Senior encounter submissions software engineer
2 weeks ago
Invent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing 5.5 M+ member lives across Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%), encounter reconciliation, and enterprise-grade interoperability, we are now expanding into a next-generation Encounter Submissions System — fully integrated with our Modular Analytics Platform (MAP) and Databricks-powered data ecosystem.We are looking for a Senior Encounter Submissions Software Engineer / Analyst who will design, architect, and build the new IH Encounter Submissions engine , including validation, reconciliation, error correction workflows, and payer-ready outbound formats across MA, Medicaid, and ACA.What You Will Build (Core Responsibilities) 1. Architect Invent Health’s new Encounter Submissions System Design the end-to-end encounter pipeline supporting MA, Medicaid, and ACA encounter standards.Map and manage records across 837 , 277/278 , 999 , TA1 , MAO-002 , MAO-004 , MMR/MOR , and Medicaid T-MSIS/T-XIX formats.Build automated validation rules (CMS, State, DNSP, plan-specific edits).Implement logic for sequencing, batching, routing, acknowledgements, and error tracking.2. Build a scalable, cloud-native ETL & validation pipeline Design Databricks or Spark-based transformations for inbound/outbound encounters.Build crosswalks between claims, encounters, provider data, member data, and IH’s internal linked records.Own schema evolution, versioning, and pipeline observability.3. Create Error Correction & Workflow Tools Define and implement the rules for:FQHC/RHC logicAllowed modifier combinationsMissing/invalid diagnosis or procedure codesDuplicate detectionNon-
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Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing 5.5 M+ member lives across Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy...
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Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing 5.5 M+ member lives across Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy...
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Senior Encounter Submissions Software Engineer
2 weeks ago
Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid) Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI Integrations Invent Health is a fast-growing AI-driven healthcare analytics company processing 5.5M+ member lives across Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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Senior encounter submissions software engineer
2 weeks ago
Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing5.5 M+ member livesacross Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing5.5 M+ member livesacross Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing5.5M+ member livesacross Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid)Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI IntegrationsInvent Health is a fast-growing AI-driven healthcare analytics company processing5.5 M+ member livesacross Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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New Delhi, India Invent Health Full timeInvent Health Inc. — Silicon Valley, CA (Remote/Hybrid) Full-Time | Encounter Data | Medicaid, MA, ACA | Databricks | EMR/EDI Integrations Invent Health is a fast-growing AI-driven healthcare analytics company processing5.5M+ member livesacross Medicare Advantage, Medicaid (MCP/Medi-Cal), and ACA plans. Known for industry-leading NLP accuracy (85–90%),...
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Senior EDI Analyst
3 weeks ago
Delhi, India TechBiz Software Full timeCompany Description TechBiz Software is Software Product Development company specializing in Logistics, Healthcare, Banking, Financial domain. Founded in 2014, we focus on Product Development & engineering and helping clients navigate technological advancements and regulatory requirements. This is a fully remote role (India) with flexible hours with global...
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Senior EDI Analyst
2 weeks ago
Delhi, India TechBiz Software Full timeCompany DescriptionTechBiz Software is Software Product Development company specializing in Logistics, Healthcare, Banking, Financial domain. Founded in 2014, we focus on Product Development & engineering and helping clients navigate technological advancements and regulatory requirements.This is a fully remote role (India) with flexible hours with global...
