by Terrance Ellis | Dec 14, 2025 | Uncategorized
This is a hospital-based HIM coding role for someone who can handle the nasty charts: high-dollar cases, complex encounters, and longer inpatient stays. You’ll code and abstract using ICD-10-CM, CPT, HCPCS, and modifiers, while staying tight on compliance and productivity.
About Firstsource
Firstsource supports healthcare operations for provider organizations. This role sits in Health Information Management (HIM), focused on accurate clinical coding, compliance, and timely reimbursement support.
Schedule
• Remote (U.S.)
• 8:00 AM – 5:00 PM ET
What You’ll Do
⦁ Code and abstract complex inpatient and outpatient encounters using ICD-10-CM, CPT-4, HCPCS, and APC modifiers
⦁ Focus on high-dollar charts and discharges with length of stay over 3 days
⦁ Support HIM Coder I by assisting with complex cases for 1–3 day stays
⦁ Use available tools and references to code accurately and on time
⦁ Apply current AHA Coding Clinic guidance and UHDDS official coding guidelines
⦁ Configure professional E&M service levels based on documentation and enter charges correctly
⦁ Query physicians when documentation is unclear or incomplete for coding
⦁ Coordinate with HIM Techs regarding missing documentation, dictation, and transcribed reports
⦁ Maintain productivity and quality targets, track metrics, and manage assigned work queues
⦁ Flex into other HIM duties as needed by workload
⦁ Represent HIM in court as Custodian of Records (as required)
What You Need
⦁ High school diploma or equivalent
⦁ 5 years coding experience in a healthcare administrative or hospital setting
⦁ Hospital-based coding credentials required
⦁ Required certifications: CCS (Certified Coding Specialist) or CPC-H (Certified Professional Coder – Hospital)
⦁ Strong knowledge of coding compliance standards and ongoing education to maintain certification
⦁ Comfort working independently, meeting deadlines, and communicating clearly with leadership
Benefits
• Not listed in the posting
Backbone moment: this role is not “entry-level coding with training.” If you don’t already have CCS or CPC-H plus real hospital chart experience, don’t waste your time applying. But if you do, $30–$35/hr is in the “serious money” zone compared to the $16/hr claims job.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 14, 2025 | Uncategorized
This is a senior integration engineering role for someone who can stitch together complex enterprise systems without breaking compliance. You’ll design and build integrations across a BPaaS platform (claims, billing, clinical, member and provider systems), owning data pipelines, automation, and interoperability using Python and major middleware or ETL tools.
About Firstsource
Firstsource supports large-scale enterprise operations and technology work, including regulated industries like healthcare. This role sits in the middle of platform modernization and integration, helping systems talk to each other cleanly, securely, and at scale.
Schedule
• Remote (U.S.)
• Schedule details not listed
• Enterprise environment with cross-functional collaboration and transformation work
What You’ll Do
⦁ Design, develop, and maintain integrations across BPaaS platforms (claims, billing, clinical, member/provider systems)
⦁ Build reusable applications for data transformation, workflow automation, and integration pipelines
⦁ Configure and manage middleware and ETL integrations using OnBase or comparable tools (MuleSoft, Boomi, Informatica, Talend, SnapLogic)
⦁ Support ETL processes from extraction through load, ensuring accuracy and reliability
⦁ Collaborate with analysts, architects, and QA to deliver scalable, compliant solutions
⦁ Participate in solution design sessions, code reviews, and technical documentation
⦁ Troubleshoot and optimize existing integrations for performance, resilience, and maintainability
⦁ Ensure integrations meet security and governance standards, including HIPAA and SOC 2 requirements
⦁ Mentor junior developers and help shape coding and integration best practices
What You Need
⦁ Bachelor’s degree in CS/IS or equivalent experience
⦁ 7+ years in software development and system integration
⦁ Strong Python expertise (automation, APIs, scripting, data transformation)
⦁ Hands-on middleware experience (Edifecs or equivalent ETL/integration tools)
⦁ Experience with REST/SOAP APIs, message queues (Kafka/RabbitMQ), and file-based integrations (SFTP, flat files, JSON, XML)
⦁ Solid database knowledge (SQL Server, Oracle, PostgreSQL, etc.)
⦁ Cloud experience (AWS, Azure, or GCP) and hybrid integration patterns
⦁ Strong debugging and performance optimization skills
⦁ Strong communication, independence, and multi-priority management
Benefits
• Not listed in the posting
Backbone moment: this is a real senior seat. If you don’t already have deep Python plus real integration tooling (not just “I’ve seen MuleSoft once”), you’ll hate this job and they’ll know in the first technical screen.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 14, 2025 | Uncategorized
This is a payer-side claims configuration role, not a generic “analyst” job. You’ll be building and configuring benefits, pricing, and system rules inside a health plan core admin platform, then partnering with testing to make sure it works cleanly across Medicare, Medicaid, Commercial, and Exchange plans. If you’ve got real Facets, QNXT, or HealthRules Payer time, this is a legit lane.
About Firstsource
Firstsource supports organizations with specialized operations and technology services, including healthcare and payer-focused work. This role supports clients by translating business and regulatory needs into accurate claims platform configuration.
Schedule
• Remote (U.S.)
• Schedule details not listed
What You’ll Do
• Configure health plan core admin platforms: benefits, system parameters, and pricing requirements across Medicare, Medicaid, Commercial, and Individual Exchange lines
• Gather and document requirements from clients and internal stakeholders
• Create detailed configuration designs, incorporate feedback, and secure approvals before implementation
• Execute approved configuration changes accurately and in line with client specs
• Partner with testing/QA to validate configurations, review test results, and refine as needed
• Ensure configurations align with business requirements and regulatory standards
What You Need
• 2+ years of configuration experience in HealthRules Payer, Facets, or QNXT (U.S. health insurance required)
• Experience configuring across Medicare, Medicaid, Commercial, and Individual Exchange
• Strong communication skills and confidence working directly with clients and internal teams
• Detail-oriented mindset with comfort owning designs, approvals, and execution
Benefits
• Not listed (posting focuses on role requirements)
• EEO/AA employer, drug-free workplace, and E-Verify participant
Backbone moment: if you don’t already have hands-on HRP/Facets/QNXT configuration, this isn’t a “learn on the job” posting. They’re basically saying “bring the platform experience or don’t apply.”
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 14, 2025 | Uncategorized
This is a build-heavy role at a seed-stage startup that’s moving fast and expects you to move with it. You’ll be shipping polished, high-performance React features, especially around real-time collaboration and a canvas-based image editing tool, with real ownership and real technical expectations.
About Atarim
Atarim builds a platform that lets teams create, track, and discuss website changes directly on live pages, making web collaboration faster and less chaotic. They’re seed-stage, growing fast, and positioning themselves around strong retention signals (low churn, high NPS).
Schedule
• UK-based role (remote)
• Hours and time zone specifics not listed
• Startup pace: high autonomy, high accountability
What You’ll Do
• Build advanced UI/UX with React 18, TypeScript, and Vite, focused on performance and real-time interactions
• Develop and maintain a canvas-based image editing tool (drawing, annotations, image manipulation)
• Implement and optimize Redux Toolkit and Redux Query for efficient state management and real-time updates
• Create accessible, pixel-precise interfaces using Tailwind CSS, Radix UI, and Framer Motion animations
• Monitor and improve performance using Sentry and PostHog across devices and network conditions
• Write tests with Vitest and React Testing Library to maintain quality and reduce regressions
• Integrate frontend with a Laravel backend via REST APIs
• Contribute to documentation and living style guides using Storybook
• Stay current on React ecosystem trends while balancing stability and innovation
What You Need
• Proven professional React experience at mid to senior level
• Strong TypeScript and strong typing instincts
• Experience with canvas-based apps and image manipulation
• Deep Redux Toolkit knowledge and modern state management patterns
• Tailwind CSS and component architecture experience
• Accessibility-first mindset and experience with modern UI libraries
• Solid React performance optimization skills
• Git fluency and comfort with CI/CD workflows
• Testing best practices and hands-on testing framework experience
• Strong problem-solving, communication, and teamwork
Benefits
• Competitive salary with performance-based incentives
• High-growth startup environment with meaningful ownership
• Flexible remote work setup
• Supportive, innovation-driven team culture
• Growth and development opportunities
• Access to modern tools and tech
Straight talk: this one is not a “junior-mid” in the normal sense. Between canvas image editing, Redux Query, performance tooling, and Storybook, they want someone who can ship and mentor themselves. If your React experience is mostly CRUD dashboards and light UI work, this will be a rough stretch.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a “build the brain of the company” product role. Not slide decks and stakeholder hugs. They want somebody who can ship agentic LLM systems into production, make them reliable, and make them feel human enough that care teams actually trust them.
About Pair Team
Pair Team is a public benefit, AI-enabled medical group serving Medicaid, Medicare, and safety-net populations. They partner with community orgs to deliver whole-person care and are scaling nationally after demonstrating significant reductions in ER visits and hospitalizations. They’re building an AI-first platform to coordinate care across medical, behavioral, and social services.
Schedule
• Full-time, 100% remote (United States)
• High-velocity build environment: product + engineering + clinical ops + design
• Human-in-the-loop, healthcare workflow heavy
What You’ll Do
• Design and deploy multi-agent systems for care coordination and patient engagement
• Define the “taste” of the agents: how they communicate, reason, and collaborate with care teams
• Build the agent ↔ care team interface inside the core platform (human-in-the-loop UX)
• Prototype and pilot new LLM use cases across intake, outreach, and member management
• Own internal data labeling and evaluation tooling, workflows, and integrations
• Run LLM operations: trace annotation, eval development, monitoring, and feedback loops
• Translate messy real-world healthcare workflows into scalable AI systems
What You Need
• Proven experience shipping conversational or AI-driven products to real users
• Deep familiarity with LLM product work: prompting, multi-agent orchestration, evaluation frameworks
• Comfort defining strategy and success metrics in ambiguous, early-stage problem spaces
• Strong cross-functional operating skills (engineering + ops + clinical)
• High ownership mindset and real mission alignment
Benefits
• Salary: $190,000 to $250,000
• Equity package
• Medical, dental, vision coverage
• 401(k) through Guideline
• Company-paid short and long-term disability and life insurance
• Backup childcare and caregiver support (Wellthy)
• Monthly $100 work-from-home stipend
• Equipment provided
• Flexible vacation policy
Backbone check: if you don’t have “I shipped LLM features to real users and built evals/monitoring so it didn’t fall apart” on your resume, this one will eat you alive. If you do, it’s a big swing role with real authority.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a “first or early IT hire” kind of role where you own the whole IT function end-to-end, clean up the SaaS stack, tighten security, and make onboarding feel effortless. If you like startup chaos but want the authority to actually fix it, this one’s built for that.
About Pair Team
Pair Team is a public benefit, AI-enabled medical group serving Medicaid, Medicare, and safety-net populations. They partner with community orgs to deliver whole-person care and are scaling nationally after proving reduced ER visits and hospitalizations. The company is building an AI-first platform that connects healthcare and social-service orgs into a unified system.
Schedule
• Full-time, 100% remote (United States)
• Cross-functional, high-growth environment (People Ops, Finance, Legal, Engineering, clinical ops)
What You’ll Do
• Own IT end-to-end: onboarding/offboarding, device management, workflows, policies, security guardrails
• Refactor and optimize Rippling/HRIS and streamline the SaaS stack
• Build scalable IT fundamentals: MDM, access controls, documentation, repeatable processes
• Drive vendor management: select, negotiate, and manage MSP and SaaS vendors
• Security and compliance readiness: implement practical controls for HIPAA/SOC 2-style environments
• Lead incident response: run point, resolve quickly, document root causes, and prevent repeats
• Bring operational order: create simple systems that keep the business fast but secure
What You Need
• 7–10 years in IT, including 2–3 years in a lead or architect-level role
• Startup or high-growth experience (required)
• Hands-on experience with:
• Onboarding/offboarding and device management (MDM)
• SaaS administration
• SSO/IDP (Okta, Google Workspace, etc.)
• HRIS (Rippling preferred)
• Vendor management experience: selection, contract negotiation, ongoing performance management
• Security and compliance exposure: practical controls, compliance readiness, secure-by-default processes
• Incident response leadership: coordination, RCA, and prevention planning
• Strong cross-functional collaboration with People Ops, Finance, Legal, and Engineering
• Ability to communicate IT decisions clearly and support non-technical users with patience
Benefits
• Salary: $165,000 to $205,000
• Equity package
• Medical, dental, vision coverage
• 401(k) through Guideline
• Company-paid short and long-term disability and life insurance
• Backup childcare and caregiver supports (Wellthy)
• Monthly $100 work-from-home stipend
• Equipment provided
• Flexible vacation policy
Real talk: this role is not “keep the helpdesk moving.” It’s “be the IT department and the architect,” and they’re clearly expecting someone who can lead security posture and vendor strategy without building a big team first.
Happy Hunting,
~Two Chicks…
