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…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This role is for someone who knows healthcare payer core admin systems and can translate benefit and pricing requirements into clean, tested platform configuration. If you’ve configured Facets, QNXT, or HealthRules Payer and you understand how Medicare, Medicaid, and Commercial rules differ in the real world, this is a strong target.
About Firstsource
Firstsource supports enterprise operations and technology services in complex, regulated industries, including healthcare.
Schedule
• Remote (U.S.)
• Schedule not listed in posting
What You’ll Do
• Configure healthcare payer core administrative platforms (core admin/claims systems)
• Set up benefits, system parameters, and pricing requirements across lines of business (Medicare, Medicaid, Commercial, Individual-Exchange)
• Gather and document configuration requirements with clients and internal stakeholders
• Design configuration solutions, incorporate feedback, and secure approvals before implementation
• Execute approved configuration builds accurately against client specs
• Partner with testing/QA teams to validate configurations, review results, and adjust as needed
What You Need
• 2+ years of configuration experience in at least one of these: HealthRules Payer, Facets, or QNXT (U.S. health insurance)
• Experience configuring across Medicare, Medicaid, Commercial, and Individual-Exchange lines of business
• Strong communication skills and ability to work directly with clients and internal teams
Nice to Have
• HealthEdge HealthRules Payer (HRP) configuration (preferred)
• HealthEdge Source (Burgess) or HealthEdge GuidingCare experience (plus)
Benefits
• Not listed in the posting
• Notes: E-Verify participation and drug-free workplace language included
Quick gut-check: if you haven’t touched Facets/QNXT/HRP configuration hands-on, don’t waste your time here. This isn’t “learn on the job” friendly. But if you have the platform experience, it’s a clean remote role in a niche that stays in demand.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a senior integration builder role. You’ll design and maintain the plumbing that lets a BPaaS platform talk cleanly to everything else: claims, billing, clinical systems, partners, middleware, ETL, APIs, and files. If you’re strong in Python + enterprise integrations in regulated environments, this one is built for you.
About Firstsource
Firstsource supports enterprise operations for complex industries, including regulated environments like healthcare and financial services, with technology-enabled solutions.
Schedule
• Remote (U.S.)
• Schedule not listed in posting
What You’ll Do
• Design, build, and maintain integrations across a BPaaS platform (claims, billing, clinical, member/provider systems, etc.)
• Develop reusable Python-based tools for data transformation, workflow automation, and integration pipelines
• Configure and manage middleware/ETL integrations using OnBase (or similar tools like MuleSoft, Boomi, Informatica, Talend, SnapLogic)
• Support ETL processes to ensure clean extraction, transformation, and loading into target systems
• Collaborate with analysts, architects, and QA to deliver scalable solutions that meet compliance requirements
• Participate in solution design sessions, code reviews, and technical documentation
• Troubleshoot and optimize existing integrations for performance, resilience, and maintainability
• Ensure integrations align with security standards and HIPAA/SOC2 governance
• Mentor junior developers and help enforce best practices around coding, version control, and integration management
What You Need
• Bachelor’s degree in CS/IS (or equivalent experience)
• 7+ years in software development and system integration
• Strong Python skills (automation, APIs, scripting, data transformation, packages)
• Experience with Edifecs middleware or comparable ETL/integration tools
• Integration experience across REST/SOAP APIs, message queues (Kafka/RabbitMQ), and file-based methods (SFTP, JSON, XML, flat files)
• Solid database skills (SQL Server, Oracle, PostgreSQL, etc.)
• Cloud experience (Azure, AWS, GCP) and hybrid integration patterns
• Strong debugging and performance optimization ability
Nice to Have
• Healthcare payer systems experience (claims, enrollment, billing, clinical, provider/member)
• Familiarity with platforms like HealthEdge HRP, GuidingCare, Edifecs
• DevOps pipeline experience (CI/CD, Git, Jenkins, Azure DevOps)
• BPaaS or SaaS multi-tenant architecture experience
• Mentorship or small-team leadership experience
Benefits
• Not listed in the posting
Quick reality check: this one is senior. If you don’t already have deep integration reps (middleware + ETL + APIs + regulated compliance), it’s going to be a stretch. If you do, it’s a strong remote gig to target.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 12, 2025 | Uncategorized
This is a builder’s role at a seed-stage company that’s already showing traction (low churn, high NPS). If you love crafting clean UI, obsess over performance, and get excited about canvas tools and real-time collaboration, Atarim is calling your name.
About Atarim
Atarim is a web development collaboration platform that lets teams create, track, and discuss website changes directly on live pages. Their mission is to make web development and collaboration seamless, efficient, and enjoyable for teams worldwide.
Schedule
• Full-time
• Remote (UK-based requirement)
• Work shift: Not specified in posting
What You’ll Do
• Build advanced UI/UX with React 18, TypeScript, and Vite, focused on real-time collaboration and smooth interactions
• Develop and improve a canvas-based image editing tool (drawing, annotations, image manipulation) with strong performance
• Implement and optimize state management using Redux Toolkit and Redux Query for efficient data flow and real-time updates
• Create pixel-perfect, accessible interfaces using Tailwind CSS and Radix UI, with animations via Framer Motion
• Monitor and improve app performance using tools like Sentry and PostHog
• Write and maintain tests using Vitest and React Testing Library
• Integrate REST APIs in partnership with a Laravel backend team
• Stay current on React ecosystem best practices while balancing stability and innovation
• Contribute to documentation and living style guides using Storybook
What You Need
• Proven professional React development experience
• Strong TypeScript skills and comfort with typing systems
• Experience building canvas-based apps and image manipulation tools
• Deep experience with Redux Toolkit and modern state management patterns
• Strong Tailwind CSS and component-based architecture skills
• Accessibility experience with modern UI libraries
• Performance optimization chops in React
• Git proficiency and comfort with modern CI/CD workflows
• Testing experience and best practices knowledge
• Strong problem-solving skills and collaborative communication style
Nice to Have
• Real-time/collaborative feature experience
• Image processing or computer graphics background
• Storybook experience building component libraries and style guides
• WebGL or advanced canvas optimization experience
• Familiarity with Laravel/PHP backends
• Browser extension development experience
• Knowledge of web scraping or proxy-based solutions
Benefits
• Competitive salary with performance-based incentives
• High-growth startup environment with meaningful ownership and impact
• Flexible remote work setting
• Supportive, innovative culture with learning and development opportunities
• Access to modern tools and technologies
• Fast-moving environment that values proactive problem-solving
If you’re UK-based and you’ve got the React + TypeScript + canvas chops, this is a legit “build something big” opportunity.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 11, 2025 | Uncategorized
Support life-saving work from home as a Service Desk Technician with Digitech, part of the Sarnova family of companies. In this role, you’ll be the first line of help for internal and external users, troubleshooting technical issues, updating documentation, and keeping critical EMS billing systems running smoothly.
About Digitech (Sarnova)
Digitech provides advanced cloud-based billing and technology services to the EMS transport industry, helping emergency medical providers manage the full revenue lifecycle with speed, accuracy, and compliance. As part of Sarnova’s family of companies, Digitech supports those who save and improve patients’ lives through technology that keeps their operations moving.
Schedule
- Full-time, fully remote (United States)
- Must be able to work an on-call rotation
- Weekend and holiday shifts required at times to meet client demand
What You’ll Do
- Provide technical support to internal and external users via tickets, email, and other channels
- Troubleshoot software, hardware, and desktop issues, primarily in Windows environments
- Escalate complex problems to senior technicians or specialized teams when needed
- Create, update, and maintain knowledge base articles and process documentation
- Follow established procedures and documentation to resolve support requests
- Participate in an on-call rotation and assist during weekends/holidays as required
- Perform other related duties as assigned
What You Need
- High school diploma required
- CompTIA A+ certification or equivalent work experience
- Strong desktop support skills, especially with Windows systems
- Excellent listening, written, and verbal communication skills
- Ability to read and understand technical manuals and procedural documentation
- Prior remote work experience preferred
- Reliable, self-motivated, and comfortable working independently in a fully remote role
Benefits
- Work 100% remotely within the United States
- Be part of a mission-driven organization supporting EMS and healthcare professionals
- Join a diverse, inclusive team focused on serving those who save and improve patients’ lives
If you’re solid with Windows support, comfortable handling tickets and calls, and ready to be part of a team that supports emergency medical services from behind the scenes, this is your lane.
Happy Hunting,
~Two Chicks…
