by Terrance Ellis | Dec 12, 2025 | Uncategorized
Build product that actually changes lives, not just dashboards. Pair Team is scaling an AI-first, whole-person care platform for Medicaid, Medicare, and public assistance, and they need a senior engineer who can own full-stack product work end-to-end.
About Pair Team
Pair Team is a public benefit corporation and AI-enabled medical group building a unified care model that connects healthcare and social services. They partner with community organizations to support high-need populations and use technology to coordinate care, automate operations, and improve outcomes at scale.
Schedule
• Full-time, 100% remote (United States)
• Occasional in-person onboarding/orientation and annual retreats may be required
• Cross-functional collaboration with product, design, and platform engineering teams
What You’ll Do
• Own core product initiatives and lead full-stack feature development from concept to deployment
• Build scalable, high-performance web applications supporting both clinical and patient experiences
• Improve platform speed, reliability, and usability through thoughtful iteration
• Collaborate with product managers, designers, and platform engineers to ship user-centered solutions
• Contribute to architectural decisions that support growth and long-term maintainability
• Deliver iteratively, breaking complex work into shippable steps without over-engineering
• Mentor junior and mid-level engineers, participate in reviews, and help raise team standards
• Implement metrics that measure impact and drive operational improvements
What You Need
• 2+ years of software development experience as a high-performing individual contributor (startup experience)
• Experience in both backend and frontend engineering
• Experience building complex web applications (required)
• Relational database data modeling (required)
• Ruby on Rails preferred
• React preferred
• AWS services preferred
• Strong system design skills for moderate to high-complexity problems
• Ability to operate in ambiguity, balance speed with quality, and make smart trade-offs
• Mission alignment: passion for supporting people facing homelessness, severe mental illness, and substance use disorder
Benefits
• Salary: $165,000 to $220,000
• Equity compensation package
• Comprehensive health, vision, and dental insurance
• 401(k) through Guideline
• $50 employer contribution to active HSA accounts
• Life insurance and AD&D
• Flexible vacation policy
• Monthly $100 work-from-home stipend
• Equipment provided (laptop, monitor, etc.)
• Strong growth runway with rapid career progression opportunities
Senior engineers who can ship, lead, and mentor in one package are rare, and Pair Team is clearly paying for the real thing.
If you’re ready to build full-stack product that powers better outcomes for the people who need it most, apply.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is for specialists who can write clearly, think precisely, and help shape what AI “knows” through high-quality content. If you’ve got deep domain expertise and strong English chops, this contract gig lets you turn your knowledge into real paid output.
About Firstsource
Firstsource Solutions is a provider of Business Process Management services focused on helping organizations improve efficiency, insight, and outcomes through transformational solutions. They support customers by reimagining business processes with a tech-forward approach.
Schedule
• Remote (United States)
• Contract, gig-based work (not a guaranteed full-time role)
• Potential for future full-time opportunities
What You’ll Do
• Develop and optimize AI-generated content in your area(s) of expertise
• Produce clear, accurate, well-structured written content that improves AI outputs
• Apply domain knowledge across one or more listed subjects (examples include STEM, computer science, law, humanities, languages, and more)
• Maintain high standards for clarity, correctness, and consistency
What You Need
• Bachelor’s, Master’s, or Ph.D.
• Expert written and verbal English skills
• Proven expertise in one or more domain areas (from the role’s listed subjects)
• AI content creation experience is preferred
Benefits
• Fully remote, flexible contract-style opportunity
• Work aligned to your expertise (you’re not writing fluff)
• Possible pathway to future full-time openings
These gig roles tend to fill with people who move quickly and can demonstrate real expertise.
If your knowledge is sharp and your writing is even sharper, get your name in.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
Own the blueprint, not just the backlog. If you’re the kind of architect who can connect cloud, DevOps, middleware, and security into one clean, scalable story, this BPaaS role is built for you.
About Firstsource
Firstsource is a global business process management partner delivering tech-led, transformational services across the customer lifecycle. Their work spans industries like healthcare, banking and financial services, communications, media, and technology, helping enterprises modernize operations and digital capabilities.
Schedule
• Full-time, Remote (United States)
• You’ll collaborate with cross-functional teams (DevOps, InfoSec, vendors, client stakeholders) in a fast-paced, multi-vendor environment
What You’ll Do
• Define and maintain the BPaaS architecture blueprint with scalability, security, and performance in mind
• Design integration patterns using middleware gateways (Edifecs, Informatica, MuleSoft) for enterprise connectivity
• Translate business and technical requirements into detailed solution designs
• Drive cloud-native adoption across Azure, AWS, or GCP for hosting, integration, and data services
• Partner with DevOps to strengthen CI/CD pipelines, infrastructure as code (IaC), and automated deployments
• Architect for resilience: high availability, disaster recovery, and capacity planning
• Set API and data exchange governance standards (security, transformation, message patterns)
• Guide network and security design (VPN, routing, firewalls, IAM, encryption, monitoring) and embed compliance best practices (HIPAA, SOC2, HITRUST)
• Present architectural options and recommendations to leadership and client teams
• Mentor and support development, infrastructure, and operations teams
What You Need
• Bachelor’s or Master’s in a related field, or equivalent experience (10–15 years progressive IT architecture/solution design)
• 8+ years in IT architecture and solution design, including 3+ years in cloud and BPaaS environments
• Hands-on experience with integration/middleware tools: Informatica, MuleSoft, and/or Edifecs
• Strong DevOps background with CI/CD and IaC tools like Terraform and/or Ansible
• Solid network architecture skills (VPNs, load balancers, firewalls, enterprise connectivity)
• Strong communication skills and comfort working across business, technical, and vendor stakeholders
• Bonus points for Edifecs suite experience (XEngine, IG, TM), healthcare payer/BPaaS background, and cloud certifications (AWS or Azure Solutions Architect)
Benefits
• Remote role supporting US-based programs
• High-impact architecture ownership across cloud, DevOps, integration, and security
• Strong runway for growth in BPaaS and compliance-focused architecture (HIPAA, SOC2, HITRUST)
Roles like this don’t sit open forever, especially remote.
If you’re ready to build secure, cloud-native BPaaS solutions that actually scale, get your name in the mix.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
If you can write natural, believable e commerce conversations and explain the logic behind the “right answer,” this is a creative, writing heavy role that helps train AI. It’s structured, quota driven work where quality matters just as much as speed.
About Firstsource
Firstsource is a global business process management partner supporting clients across industries like healthcare, banking, and technology. This project focuses on creating training data to help AI understand e commerce interactions.
Schedule
• Remote (must be U.S. based)
• Contract temp project
• 20 hours per week minimum
• Pay: $10 per unit (each unit takes about 15 minutes)
What You’ll Do
• Write original user and agent conversations from scratch based on provided scenarios
• Create a final user message plus a step by step Reasoning Trace showing how an agent should reach the correct outcome
• Follow detailed written instructions and hit daily or weekly productivity targets
• Meet quality standards consistently
What You Need
• Bachelor’s degree or higher
• Native or near native U.S. English
• Strong writing, editing, and logical reasoning skills (you can break decisions into clear steps)
• Familiarity with online shopping language and common e commerce situations
• Basic understanding of how AI and LLM style systems behave
• Comfortable working in web based tools and structured task submission workflows
• Important: you must write everything yourself, use of LLMs is prohibited
Benefits
• Fully remote (U.S.)
• Predictable, task based workload (20 hours weekly minimum)
• Clear performance expectations with measurable targets
If you want a remote role where your writing and reasoning are the product, get your application in while the project is actively staffing.
Bring your best “human sounds human” writing and your clean, step by step thinking.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a senior integration engineer role in a healthcare payer BPaaS environment. Translation: you’re building and keeping the pipes working, and when the pipes break at 2:00 a.m., you’re the one they call. If you don’t already have deep healthcare integration reps plus real platform experience (HealthEdge/Salesforce/Edifecs), this is not the lane.
About Firstsource
Firstsource is a global BPM partner supporting enterprise clients across healthcare, financial services, communications, and more.
Schedule
• Remote (U.S.)
• Hours not listed (but “production support” usually implies on-call or escalation coverage)
What You’ll Do
• Architect and deliver scalable integration solutions for payer workflows and data exchange
• Design/optimize APIs, ETL pipelines, and EDI file exchanges
• Lead technical delivery across client engagements using platforms like HealthEdge, Salesforce, and Edifecs
• Partner with architects/engineering/delivery to keep integrations aligned with business goals
• Mentor junior devs, drive code reviews, documentation, and knowledge sharing
• Monitor and resolve complex production integration issues
• Ensure compliance with healthcare security and standards (HIPAA, HITRUST)
What You Need
• Bachelor’s or Master’s in CS/Engineering (or related)
• 8–10 years in software development + systems integration
• Expertise in at least two: HealthEdge, Salesforce, Edifecs
• Strong Java, plus advanced C# or C++
• Strong knowledge of payer data formats and interoperability standards: EDI, HL7, FHIR
• Proven delivery of large-scale healthcare integration work
Nice to Have
• Cloud-native tooling (AWS Lambda/Step Functions, Azure Integration Services)
• DevOps tooling (CI/CD, Docker, Terraform)
• Agile experience + technical leadership/project ownership
Benefits
• Not listed in the posting (E-Verify + drug-free workplace language included)
Backbone moment: this is not “Production Support II” in the helpdesk sense. It’s an integration lead role wearing a support hat. If your background is more customer support than engineering, skip it. If you’re a true senior integration engineer, this is a solid remote target.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a hospital-based, high-complexity coding role for someone who already lives in ICD-10-CM, CPT, HCPCS, and modifiers, and can handle the expensive, messy charts (long stays, high-dollar cases, complex procedures). If you’re not already credentialed and experienced, this one is not “learn as you go.”
About Firstsource
Firstsource provides outsourced services across industries, including healthcare operations support.
Schedule
• Remote
• 8:00 AM–5:00 PM Eastern Time
Pay
• $30–$35/hour (DOE)
What You’ll Do
• Code and abstract high-dollar, complex inpatient/outpatient records, especially discharges with length of stay over 3 days
• Assign ICD-10-CM, CPT-4, HCPCS, APC modifiers accurately and on time
• Code complex record types (examples listed: SDCs, cardiac cath, anesthesia, chemo, radiation oncology, recurring)
• Support HIM Coder I with complex charts for 1–3 day stays
• Use coding judgment aligned to hospital policy and national coding guidelines
• Follow current AHA Coding Clinic Guidelines and UHDDS Official Guidelines
• Configure E&M service levels based on documentation and enter codes/charges appropriately
• Query providers when documentation is unclear or incomplete
• Coordinate with HIM techs for missing documentation/transcribed reports
• Maintain productivity/quality targets and complete assigned reports (ex: “5-days report”)
• Flex into other HIM roles as workload requires
• Represent HIM in court as Custodian of Records (as stated in posting)
What You Need
• High school diploma (or equivalent) + healthcare admin office familiarity
• 5 years coding experience
• Hospital-based coding credentials required
• Required certs: CCS or CPC-H
• Comfort with a mostly sedentary role (lifting up to 10 lbs frequently / 20 lbs occasionally)
Benefits
• Not listed in this posting
Backbone moment: if you don’t already have CCS or CPC-H + hospital coding reps, don’t apply. You’ll burn time and feel frustrated. But if you do have the credentials and the experience, this pay band is way more respectable than most of the “remote healthcare” listings you’ve been dropping.
Happy Hunting,
~Two Chicks…
