Application Developer / Software Engineer
Job Title: Application Developer / Software EngineerLocation: RemoteJob Description:Job SummaryWe are seeking an experienced Technical Analyst with strong expertise in healthcare payer systems, compliance reporting, and data analysis. The ideal candidate will have hands-on experience with regulatory submissions, healthcare workflows, and modern data platforms to support compliance and reporting needs.Key ResponsibilitiesManage and support medical management compliance reporting , including regulatory submissions such as ODAG, CDAG, and CMSAnalyze and interpret healthcare data related to Medicare Advantage , Utilization Management (UM), and Care Management (CM) processesDevelop, validate, and reconcile data using SQL to ensure accuracy and completeness of reportsCollaborate with business stakeholders and technical teams to identify data gaps and implement solutionsWork with core healthcare administration platforms such as MHK (MedHOK), IKA, QNXT, or FacetsSupport regulatory audits and compliance cycles , including CMS audits and validation processesContribute to data modernization initiatives leveraging cloud platforms like AzureEnsure adherence to regulatory guidelines, data governance standards, and internal compliance policiesParticipate in end-to-end reporting lifecycle, including data extraction, transformation, validation, and submissionRequired Skills & Experience 8+ years of experience in medical management compliance reporting and regulatory submissions (ODAG, CDAG, CMS)6+ years of experience in the healthcare payer domain, with strong knowledge of Medicare Advantage, UM, and CM workflowsStrong proficiency in SQL , data validation, reconciliation, and reportingHands-on experience with healthcare platforms such as MHK (MedHOK), IKA, QNXT, or FacetsExperience with Azure or modern data platformsSolid understanding of CMS audits, compliance validations, and submission cyclesPreferred Qualifications Prior experience in the healthcare industry (payer domain preferred)Exposure to large-scale data transformation or modernization projects