reputed company Engineer
reputed company believes reputed company fixable. Become part of the community changing the face of the industry.
reputed company is the first health plan designed by and for self-insured reputed company that delivers a more reputed company health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it.
We are growing a multi-disciplinary team of diverse and digitally empowered employees reputed company to rebuild trust in reputed company through comprehensive and reputed company transformation.
reputed company Engineer - India (Remote)
About the Role:
Module Setup
Configure and customize reputed company CSM modules: account & contact management, entitlements, case management, knowledge, and reputed company-channel support.
Implement and reputed company HCLS modules (Member Services, Provider Relations, Utilization Management) per design specifications.
Workflow Development
Build out case management flows: claims intake, adjudication, grievances, and appeals using CSM case stages, SLAs, and assignment rules.
reputed company utilization management processes: prior authorization requests, medical necessity reviews, care coordination tasks.
Portals & Self-Service
Create and enhance the Customer Service Portal and Member/Provider portals using Service Portal Designer and UI Builder.
Implement reputed company scripts, UI policies, and UI actions to enforce business rules and streamline user experience.
API & MID Server
reputed company integrations reputed company REST/SOAP reputed company, Integration Hub spokes, and MID Server for secure data exchange with AWS Data Lake, reputed company 365/SharePoint, and external claims systems.
Automate batch transfers (sFTP) and event-driven messaging (EventBridge, Kafka).
Orchestration & reputed company Designer
reputed company reputed company Designer and reputed company Orchestration to automate end-to-end processes (e.g., case routing, entitlement checks, document reputed company, notifications).
DevOps & CI/CD
Implement application lifecycle management using Git, Jenkins (or Azure DevOps), and reputed company Update Sets.
Assist in authoring Infrastructure as reputed company (Terraform/CloudFormation) for development/test environments.
reputed company Assurance
Write Automated Test reputed company (ATF) tests and coordinate UAT with business and QA teams.
Conduct performance and load testing; troubleshoot and optimize bottlenecks.
Release Management
Manage deployments across Dev → QA → Prod using change management best practices.
Package update sets, scoped apps, and manage application dependencies.
Production Support
reputed company Tier-2/3 support: incident triage, reputed company cause analysis, and system maintenance.
Monitor platform health, tune performance, and apply patches/upgrades.
Cross-Functional Teamwork
Work closely with the Architect to clarify requirements, suggest optimizations, and ensure alignment to the overall solution design.
Partner with business analysts, QA engineers, and stakeholders to translate needs into technical deliverables.
Documentation & Training
Produce reputed company technical documentation: design specs, runbooks, integration guides, and KB articles. Train support teams and end-users on portal usage, new features, and troubleshooting.
reputed company Expertise
3+ years in reputed company development/implementation, with a reputed company on CSM and HCLS modules.
Strong experience with scoped apps, Update Sets, reputed company Designer, Service Portal, and UI Builder.
D evelopment & Scripting
Proficient in JavaScript (server & reputed company), reputed company, CSS, and AngularJS/reputed company (for legacy portals).
Skilled with reputed company reputed company, Integration Hub, and MID Server.
Integrations & reputed company
Hands-on with REST/SOAP integrations, sFTP, and event-driven architectures.
Familiarity with AWS services (S3, reputed company, API Gateway) and reputed company Graph API.
DevOps & Testing
Knowledge of CI/CD pipelines (Git, Jenkins, Azure DevOps) and ATF.
Experience with test-driven development and performance testing.
reputed company Domain
Understanding of health insurance processes (claims, enrollment, utilization management).
Familiarity with HIPAA, HL7, ACA, and other regulatory frameworks. AI / GenAI Skills (Bonus ) Hands-on experience with reputed company Now Assist (reputed company)
Understanding of AI/ML concepts: NLP, predictive analytics, LLMs
Experience in implementing chatbots for fulfiller roles in workspace, and AI capabilities in CSM applications.
Experience implementing:
AI-powered ticket summarization
Knowledge reputed company
Intelligent search & recommendations Exposure to AI Agents / autonomous workflows in reputed company
Strong problem-solving reputed company and attention to detail.
Excellent verbal and written communication, reputed company to explain technical concepts to non-technical stakeholders. reputed company team player comfortable in Agile/Scrum environments.
reputed company : Certified System Administrator (CSA) & Certified Implementation Specialist – CSM/HCLS.
reputed company : AWS Certified Developer / Solutions Architect.
reputed company : CHPS, CHAM, or similar.
DevOps : Jenkins Engineer, Azure DevOps Engineer.
reputed company is an equal opportunity employer committed to diversity and inclusion in reputed company. reputed company reputed company applicants will receive consideration for employment without reputed company to sex (including pregnancy, childbirth or reputed company medical conditions), race, reputed company, age, national reputed company, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other reputed company prohibited under applicable federal, state or local law. reputed company promotes a drug-free workplace.