Systems Engineer - REMOTE

S&S Healthcare•Cincinnati, OH

2d•$80,000 - $110,000•Remote

About The Position

The Systems Engineer owns the technical health of Reflect Health’s Impact claims platform end to end. The role builds and maintains applications, integrations, and database logic that support claims adjudication, while applying systems engineering practices to keep the platform stable, secure, and scalable. It combines hands-on development using SQL, C#, and scripting with systems engineering responsibilities involving integrations, vendors, infrastructure, and disaster recovery, as well as claims domain knowledge. The position serves as a technical bridge among engineering, business stakeholders, and external vendors. Reflect Health is the evolution of S&S Health, an independent third-party administrator founded in 1994. The company is headquartered in Mason, Ohio, serves organizations across all 50 states, and provides benefits administration and health-plan programs.

Requirements

3–5+ years of experience 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 such as 837, 835, 999, 834, and 278.
Advanced knowledge of database development, including MS SQL and C#.
Extensive experience with SQL and relational databases, including developing and troubleshooting complex queries, stored procedures, functions, views, and other database objects.
Proven experience with systems planning, security principles, and general software management best practices.
Ability to understand data sources, elements, and relationships comprehensively in both business and technical terms.
Strong critical-thinking and independent problem-solving skills.
Excellent written, verbal, and interpersonal communication skills, including the ability to translate between technical and non-technical audiences.
Self-motivated, organized, and detail-oriented, with a strong customer-service orientation.
Ability to prioritize and execute multiple tasks in a fast-paced, high-pressure environment.
Collaborative, team-oriented mindset and willingness to mentor and support other engineers.

Nice To Haves

Familiarity with the Impact system or similar claims management platforms is strongly preferred.
Knowledge of DBC coding or similar languages such as Cobol is a plus.
Experience with Agile/Scrum and TDD/BDD practices is desired.
Healthcare industry experience is a plus.
Project management experience is a plus.

Responsibilities

Perform ongoing maintenance and enhancements across 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 and support to the engineering team on claims-processing challenges and opportunities.
Apply working knowledge of claims processing and adjudication and healthcare claims management.
Design, develop, and test system enhancements according to internal and client specifications.
Write and maintain advanced SQL queries, stored procedures, functions, views, triggers, and SSIS/SSRS packages.
Support and maintain the existing codebase through refactoring and bug fixes, designing for backwards compatibility and future expansion.
Use scripting such as Python or PowerShell to build tools and automate manual work.
Collaborate with internal teams and external vendors to implement integrations tailored to client needs.
Monitor, maintain, and optimize networked software and associated operating systems supporting core business functions.
Design and perform system and security audits, backup procedures, and recovery processes aligned with disaster recovery and business continuity plans.
Propose and create system design models, specifications, diagrams, and charts to guide programmers and development teams.
Coordinate and perform in-depth testing, including end-user reviews, for modified and new systems.
Create and maintain documentation for system configuration, mapping, processes, and service records.
Serve as a primary point of contact for vendors, ensuring effective communication and timely issue resolution.
Work with cross-functional teams and stakeholders to facilitate system rebuilds or replacements aligned with business goals.
Interact and negotiate with vendors, outsourcers, and contractors to secure system-related products and services.
Plan and help manage software development projects from requirements through delivery.