Wednesday, March 20, 2013

Mobile / Web Developer - Spectrum Health - Grand Rapids, MI

E-mail for more information!!!

Spectrum Health's Corporate Web and Mobile Development Team is growing, and we're looking for developers with iOS and/or Android mobile development experience to join our team!

As a member of the Web and Mobile Development Team, you will be responsible for developing and supporting the mobile apps, web applications, and web services that drive Spectrum Health. Along with other developers, architects, and analysts, you will act as a member of a cross-functional agile project team. You'll be empowered to work directly with our customers to come up with innovative ideas and new ways of doing things. Learning new technologies is a way of life for our developers.

While we typically develop iOS and Android applications using Objective C and Java, you might just as easily be asked to develop a mobile web application using C#/.NET and JQuery Mobile, modify a complex desktop web application using MVC.NET 4.0, or support a legacy application written in Perl. The ideal candidate is not tied to a specific language or technology; rather, he/she is a software developer and technologist, able to adapt to a continually changing landscape of projects and technologies.

For this opening, we are specifically seeking an experienced developer with at least a year of iOS and/or Android development experience.


Basic Qualifications:

Bachelor’s degree in computer science or a related field or other degree with equivalent experience.

Two (2) years experience developing and supporting applications.

System development lifecycle experience, including requirements, coding, testing and implementation.

Preferred Qualifications:

1 year of mobile development experience, including native application development for iOS and/or Android platforms.

Fluent in Objective C, C# and/or Java.

Able to lead, manage and coordinate projects within a team environment.

Sound knowledge of relevant technology, tools and methods including:
- Code development and component re-use
- Testing: unit, regression, integration, load, system, fault, and exploratory
- Development methodology: agile, waterfall, iterative, prototyping, etc.
- Change control, change management, and release management
- Tiered support models
- Troubleshooting and Incident Management

Strong interpersonal and communication skills.

Strong analytical, problem-solving, and troubleshooting skills.

Ability to speak English well enough to be understood by coworkers, customers, and the public.

Monday, March 11, 2013

Manager, Senior Products Revenue Management--Highmark--Pittsburgh, PA for more details!!!

The Manager, Senior Product Revenue Management will oversee all analysis, process development and implementation to ensure that complete and accurate member information is submitted to CMS. The revenue received from CMS is member specific, based on health status and adjusted for various demographic factors. This information drives over $1.5 billion annual revenue, and must be verified and updated annually. The work of the revenue management area will increase Highmark M+C revenue by at least 45 million (3%) each year. The incumbent will oversee a team of Business Analysts that will identify opportunities for increased accuracy of the data submitted to CMS. The incumbent will facilitate cross-functional process development teams to develop appropriate provider communications, disease state management processes, member communications etc. to ensure appropriate CMS payment. The Manager will also ensure that the data is submitted in an accurate and timely manner to CMS in accordance to CMS regulation. The Manager is also responsible for information that will ensure accurate revenue projections in Highmark Financials.

The incumbent must possess strong analytical skills, excellent organizational and project management skills, strong team building skills and have a strong understanding of Medicare+Choice revenue structure, Highmark data structure and provider needs. The incumbent will formulate and execute strategies that will ensure accurate revenue from CMS under the CMS-HCC payment methodology. The incumbent must be able to effectively work with different levels of management/staff, participate in management/team meetings and assist in the development of M+C rate filings. The incumbent must be capable of directing a team, delegating assignments, providing technical guidance, overseeing and managing professional staff, completing yearly performance appraisals, conducting disciplinary actions as necessary, as well as participating in the hiring of prospective staffs.

  • A Bachelors degree in or equivalent training in Business or Health Administration, Statistics or Finance is required.
  • A Masters Degree in Business or Health Administration is preferred. Three to five years experience is preferred in Medicare with Five to seven years experience required in Health Insurance or Data Analysis.

Other qualifications, experience, and skills include:

To effectively fulfill the accountabilities of this position, The Manager, Senior Products Revenue Management, must have a strong background in data management and analysis, project management, ability to understand diagnosis information, M+C payment methodology, and provider incentive structures. The Manager must possess a highlevel of skill in leading interdepartmental and cross-functional strategy development. Excellent oral and written communication skills, as well as conceptual and analytic skills are necessary. Background in provider reimbursement and billing is necessary. Previous experience with CMS reimbursement, DxCG software is beneficial. Experience managing professional staff is required. Must be able to take charge of and account for management of staff working on multiple projects to ensure corporate deadlines and objectives are met.