Lead Operations Engineer

Cotiviti • South Jordan, UT

8d • $79,955 • Remote

About The Position

Opening available for Lead Operations Engineer at Cotiviti, Inc. in South Jordan, UT: Responsibilities Subject Matter Expert for the interoperability solution, responsible for staying abreast of mandate-driven changes and recommending these to P&E. Plan and execute automated ETLs for FHIR data feeds, including member, coverage, clinical, and claim data. Ensure the automatic capture and reporting of audit events for CMS Rule 57F and 9115F mandate metrics to CMS. Manage end to end and day to day operations for Cotiviti hosted or customer hosted application instances including deploying upgrades, submissions operations, building custom tools and utilities, creating adhoc reports / queries. Perform proactive management of submission cycles, and reactive management of customer reported cases/issues. Design, implement, and maintain containerized environments and orchestration systems to support the organization's infrastructure and applications. Review customer problem details to provide resolutions and reproduce customer issues in a controlled test environment. Provide guidance and advice to operations engineers on workarounds or temporary fixes to the client to avoid processing disruption by analyzing application and database performance, identifying bottlenecks and providing fix reports to the development team for a fix. Telecommuting from anywhere in the US available. Company headquarters located at 10701 South River Front Pkwy, Suite 200, South Jordan, UT 84095.

Requirements

• Bachelors degree in Computer Science, Engineering, Computer Information Systems, or related field. A foreign equivalent to a U.S. Bachelor's degree in Computer Science, Computer Information Systems, or related field is acceptable.
• Five years of experience in any occupation in which required skills were gained.
• 5 years of progressive, post-baccalaureate experience in product support in the healthcare industry, including:
• 5 years of experience reading and writing relational database queries using T-SQL or ANSI-SQL;
• 5 years of hands-on experience developing or supporting applications using one or more of the following technologies/languages: COM, VB, Jscript, Java, Perl, C# or VB.Net;
• 5 years of experience working with EDI and EDI systems and knowledge of HIPAA;
• 5 years of experience working with HTML; and
• 4 years of experience working with code or scripting development.
• Employer will also accept a Master’s degree in Computer Science, Engineering, Computer Information Systems, or related field and three years of experience in any occupation in which required skills were gained. A foreign equivalent to a U.S. Master's degree in Computer Science, Computer Information Systems, or related field is acceptable.
• 3 years of experience in product support in the healthcare industry, including:
• 3 years of experience reading and writing relational database queries using T-SQL or ANSI-SQL;
• 3 years of hands-on experience developing or supporting applications using one or more of the following technologies/languages: COM, VB, Jscript, Java, Perl, C# or VB.Net;
• 3 years of experience working with EDI and EDI systems and knowledge of HIPAA;
• 3 years of experience working with HTML; and
• 3 years of experience working with code or scripting development.
• Experience may be gained concurrently.
• Any suitable combination of education, training, or experience is acceptable.

Responsibilities

• Subject Matter Expert for the interoperability solution, responsible for staying abreast of mandate-driven changes and recommending these to P&E.
• Plan and execute automated ETLs for FHIR data feeds, including member, coverage, clinical, and claim data.
• Ensure the automatic capture and reporting of audit events for CMS Rule 57F and 9115F mandate metrics to CMS.
• Manage end to end and day to day operations for Cotiviti hosted or customer hosted application instances including deploying upgrades, submissions operations, building custom tools and utilities, creating adhoc reports / queries.
• Perform proactive management of submission cycles, and reactive management of customer reported cases/issues.
• Design, implement, and maintain containerized environments and orchestration systems to support the organization's infrastructure and applications.
• Review customer problem details to provide resolutions and reproduce customer issues in a controlled test environment.
• Provide guidance and advice to operations engineers on workarounds or temporary fixes to the client to avoid processing disruption by analyzing application and database performance, identifying bottlenecks and providing fix reports to the development team for a fix.

Benefits

• Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees