Software Engineer 3, Gen AI - Post Billing Processing System

Remote

Software Engineer - Gen AI - Post Billing Processing System

Position Overview

We are seeking a highly skilled and motivated Software Engineer to join our team responsible for developing a robust Post Billing Processing system. The ideal candidate will have a strong background in software development, experience with AI/LLM technologies, and a keen understanding of the healthcare insurance domain. This role will involve designing and implementing automated workflows, template generation engines, and AI-enhanced modules to optimize the process of appealing denied insurance claims.

Responsibilities

- Design, develop, and maintain the Post Billing Processing system components, including the Denial Code Manager, Workflow Orchestrator, Template Generation Engine, AI/LLM Enhancement Module, Testing and Optimization Module, Outbound Package Preparation, and Automated Outbound Communication.

- Collaborate with business stakeholders to understand requirements and translate them into technical specifications.

- Implement AI/LLM technologies to enhance denial letter templates for improved payor acceptance.

- Develop and execute A/B testing and hyperparameter tuning strategies to optimize template parameters.

- Create and maintain comprehensive documentation for system components, workflows, and processes.

- Ensure data security and compliance with healthcare regulations and standards.

- Provide ongoing support and maintenance for the system, troubleshooting and resolving issues as needed.

- Stay updated with the latest advancements in AI/LLM technologies and incorporate relevant innovations into the system.

Skills and Qualifications

 

Technical Skills

- Experience with cloud platforms (AWS) and containerization technologies (Kubernetes).

- Strong analytical and problem-solving skills.

- Extensive experience with generative AI technologies and frameworks.

- Proficiency in using LangChain and LangGraph for building and managing AI models.

- Knowledge of applying generative AI for creating domain-specific solutions.

- Understanding of prompt engineering and various LLMs for specific use cases.

- Experience in integrating generative AI models into existing systems and workflows.

Soft Skills

- Excellent communication and collaboration skills.

- Ability to work in a fast-paced, dynamic environment.

- Strong organizational and time management abilities.

- Attention to detail and commitment to delivering high-quality solutions.

 

Education

- Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field.

Experience

- Hands on with LLMs (In previous projects) and worked on product development using LLMs. Such as, Open AI APIs, Open Source LLMs (Llama2, Mistral, Mixtral etc.,)

- Hands on experience with Vector Database & Graph DB (Pinecone, Milvus, Neo4j)

- Solid understanding on framework like Langchain/LangGraph, Haystack and ability to use Agentic Workflows using those frameworks

- Strong proficiency in programming languages such as Python, NodeJs.

- Experience with workflow automation such as AWS Step Functions.

- Hands-on experience with building RAG solutions.

- Plus: Ability to use advanced techniques like HyDE and LLM reranking for effective semantic search for RAG systems. Hands-on experience in creating Embedding using Ada models

 

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Remote USA

$99,300 - $124,100 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents. 

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:
- BBB announcement on job scams 
- FBI Cyber Crime resource page 

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