget.
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions.
Requirements
The requirements below represent the required knowledge, skill, and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field. An equivalent combination of education and experience will be considered.
- 3+ years of business software application experience.
- Healthcare IT experience required.
- 3-5 years of application development experience, working with IT and software development teams.
- Ability to translate business operations workflow and risk adjustment industry requirements into software development requirements, including user interface layout and user experience workflows.
- Proficient in Jira and Confluence for managing all tasks and documentation.
- Must possess a good understanding of application development, database structures, and systems design.
- Must perform well in high-energy, dynamic, and team-oriented environments.
- Demonstrates attention to detail, organization, and timeliness to meet customer service expectations.
- Demonstrates practical problem-solving skills.
- Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines.
- Work independently with little supervision.
- Perform tasks within predefined guidelines and procedures.
Desired/Preferred Skills
- 5+ years of Risk Adjustment (RA) experience, with specific exposure to Initial Validation Audit (IVA) complete cycle project management.
- Knowledge of HIPAA regulations and Healthcare Technology.
- Understanding conceptual database design and ability to work with the database architecture team.
Additional Requirements
- Remote work location considered.
- As an affiliate of Rochester Regional Health, GRIPA|Cognisight requires employees who reside in New York State to be vaccinated against COVID-19. If you reside in New York State, you will be required to provide proof of vaccination upon hire or upon establishment of residency in New York.
If interested, please forward your cover letter and resume to Careers@Cognisight.com.
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
ACCOUNTING ASSISTANT
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
FRONT-END WEB APPLICATION DEVELOPER
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
ACCOUNTING ASSISTANT
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
FRONT-END WEB APPLICATION DEVELOPER
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
WEB DEVELOPER TEAM LEAD
The Web Developer Team Lead is responsible for overall activities for the Software System Development Team. As a member of the Product Management Team, this position acts as the bridge between Business System Analysts (BSA) and the overall systems development activities. They will work with the senior team leads for front-end (UI), back-end (API and database integration), and database architecture.
Current product development operates in an agile development environment, managing 2-3 week sprint cycles, with overlays of modular user (business team) acceptance testing (UAT), and release to full simulation and system testing environments.
Ultimately, the Web Developer Team Lead will work with and be an integral member of the Product Management Team, bridging the gap between the Business Team and Product Owners and Software Development Team. The overarching objective is to deliver a product, solution, workflow, experience for internal customers (the Cognisight Business Team), and an unparalleled experience for our clients.
Top Skill Sets
- 15 years of application development
- 5+ years C#
- 1 year of experience with React.js
- AWS Solutions Architect and commensurate experience
- 1+ years serverless development
- 5+ years managing teams of multi-skilled developers
- Strong proficiency in Jira and Confluence for managing all tasks and documentation
Responsibilities
- Run Scrum Agile meetings
- Peer review
- Code merge
- Application deployments across multiple AWS environments
- DevOps continuous integration maintenance
- Application architecture and oversight
- Database design (assistance and understanding)
- Lead the development of web and mobile applications that modernize healthcare IT
- Actively lead the collaborative design and development sessions
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Manage the efforts around maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate in a team and fast-paced Agile development environment
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Required Licensure/Certification/Skills
- AWS Solutions Architect
Close
WEB DEVELOPER TEAM LEAD
WEB DEVELOPER TEAM LEAD
The Web Developer Team Lead is responsible for overall activities for the Software System Development Team. As a member of the Product Management Team, this position acts as the bridge between Business System Analysts (BSA) and the overall systems development activities. They will work with the senior team leads for front-end (UI), back-end (API and database integration), and database architecture.
Current product development operates in an agile development environment, managing 2-3 week sprint cycles, with overlays of modular user (business team) acceptance testing (UAT), and release to full simulation and system testing environments.
Ultimately, the Web Developer Team Lead will work with and be an integral member of the Product Management Team, bridging the gap between the Business Team and Product Owners and Software Development Team. The overarching objective is to deliver a product, solution, workflow, experience for internal customers (the Cognisight Business Team), and an unparalleled experience for our clients.
Top Skill Sets
- 15 years of application development
- 5+ years C#
- 1 year of experience with React.js
- AWS Solutions Architect and commensurate experience
- 1+ years serverless development
- 5+ years managing teams of multi-skilled developers
- Strong proficiency in Jira and Confluence for managing all tasks and documentation
Responsibilities
- Run Scrum Agile meetings
- Peer review
- Code merge
- Application deployments across multiple AWS environments
- DevOps continuous integration maintenance
- Application architecture and oversight
- Database design (assistance and understanding)
- Lead the development of web and mobile applications that modernize healthcare IT
- Actively lead the collaborative design and development sessions
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Manage the efforts around maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate in a team and fast-paced Agile development environment
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Required Licensure/Certification/Skills
- AWS Solutions Architect
Close
FRONT END WEB DEVELOPER
Front-End Web Developers are responsible for coding and implementing the visual UT/UX elements that users see and interact with within a web application. The Front-End Web Developer will work with Back-End Web Developers responsible for server-side application logic and integrating the Front-End Developer’s work. Front-End Developers will also have an active role in interfacing with UI/UX designers and end-users, uncovering requirements, coding components and elements, documenting code structure, following coding standards, and application implementation. Additional work may include logic architecture definition, technology identification, implementation of third-party applications related to front-end coding tasks, testing, and documenting. The front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides in defining how the application looks and functions.
The overarching objective is to deliver a product, solution, workflow, and experience for internal customers (the Cognisight business team), as well as an unparalleled experience for our clients.
Top Skill Sets
- Very proficient in JavaScript, HTML, CSS
- 2+ years proficiency in React.js
- 1+ year team leadership experience (highly desired)
- Working knowledge developing in the Amazon Web Services (AWS) environment
- Proficiency in Jira and Confluence for managing all tasks and documentation
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user’s requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate within a team and fast-paced Agile development environment
- At least 2-3 years of experience developing and deploying responsive web applications
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking / problem-solving skills and capable of solving multiple parts of complex problems both independently and with team members
- Robust communication and presentation skills
Close
FRONT END WEB DEVELOPER
FRONT END WEB DEVELOPER
Front-End Web Developers are responsible for coding and implementing the visual UT/UX elements that users see and interact with within a web application. The Front-End Web Developer will work with Back-End Web Developers responsible for server-side application logic and integrating the Front-End Developer’s work. Front-End Developers will also have an active role in interfacing with UI/UX designers and end-users, uncovering requirements, coding components and elements, documenting code structure, following coding standards, and application implementation. Additional work may include logic architecture definition, technology identification, implementation of third-party applications related to front-end coding tasks, testing, and documenting. The front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides in defining how the application looks and functions.
The overarching objective is to deliver a product, solution, workflow, and experience for internal customers (the Cognisight business team), as well as an unparalleled experience for our clients.
Top Skill Sets
- Very proficient in JavaScript, HTML, CSS
- 2+ years proficiency in React.js
- 1+ year team leadership experience (highly desired)
- Working knowledge developing in the Amazon Web Services (AWS) environment
- Proficiency in Jira and Confluence for managing all tasks and documentation
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user’s requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate within a team and fast-paced Agile development environment
- At least 2-3 years of experience developing and deploying responsive web applications
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking / problem-solving skills and capable of solving multiple parts of complex problems both independently and with team members
- Robust communication and presentation skills
Close
BACK END WEB DEVELOPER
Back-End Web Developers are responsible for coding and implementing the applications programming interfaces (APIs) as the foundation for:
- How visual UI/UX elements interact with the application logical data model
- Supporting the integration endpoints for 3rd-party systems integration
- Supporting automation of server-side event/task processing of scheduled and automated tasks
Back-end developers will actively work with 3rd-party vendors and participate in uncovering requirements, coding components and elements, documenting code structure, following coding standards, and application implementation. Additional work may include logic architecture, technology identification, implementation of third-party applications related to front-end coding tasks, testing, and documenting.
The back-end developer will work with the front-end development team and database architect, bridging the gap between user experience, 3rd-party vendor integration, and technical implementation.
The overarching objective is to deliver a product, solution, workflow, and experience for internal customers (the Cognisight business team), as well as an unparalleled experience for our clients.
Top Skill Sets
- 5+ years of C#
- 1+ years serverless development
- 3+ years REST API development
- 3+ years of SQL experience (language not SQL Server)
- 1+ year leading team of developers (highly desired)
- Working knowledge developing in the Amazon Web Services (AWS) environment
- Proficiency in Jira and Confluence for tasks and documentation management
Responsibilities
- Convert API specifications to serverless code that will enable the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code server-side APIs to function as intended and in compliance with serverless AWS environment
- Build reusable code and libraries for future use
- Ensure the technical feasibility of API designs and database integration
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate in a team and fast-paced Agile development environment
- At least 2-3 years of experience developing and deploying responsive web applications
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking / problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
BACK END WEB DEVELOPER
BACK END WEB DEVELOPER
Back-End Web Developers are responsible for coding and implementing the applications programming interfaces (APIs) as the foundation for:
- How visual UI/UX elements interact with the application logical data model
- Supporting the integration endpoints for 3rd-party systems integration
- Supporting automation of server-side event/task processing of scheduled and automated tasks
Back-end developers will actively work with 3rd-party vendors and participate in uncovering requirements, coding components and elements, documenting code structure, following coding standards, and application implementation. Additional work may include logic architecture, technology identification, implementation of third-party applications related to front-end coding tasks, testing, and documenting.
The back-end developer will work with the front-end development team and database architect, bridging the gap between user experience, 3rd-party vendor integration, and technical implementation.
The overarching objective is to deliver a product, solution, workflow, and experience for internal customers (the Cognisight business team), as well as an unparalleled experience for our clients.
Top Skill Sets
- 5+ years of C#
- 1+ years serverless development
- 3+ years REST API development
- 3+ years of SQL experience (language not SQL Server)
- 1+ year leading team of developers (highly desired)
- Working knowledge developing in the Amazon Web Services (AWS) environment
- Proficiency in Jira and Confluence for tasks and documentation management
Responsibilities
- Convert API specifications to serverless code that will enable the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code server-side APIs to function as intended and in compliance with serverless AWS environment
- Build reusable code and libraries for future use
- Ensure the technical feasibility of API designs and database integration
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Experience and ability to collect and document user requirements, development of user stories, and work estimates
- Adhere to development principles while delivering solutions on time and within budget
- Follow Agile SDLC processes, security protocols, and best practices to deliver software solutions
Additional Desired Skill Sets
- Working knowledge of non-relational (NoSQL) and relational (SQL) databases
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture, and development strategies
- Ability to collaborate in a team and fast-paced Agile development environment
- At least 2-3 years of experience developing and deploying responsive web applications
- Knowledge of HIPAA regulations and healthcare technology
Minimum Qualifications
- Bachelor’s degree in Computer Science, Human-Centered Design, Web and Mobile Computing, or related technical field; experience in place of formal education will be considered
- Strong critical thinking / problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
ACCOUNTING ASSISTANT
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
FRONT-END WEB APPLICATION DEVELOPER
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
ACCOUNTING ASSISTANT
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
FRONT-END WEB APPLICATION DEVELOPER
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
CLINICAL REVIEW SPECIALIST
The Clinical Review Specialist will be responsible reviewing medical records to abstract ICD-10 codes that map to HCCs from a variety of different CMS Hierarchy models including Medicare Advantage, PACE, Commercial, and Medicaid CDPS model. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
Responsibilities
- Conducts onsite and remote audits of medical records (paper, EMR, hybrid)
- Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
- Understands, respects, and applies client specific guidelines
- Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
- Shares trends (positive and constructive) with Coding Manager and Team Leads for client consultation/collaboration
- Regularly participates in peer review; provide and receive feedback
- Ensures accurate documentation to support all audits
- Assures adherence to and currency with internal and external regulatory guidelines:
- CMS/HHS
- DOH
- HIPAA, HITECH, and Fraud Waste & Abuse
- Medical coding protocols
- Provides clinical intellect and expertise to system analytics via project assignments as well as on an ad hoc basis
- Participates on client and prospect conference calls, presentations, and in-person meetings as needed
- Mentors remote contracted staff
- Demonstrates agility to meet client needs
- Maintain coding credentials as required by credentialing agency
- Maintain professional competence as evidenced through attendance in continuing education programs and the like; hours per year dependent on credential(s) held
Requirements
- Coding credential required (RHIT, RHIA, CCS, CPC, optional additional CRC)
- Minimum of one year HCC coding experience required
- Working knowledge of medical necessity
- Knowledge of Medicare Advantage, Commercial, Medicaid, and PACE risk adjustment methodologies preferred but not required
- High level of concentration and precision
- Ability to use a variety of software tools and reporting
- Must be able to work independently
- Preferably located in Rochester, New York
Close
CLINICAL REVIEW SPECIALIST
CLINICAL REVIEW SPECIALIST
The Clinical Review Specialist will be responsible reviewing medical records to abstract ICD-10 codes that map to HCCs from a variety of different CMS Hierarchy models including Medicare Advantage, PACE, Commercial, and Medicaid CDPS model. In addition to abstracting diagnosis codes, the Clinical Review Specialist also audits medical records and validates entries that have been submitted to CMS.
Responsibilities
- Conducts onsite and remote audits of medical records (paper, EMR, hybrid)
- Adheres to compliance of Medicare, Medicaid, and Commercial risk adjustment guidelines with precision.
- Understands, respects, and applies client specific guidelines
- Adheres to audit and medical record review schedules to meet client expectations and government-regulated deadlines
- Shares trends (positive and constructive) with Coding Manager and Team Leads for client consultation/collaboration
- Regularly participates in peer review; provide and receive feedback
- Ensures accurate documentation to support all audits
- Assures adherence to and currency with internal and external regulatory guidelines:
- CMS/HHS
- DOH
- HIPAA, HITECH, and Fraud Waste & Abuse
- Medical coding protocols
- Provides clinical intellect and expertise to system analytics via project assignments as well as on an ad hoc basis
- Participates on client and prospect conference calls, presentations, and in-person meetings as needed
- Mentors remote contracted staff
- Demonstrates agility to meet client needs
- Maintain coding credentials as required by credentialing agency
- Maintain professional competence as evidenced through attendance in continuing education programs and the like; hours per year dependent on credential(s) held
Requirements
- Coding credential required (RHIT, RHIA, CCS, CPC, optional additional CRC)
- Minimum of one year HCC coding experience required
- Working knowledge of medical necessity
- Knowledge of Medicare Advantage, Commercial, Medicaid, and PACE risk adjustment methodologies preferred but not required
- High level of concentration and precision
- Ability to use a variety of software tools and reporting
- Must be able to work independently
- Preferably located in Rochester, NY
Close
ACCOUNT MANAGER
We are seeking a highly organized and detail-oriented individual to join our Account Management team. Managing multiple client accounts, the Account Manager’s responsibilities include maintaining a thorough knowledge of our business and offerings, managing and strengthening client relationships, identifying new business opportunities, and coordinating with internal teams to deliver on internal and external client expectations.
Responsibilities
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective account management support to multiple clients
- Managing multiple clients in different time zones while developing strong relationships to ensure customer satisfaction
- Develop client work plans
- Coordinate and manage all client activities aligned to work plans
- Daily monitoring of all aspects of current client activity to meet contracted Statement of Work and Cognisight work flows
- In depth knowledge and ability to articulate all interdependencies associated with client reports
- Strong communication skills to conduct client calls with all levels of leadership
- Develop and deliver client Webinars
- Own all client status’ and provide accurate updates, gaps and gap closing plans regularly to Operation Huddles
- Staying apprised of the Department of Health and Human Services (HHS) regulations, guidelines, and programs and ability to weave into all work flows and articulate with clients
Requirements
- Healthcare/Health Plan or Medicare/ACA background strongly preferred
- Must be self-directed and escalate concerns with potential solutions
- Minimum of 3 years demonstrated experience in Account/Client Management
- High level of professionalism
- Bachelor’s degree required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Minimal client travel required
- Must be located in Rochester, NY
Close
ACCOUNT MANAGER
ACCOUNT MANAGER
We are seeking a highly organized and detail-oriented individual to join our Account Management team. Managing multiple client accounts, the Account Manager’s responsibilities include maintaining a thorough knowledge of our business and offerings, managing and strengthening client relationships, identifying new business opportunities, and coordinating with internal teams to deliver on internal and external client expectations.
Responsibilities
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective account management support to multiple clients
- Managing multiple clients in different time zones while developing strong relationships to ensure customer satisfaction
- Develop client work plans
- Coordinate and manage all client activities aligned to work plans
- Daily monitoring of all aspects of current client activity to meet contracted Statement of Work and Cognisight work flows
- In depth knowledge and ability to articulate all interdependencies associated with client reports
- Strong communication skills to conduct client calls with all levels of leadership
- Develop and deliver client Webinars
- Own all client status’ and provide accurate updates, gaps and gap closing plans regularly to Operation Huddles
- Staying apprised of the Department of Health and Human Services (HHS) regulations, guidelines, and programs and ability to weave into all work flows and articulate with clients
Requirements
- Healthcare/Health Plan or Medicare/ACA background strongly preferred
- Must be self-directed and escalate concerns with potential solutions
- Minimum of 3 years demonstrated experience in Account/Client Management
- High level of professionalism
- Bachelor’s degree required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Minimal client travel required
- Must be located in Rochester, NY
Close
DIRECTOR OF CODING
Provide overall coding department management with duties that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
- Manage coding department leads/managers and coders
- Manage coding recruitment partners
- Fluent and current with risk adjustment coding models and regulations/protocols
- Develop and manage on going coding resource and operational plans to support multiple lines of business while ensuring customer satisfaction, quality and performance metrics
- Daily monitoring of all coding activity to meet contracted Statement of Work and Service Level Agreements
- Strong internal and external communication skills
- Experienced presenter with ability to speak at conferences and with all clients
- Proven experience in working with all levels of leadership internally and externally
- Ownership of ongoing updates from Department of Health and Human Services (HHS/CMS) regulations, guidelines, and programs
- Oversee:
- Team development of internal coding guidelines aligned with CMS and ICD10 coding guidelines
- Coding managers development and delivery of all internal training
- Coding managers development and reporting of all coder performance and quality measurements
- Develop Executive level dashboards to manage daily work and status
- Maintain approximately 2 hours/per week of coding with managers/leads
- Ensure coding staff adheres to all compliance and credential requirements
Requirements
- Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
- HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
- High level of professionalism
- Experienced conference and client presentation skills
- Healthcare/Health Plan or Medicare/ACA background required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Minimum of 5 years demonstrated experience in Coding Leadership Role(s)
- Must be self-directed and strong business acumen
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Bachelor’s degree preferred
- Conference and client travel required throughout the United States- approximately 25%
Close
DIRECTOR OF CODING
DIRECTOR OF CODING
Provide overall coding department management with duties that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing consistent high quality results to multiple clients
- Manage coding department leads/managers and coders
- Manage coding recruitment partners
- Fluent and current with risk adjustment coding models and regulations/protocols
- Develop and manage on going coding resource and operational plans to support multiple lines of business while ensuring customer satisfaction, quality and performance metrics
- Daily monitoring of all coding activity to meet contracted Statement of Work and Service Level Agreements
- Strong internal and external communication skills
- Experienced presenter with ability to speak at conferences and with all clients
- Proven experience in working with all levels of leadership internally and externally
- Ownership of ongoing updates from Department of Health and Human Services (HHS/CMS) regulations, guidelines, and programs
- Oversee:
- Team development of internal coding guidelines aligned with CMS and ICD10 coding guidelines
- Coding managers development and delivery of all internal training
- Coding managers development and reporting of all coder performance and quality measurements
- Develop Executive level dashboards to manage daily work and status
- Maintain approximately 2 hours/per week of coding with managers/leads
- Ensure coding staff adheres to all compliance and credential requirements
Requirements
- Health Information Management and or Coding Certification (s) /Certified Professional Coder with 10+ years of a combination of coding and management experience. CPC and/or CRC, RHIT/RHIA required
- HCC and ICD-10 coding experience in Medicare Advantage, Commercial, PACE and Medicaid Managed Care risk adjustment models
- High level of professionalism
- Experienced conference and client presentation skills
- Healthcare/Health Plan or Medicare/ACA background required
- Working knowledge of risk adjustment and government audits as demonstrated with health plans
- Minimum of 5 years demonstrated experience in Coding Leadership Role(s)
- Must be self-directed and strong business acumen
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Bachelor’s degree preferred
- Conference and client travel required throughout the United States- approximately 25%
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
HEALTHCARE ENROLLMENT VALIDATION SPECIALIST
Provide overall audit support with duties that include, but are not limited to:
- Proficiency in health plan Demographic and Enrollment and RXC systems and workflows
- Ability to work in a fast paced, complex organization, with regulated deadlines while providing effective audit support to multiple clients.
- Develops and maintains excellent relationships; internally within team setting and externally, across large client base.
- Accountable for performing critical Demographic and Enrollment and RXC audit function with strong attention to detail and 100% accuracy, while navigating multiple client Enrollment and RXC source systems.
- Creates and maintains documentation in support of CMS mandated audit of health insurance plans’ demographic and claims information.
- Obtains relevant information towards finalizing deliverables based on client input and requirements from CMS documentation.
- Own client audit status’ and provide accurate updates, gap discovery and closure planning to Account Management and client
- Creates, delivers client presentations relative to Demographic and Enrollment and RXC Data Validation Audit regulations, guidelines and client results.
- Staying apprised of the Department of Health and Human Services (HHS) regulations and guidelines relative to Demographic and Enrollment and RXC Data Validation Audits.
Requirements
- Bachelor’s degree preferred with Healthcare/Health Plan or Medicare/ACA background required
- Minimum of 3 years’ experience in a healthcare, health insurance, enrollment/claims processing; with proficient knowledge of Risk Adjustment and government audits as demonstrated with health plans
- High level of professionalism
- Must be self-directed and escalate concerns with potential solutions
- Proficiency in Microsoft Office Suite and proprietary software tools
- Strong written and verbal communication internally and client facing
- Excellent organizational skills and priority setting for self, team, and client(s)
- Ability to present to clients
Close
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
ACCOUNTING ASSISTANT
ACCOUNTING ASSISTANT
Perform a variety of accounting and data entry duties for the Finance team that include, but are not limited to:
- Ability to work in a fast paced, complex organization, with regulated deadlines
- Collaborate with team members to ensure invoices are received, approved, and paid in a timely manner
- Process the payments of invoices, expense reports, and other payables
- Manage vendor W-9s
- Invoice preparation and accounts receivable
- Other accounting projects as needed
Requirements
- Associates or Bachelors degree required
- Minimum of two years demonstrated experience in Accounting
- Must be self-directed and have a strong business acumen to escalate concerns along with potential solutions
- Proficiency in Microsoft Office Suite
- Strong written and verbal communication skills required
- Excellent organizational skills and priority setting
- Knowledge of QuickBooks
- High level of professionalism
Close
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
FRONT-END WEB APPLICATION DEVELOPER
FRONT-END WEB APPLICATION DEVELOPER
Front-end web developer is responsible for coding and implementing the visual UI/UX elements that users see and interact with in a web application. The front-end web developer will work with back-end web application developers, who are responsible for the server-side application logic and the integration of the work the front-end developer does. Front-End developers will also have an active role interfacing with UI/UX designs and end-users, as well as participating in uncovering requirements, coding components and elements, document code structure, follow coding standards, and the implementation of application/software solutions for the health system and its affiliates. This includes and may not be limited to logic architecture, technology identification, implementation of third-party applications as it relates to front-end coding tasks, testing and documenting.
Ultimately, the front-end web developer will work with the UI/UX designer and bridge the gap between graphical design and technical implementation, taking an active role on both sides defining how the application looks and functions.
Responsibilities
- Convert UI/UX design wireframes to actual code that will produce the functionality of the visual interface components
- Assist in developing web and mobile applications that modernize healthcare IT
- Actively participate in collaborative design and development sessions
- Code user interfaces to function as intended and that are cross-browser compatible
- Build reusable code and libraries for future use
- Ensure the technical feasibility of UI/UX designs
- Optimize application for maximum speed and scalability
- Assist with maintenance, support, bug fixes, and issue resolution
- Stay current with evaluating new technologies to enhance web product development
- Comment code and assisting with technical documentation
- Assist in the collection and documentation of user’s requirements, development of user stories, and estimates
- Adhere to development principles while delivering solutions on-time and on-budget
- Follow agile SDLC processes, security protocols, and best practices to deliver software solutions
Requirements
- Very proficient in Javascript, HTML, CSS,
- Very Proficient with front end framework such as Reactjs, Redux
- Very Proficient nodejs
- Familiar with non-relational (NoSQL) and relational (SQL) databases
- Familiar with Amazon Webservice
- Ability to adopt to different IDEs
- Proficient in GIT and management of code repositories
- Understanding of object-oriented design, data architecture and development strategies
- Ability to collaborate in a team and highly fast pace agile development environment
- At least 2-3 year experience developing and deploying responsible web sites
- Knowledge of HIPAA, HITECH, HL7 and Healthcare Technology
- Bachelor’s degree in Computer Science, Human Centered Design, Web and Mobile Computing or related technical field, or equivalent combination of education and experience will be considered
- Strong critical thinking/problem-solving skills and capable of solving multiple parts of complex problems independently and with team members
- Robust communication and presentation skills
Close
Start Your Career with a Trusted Team Today
Send us a message and we will reply as soon as we can...
Start Your Career with a Trusted Team Today
