Hybrid Systems Engineer, Health Claims Platform

S&S Healthcare; Cincinnati (OH); Hybrid; USD 80,000 - 110,000; Full time

Job summary

Reflect Health in Cincinnati, OH, is seeking a Systems Engineer to own the health of the Impact claims platform end-to-end. You will blend hands-on development with systems engineering, building tools and ensuring stability, security, and scalability for claims adjudication.

You will design, implement and optimize integrations, work with SQL/C#, scripts, and vendor partners, and coordinate disaster recovery and security practices in a hybrid role.

Qualifications

• 3–5+ years in database/application development, systems engineering, or a related technical role.
• 3–5+ years of experience developing, maintaining, and supporting healthcare data integrations, including X12 EDI and custom data feeds for claims, authorizations, eligibility, remittance, and other healthcare transactions.
• Familiarity with the Impact system or similar claims management platforms is strongly preferred.
• Advanced knowledge of database development (MS SQL, C#) and DBC coding or similar languages is a plus.

Responsibilities

• Maintain and enhance the Impact claims platform, including code updates and performance improvements.
• Establish and promote best practices and standards for claims adjudication and system architecture.
• Provide technical guidance to the engineering team on claims-processing challenges and opportunities.
• Apply working knowledge of claims processing and adjudication, with a solid understanding of healthcare claims management.
• Design, develop, test system enhancements according to internal and client specifications.
• Write and maintain advanced SQL queries, stored procedures, functions, views, triggers, and SSIS/SSRS packages.
• Collaborate with internal teams and external vendors to implement integrations tailored to client needs.

Skills

SQL

C#

Scripting

Vendor management

Healthcare data integrations

Agile/Scrum

Tools

MS SQL

SSIS/SSRS

Impact system

PowerShell

Python

Job description

Reflect Health in Cincinnati, OH, is seeking a Systems Engineer to own the health of the Impact claims platform end-to-end. You will blend hands-on development with systems engineering, building tools and ensuring stability, security, and scalability for claims adjudication.

You will design, implement and optimize integrations, work with SQL/C#, scripts, and vendor partners, and coordinate disaster recovery and security practices in a hybrid role.