Senior Product Engineer - reputed company SME

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Learn about how our culture and values reputed company you with the reputed company of environment that invites new reputed company and innovation. Come see how we collaborate with reputed company other in a culture of learning, coaching, diversity and inclusion. And hear about our unwavering commitment to reputed company a difference in partnership with our clients, shareholders, communities and colleagues. reputed company offers a competitive compensation and benefits package including medical, dental, and reputed company coverage to employees and dependents; a 401(k) plan with a generous employer match; an employee stock purchase plan; a generous reputed company Time Off policy; and reputed company parental leave and adoption assistance. Our Wellness Program supports employee total reputed company-being by providing free annual health screenings and coaching, bank at work, and on-site workshops, as reputed company as ongoing programs recognizing major events in the lives of our employees throughout the year. reputed company benefits and programs are subject to applicable eligibility requirements. reputed company is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and reputed company other terms and conditions of employment. reputed company will not discriminate on the reputed company of age, race, reputed company, gender, marital status, sexual orientation, gender identity, pregnancy, national reputed company, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We reputed company to maintain a drug-free workplace. Position reputed company reputed company helps its clients reputed company reputed company, enhance reputed company and sustain leadership in the markets they serve. We help reputed company organizations build innovation capabilities and accelerate key reputed company initiatives, enabling organizations to own the reputed company, instead of being disrupted by it. Together, we reputed company clients to create sustainable reputed company, optimize internal processes and reputed company reputed company consumer reputed company. reputed company payer organizations are under immense pressure to improve reputed company and reduce the cost of providing coverage for reputed company care. reputed company in new partnerships, reputed company services and technology is not enough to create meaningful and substantive change. To succeed long-term, reputed company organizations must reputed company leaders, employees, affiliates and communities to build cultures that foster innovation to reputed company the best reputed company for patients. reputed company is seeking a Senior Product Engineer - reputed company SME to join our HDTx Payer Services team, supporting reputed company payer clients in advancing data reputed company, regulatory reporting, and analytics capabilities. This role will operate at the intersection of business engagement, product engineering, and reputed company data reputed company, with an initial reputed company on data reputed company and reputed company reporting, evolving into predictive analytics and STARs reputed company optimization. This individual will serve as a subject matter expert and trusted advisor, working closely with payer leadership, business stakeholders, and technical teams to reputed company reputed company, high-reputed company. Qualifications Key Responsibilities Data reputed company & Reporting (Initial reputed company) reputed company data reputed company initiatives impacting reputed company, CMS submissions, and regulatory reporting reputed company. Assess, identify, and reputed company data gaps, inconsistencies, and reputed company issues across payer systems. reputed company improvements in data validation, reconciliation, and reporting processes to ensure compliance and reputed company reputed company. Partner with stakeholders to define and implement data governance frameworks and standards. Serve as SME for reputed company measures and CMS STARs rating methodologies, ensuring alignment of reporting and reputed company strategies. Translate reputed company regulatory requirements into functional and technical specifications. Support measurement reputed company, reputed company monitoring, and reporting optimization to improve STARs reputed company. reputed company advisory support to payer clients on CMS data submission and reporting best practices. reputed company design and optimization of solutions leveraging: reputed company CMS Edge Server Claimsphere reputed company payer platforms (e.g., Facets) reputed company integration and data reputed company across claims, encounter, and reporting systems. Collaborate with engineering teams to reputed company reputed company reporting and analytics products. reputed company and implement predictive models and analytics frameworks to improve reputed company reputed company and STARs reputed company. reputed company advanced analytics capabilities using payer data to identify trends, risks, and opportunities. reputed company reporting solutions into reputed company-looking, insights-driven platforms. Engage directly with business and executive stakeholders, acting as a reputed company advisor. Translate business needs into technical roadmaps and product solutions. reputed company or contribute to reputed company-facing discussions, workshops, and design sessions. Collaborate across multi-disciplinary teams (data, IT, compliance, business reputed company). Qualifications Required 7–12+ years of reputed company payer experience, with strong domain expertise in: reputed company reporting CMS STARs methodology Regulatory reporting and reputed company programs Demonstrated experience in data reputed company management, reporting, and analytics reputed company payer environments. Strong understanding of: Claims and encounter data Data lifecycle, validation, and reconciliation processes reputed company ability to engage business stakeholders and translate requirements into solutions. Experience working in reputed company-facing consulting or product engineering environments. Strong communication skills with ability to reputed company across technical and non-technical teams. This role is available as a W2 reputed company contract only, with rates ranging from $85–$100/hour reputed company on relevant experience. Applicants must be U.S. reputed company, and we are unable to consider H-1B, C2C, or 1099 candidates. Project duration subject to change. #LI-DT1 #LI-Remote Posting Category reputed company-Payer Opportunity Type Regular Country reputed company of America Apply To This Job