Vytwo

Role Description The Physician ED Claims Reviewer will conduct clinical reviews of claims and UM authorization requests for clinical necessity. - Physician with an active US license - Experience in medical coding (CPT/HCPCS) - Minimum of 3-5 years of recent clinical experience in emergency department medicine - Experience in internal medicine will be considered - Experience in managed care and clinical UM case reviews - Knowledge of claims and medical coding (CPT/HCPCS codes) - Proficient in working with various systems and applications Qualifications - Experience/knowledge in utilization management is a plus - Ability to work independently in a fast-paced environment Requirements - This is a remote position

Role Description Primary Responsibilities: - Translate business requirements into functional specifications and manage changes to specifications. - Prioritize, coordinate, and implement updates and requested changes to the system; review and test each new release; troubleshoot problems and questions from end users. - Design and develop clinical and business interfaces in the Epic and/or Oracle Health EMRs according to the project scope and end user workflow with scalability, standard development practices and project constraints in mind. - Mentor team members in integration and conversion best practices, and encourage growth and ongoing learning. - Provide technical guidance on small to medium efforts within the area of scope with limited supervision. - Develop, support, and maintain all required system design and build documents and other system documentation. - Create detailed testing scripts for different phases of the testing lifecycle (functional testing, integrated testing, mapped record testing and/or parallel revenue cycle testing). - Perform daily monitoring of interfaces in production. - Adhere to organization standards for system configuration and change control. - Troubleshoot and/or resolve interface issues and escalate more complex issues as appropriate. Qualifications - Epic Bridges/Interfaces Certification. - 7+ years Interface engineering/development experience. - 5+ years experience in the Rhapsody Interface Engine. Company Description

Role Description The Quality Management Consultant will support the delivery and build out of Quality Management services for specific IT projects, overseeing the design of the associated strategy and technical infrastructure to support enterprise-wide quality management and testing. - Lead and direct implementation of quality and testing strategies for large program efforts. - Customize the methodology for the analysis and definition of efficient, cost-effective solutions that support client and stakeholder business processes, functional requirements, and resource costs. Qualifications - Bachelors degree. - 10+ years of related experience. - Healthcare experience might be good. - None certifications needed. Requirements - Top (3) Required Skills Candidate Should Have: - Selenium or any automation framework experience. - Jira. - DevOps. - Strategic / critical thinking skills related to quality management. - Project management / leadership experience. - Excellent verbal and written communication skills with the ability to address various audiences ranging from front line technical resources to executives and business partners. Benefits - 100% Remote. - Expected Shift: 8 am-5 pm. - No travel required for this role.

Role Description Storage Engineer Location: Blue Bell, PA (100% Remote) Job Description - 5+ years of dedicated enterprise storage engineering experience, with at least 3+ years specifically focused on Dell EMC platforms. - Dell EMC NAS Expertise: Deep technical knowledge of PowerScale/Isilon (OneFS) architecture. Experience with SmartPools, SmartQuotas, SyncIQ, InsightIQ, and DataIQ. - Object Storage Expertise: Proven experience deploying and managing Dell EMC ECS (Elastic Cloud Storage). Strong understanding of object-based architectures, buckets, namespaces, and geo-replication. - Protocol Proficiency: Advanced understanding of file and object protocols, including NFS (v3/v4), SMB/CIFS, and S3 API. - Networking & Systems: Strong grasp of storage networking concepts (TCP/IP, DNS, VLANs, LACP) and directory services integration (Active Directory, LDAP, Kerberos). - Analytical Skills: Excellent problem-solving skills with the ability to analyze complex system logs and performance metrics. Qualifications - Experience with other Dell EMC storage arrays (PowerMax, VPLEX) or SAN switches (Brocade, Cisco MDS). - Familiarity with hybrid-cloud storage tiering (e.g., CloudPools tiering to AWS/Azure/GCP). - Experience with infrastructure-as-code and configuration management tools (Ansible, Terraform). - Scripting proficiency in Python, PowerShell, or Bash. Company Description

Role Description We are seeking a senior AI engineer to design and build production-grade LLM-powered applications and agentic systems. This role owns the end-to-end development of intelligent solutions—from architecture to deployment—leveraging Python, modern LLM frameworks, and scalable system design. - Architect and deliver end-to-end LLM-powered applications and agentic workflows using Python. - Design and implement RAG pipelines over enterprise data using embeddings and vector databases. - Build multi-step, tool-using agents (planning, execution, memory) using frameworks such as LangChain. - Integrate AI systems with APIs, backend services, and cloud platforms. - Establish evaluation, reliability, and performance strategies (accuracy, latency, cost). Qualifications - 2-3 years hands-on experience developing Agentic workflows. - Strong Python expertise with experience building and deploying production-grade backend systems. - Hands-on experience developing applications using LLMs, including prompt engineering and orchestration. - Proven experience with RAG architectures, embeddings, and vector databases. - Experience with agentic frameworks (e.g., LangChain, LangGraph, AutoGen). - Strong system design skills with experience building and scaling cloud-based applications. Requirements - Experience working in healthcare insurance payer space (payer domain knowledge). - Ideally someone onsite 3x week but very open to 100% remote for the right candidate. Benefits - This is a remote position.

Role Description You’ll work with the development team to build and maintain our legacy claim auditing system. You’ll analyze the needs and the environment to make sure the solution you’re developing considers the current architecture and operating environment as well as future functionality and enhancements. Qualifications - Masters or bachelor’s in engineering in IT/ Electronics / Communication / Computer Science / Information Systems. - Extensive experience with large datasets and relational database (Microsoft SQL Server). - Experience with SQL, PLSQL, T-SQL, Hadoop, Python, Java knowledge. - Experience in SQL optimization and tuning of SQL queries using SQL profiler and query execution plan. - Experience with ETL processes. - Experience with QA in SQL environment. - Experience in Agile environments. - In-depth understanding of SDLC. - Experience with addressing operational data issues. - Experience with Healthcare data and health forms. - Experience in advanced analytics. - Experience with data issues to ensure optimal performance. Requirements - Healthcare experience is a must. - Good knowledge of the medical claim, member, and provider data. - Should have worked on agile-based projects. - Modify existing programs to new standards and conduct unit testing of developed programs. - Create migration packages for system testing, user testing, and implementation. Benefits - This is a remote position. Company Description - Excellent verbal and written communication skills. - Strong organizational skills and adaptability to rapidly changing priorities and workloads. - Ability to work well independently and maintain focus in a highly dynamic work environment. - Comfort in working with team members that are remote and located in the US, India, or other geographies.

Role Description The IAM Senior Engineer is a seasoned professional (5–8 years) responsible for supporting, managing, and optimizing Identity and Access Management (IAM) operations. This role involves leading the design, implementation, and support of complex IAM systems or subsystems. - Developing and implementing application onboarding to platforms like SailPoint, Okta, and CyberArk. - Driving continuous enhancements in security and operational efficiency. Qualifications - Expertise in developing and implementing IAM solutions, including application onboarding to SailPoint, Okta, and CyberArk. - Proficiency in developing custom connectors and integration components and automating IAM processes to drive efficiency. - Expertise in Identity Governance and Administration (IGA), Role-Based Access Control (RBAC), and Access Certifications. - Hands-on experience in customizing SailPoint workflows, and using Java, Beanshell, and REST APIs to extend platform capabilities. - Experience leading the design, implementation, and support of complex IAM systems and resolving technical issues within assigned domains. Requirements - Expertise in developing and implementing IAM solutions, including application onboarding to SailPoint, Okta, and CyberArk. - Proficiency in developing custom connectors and integration components and automating IAM processes to drive efficiency. - Expertise in Identity Governance and Administration (IGA), Role-Based Access Control (RBAC), and Access Certifications. - Hands-on experience in customizing SailPoint workflows, and using Java, Beanshell, and REST APIs to extend platform capabilities. - Experience leading the design, implementation, and support of complex IAM systems and resolving technical issues within assigned domains. Company Description

Role Description We are seeking an experienced Information Security Platform Engineer (Contractor) for a 6-month engagement to support and enhance our information security tooling and operations. This role is 100% remote, working normal U.S. business hours, and will be provided through a consulting/contracting firm for pricing and staffing purposes. The contractor will focus on building, operationalizing, and providing Tier 2 support for key security technologies while partnering closely with our internal Information Security and IT teams. Qualifications - 4+ years of hands-on experience in one or more of the following: - Information Security Engineering - Incident Response / Security Operations - IT Infrastructure Engineering with strong security tooling exposure - Practical experience implementing and supporting security controls and platforms such as: - Endpoint protection and EDR - Email security - Network security controls - Vulnerability management - Secure cloud configurations - Strong troubleshooting and problem-solving skills with the ability to work independently. - Experience collaborating with cross-functional technical teams in a remote environment. - Excellent written and verbal communication skills, with the ability to communicate clearly to both technical and non-technical stakeholders. - Familiarity with at least one industry regulation or framework (e.g., NIST, CIS, SANS, MITRE ATT&CK, HIPAA, HITRUST). Requirements - Build, configure, and provide Tier 2 support for security tools, including but not limited to: - SIEM - IDS/IPS - Web Application Firewall (WAF) - Next-Generation Antivirus / Endpoint Protection - Email security gateways - Vulnerability management platforms - Asset discovery and inventory tools - Cloud security controls - Operationalize existing security tools through: - Control validation and tuning - Enablement of new features - Platform upgrades aligned to security objectives - Partner with Information Security and IT teams to improve Security Operations Center (SOC) efficiency and effectiveness. - Support investigation of escalated security incidents in collaboration with the SOC, including: - Identifying unauthorized activity - Assisting with containment and remediation - Contributing technical findings and documentation to incident reports - Perform root-cause analysis related to security tool outages or performance issues and provide remediation recommendations. - Assist with preparation and responses for external audits, penetration tests, and vulnerability assessments. - Produce clear technical documentation and knowledge transfer for internal teams. Benefits - This role is intended to augment an existing Information Security team and does not include people-management responsibilities. - Pricing should reflect a senior-level individual contributor with strong security engineering hands-on expertise. - The contractor must be able to perform all responsibilities with or without reasonable accommodation. - This is a remote position.

Role Description The Technical Analyst (Contractor) supports the analysis, design, implementation, and ongoing operational stability of healthcare systems built on the Cognizant Facets platform. This is a full-time contract position working closely with business stakeholders, development teams, and infrastructure partners to deliver and support integrations, extensions, and cloud-based solutions. - Serves as a technical liaison, translating business and operational requirements into technical solutions. - Supports Facets integrations and extension points. - Performs data analysis using SQL. - Assists with application deployments within AWS environments. The ideal candidate demonstrates strong analytical skills, hands-on technical expertise, and the ability to work independently while supporting enterprise-scale healthcare systems. Qualifications - 3 years of residential requirements in the US - Proven experience with Cognizant / TriZetto Facets, including integrations, extension points, and batch processing - Strong SQL expertise, including complex query development, data validation, and troubleshooting - Working knowledge of Facets Data model - Experience supporting AWS-based deployments and cloud application environments - Understanding of system integration architectures, including APIs, file-based interfaces, and batch jobs - Ability to analyze business requirements and translate them into technical specifications - Experience with production support, incident triage, and root-cause analysis - Strong knowledge of SDLC methodologies including Agile and Waterfall - Excellent written and verbal communication skills - Ability to work independently in a fast-paced, multi-project environment Requirements - Experience in healthcare payer systems including claims, enrollment, benefits, or provider management - Familiarity with Facets data models and healthcare operational processes - Exposure to cloud migration or modernization initiatives - Experience with .NET applications, ETL processes, or batch scheduling tools - Familiarity with DevOps practices and CI/CD pipelines - Experience collaborating with offshore or cross-functional teams Company Description

Role Description Senior Facets Configuration Analyst with 10+ Years experience. - 3 years of residential requirements in the US - Strong knowledge of the Facets Data Model - Expert hands-on configuration experience in the following applications: - Facets System Administration - Security profiles - Workflow - NetworX - Product/Benefits - 10+ years of Facets configuration experience - Thorough understanding of set-up and functionality of the following processes: - Provider - Membership - Claims - Strong knowledge on FACETS Architecture which includes Upstream and Downstream systems - Requires little supervision, self-starter that can work independently and collaboratively, while remaining effective at reporting status on tasks daily - Analytical skill This is a remote position. Qualifications - 10+ years of Facets configuration experience - 3 years of residential requirements in the US - Strong knowledge of the Facets Data Model - Expert hands-on configuration experience in various applications Requirements - Thorough understanding of set-up and functionality of Provider, Membership, and Claims processes - Strong knowledge on FACETS Architecture - Ability to work independently and collaboratively - Effective reporting status on tasks daily - Analytical skill Company Description