System Engineer - RCM & Platform Integrations

● Design, develop, and maintain RCM system integrations, including:

1. Eligibility & Benefits Verification (EBV)

2. Prior Authorization

3. Claims Submission & Adjudication

4. Billing, Payments, AR, and Denials

● Build and manage system-to-system integrations beyond RCM when required.

● Develop and maintain backend integration services using Python.

● Design and consume RESTful APIs, webhooks, and batch-based integration interfaces.

● Integrate internal systems with external platforms, clearinghouses, payer systems, and partner applications.

● Design and optimize SQL database schemas and queries for integration workloads.

● Implement secure data exchange, authentication, authorization, and access control mechanisms.

● Containerize services using Docker and manage container-based deployments.

● Deploy, configure, and manage applications across AWS / Azure environments.

● Support microservices-based and event-driven architectures.

● Monitor, troubleshoot, and optimize integration flows and system performance.

● Collaborate with cross-functional teams to translate business workflows into scalable system solutions.

● Maintain technical documentation and follow engineering best practices.

● BE / BTech / MCA or any equivalent degree in Computer Science, Engineering, or a related field.

● Strong hands-on Python coding experience (mandatory).

● Experience in RCM system integrations (Eligibility, PA, Claims, Billing, AR).

● Ability to design and implement integrations across different domains and platforms.

● Understanding of REST APIs, integration patterns, and data exchange mechanisms.

● Solid expertise in SQL databases (MySQL / MSSQL) and query optimization.

● Hands-on experience with Docker and containerized applications.

● Experience deploying and managing systems on AWS / Azure.

● Familiarity with CI/CD pipelines and release processes.

● Experience using Git and issue tracking tools like JIRA.

● Strong problem-solving, analytical, and communication skills.