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Software Developer

Bridging technical execution and healthcare domain expertise, the full-time Lead Software Developer will own architecture and requirements validation for the CapAdmin platform, ensuring accurate claims processing and integration while working remotely.
Key responsibilities: Serve as the internal subject matter expert for payer and TPA workflows, translating complex business requirements into technical specifications Lead code reviews and mentor mid-level developers on healthcare payer concepts, ensuring high-quality code and business logic accuracy Own requirements completeness, collaborating with cross-functional teams to define acceptance criteria and eliminate defects Required qualifications 6+ years of experience within a payer platform, TPA system, or claims administration software Strong proficiency in C# / .NET, Java, or similar enterprise languages, with experience in relational databases Hands-on knowledge of UB04, CMS-1500 claim processing, and EDI transactions Demonstrated ability to mentor engineers and communicate effectively with technical and business audiences Bilingual in English and Spanish is required