Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Software Engineer I, Capture Automation to join our team! What you’ll be doing? Analysis & Resolution Identifies root causes of quality issues related to our capture solutions Triages and prioritizes identified issues based on impact Identifies solutions to address root causes, or solutions to mitigate the impact of issues. Applies analytical and business knowledge to address identified issues with our capture processes while adhering to SDS coding standards and policies. Evaluates potential downstream impacts of updates made to various parts of our capture pipeline. Identifies pain-points and recommends improvements to existing capture processes and systems. Project Development Assist with the development and maintenance of capture pipelines Document updates, testing, and technical production monitoring plans Draft internal descriptions and diagrams of workflow processes Communication Communicates to support teams regarding updates that may impact one of their respective customers. Communicates with other internal teams as needed Communicates to team lead, manager or COO on any critical production issues related the capture pipeline or other downstream processes. Adheres to SDS’s courteous and professional, written and verbal, communication standards. Performs other related duties as assigned. Work Patterns Resolve assigned tasks in an efficient and effective manner. Works independently with minimal guidance Leverages the expertise of other developers in the team on specific modules Performs other related duties as assigned. What we’re looking for? Skills Proficiency with Java Proficiency with Unix-like operating systems Proficiency with Windows operating systems Knowledge of relational databases Oral Communication Written Communication Math Aptitude Organization Professionalism Reading Time Management Qualifications 2 or 4 year technical degree (or equivalent) Experience with technologies listed in previous section. Location: This position is based in our Nepal office. Why this is the company for you? Top Benefits & Perks: A company culture that is authentic, innovative, and collaborative! Our most powerful strength is our people! We build impactful solutions for our customers - their success is our success! A professional development and growth-oriented workplace. Generous benefits including medical/accidental insurance and Social Security Fund contribution. Work-life balance with a 5-day work week and leaves as per the Labor Law of Nepal. Hybrid work opportunity. Who is Smart Data Solutions? Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations. Smart Data Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Work Shift: 4:00 PM - 12:00 AM Nepal Time
As a Software Engineer I, Monitoring at Smart Data Solutions (SDS), you will play a crucial role in the monitoring and incident management of software products to ensure the health, performance, and availability of systems. You will collaborate with support and implementation teams to implement preventive solutions, maintain detailed incident logs, and provide post-mortem analysis for continuous improvement. Additionally, you will be responsible for system performance optimization, assignment of workflow improvements, and defect fixes to Monitoring Engineers. You will also develop and deploy automated processes for monitoring and maintenance tasks, ensuring comprehensive coverage across infrastructure, applications, and services. Your role will involve developing custom scripts and automation solutions to extend monitoring capabilities, maintaining alerting mechanisms, and identifying automation opportunities for system-wide reduction of alerts and errors. Collaboration and communication with product and engineering teams to understand software architecture and performance goals will be essential. You will also be responsible for creating and maintaining documentation for monitoring configurations, processes, and incident resolutions, as well as generating regular performance reports and analytics. To excel in this role, you should have a Bachelor's degree in Computer Science, Engineering, or a related field, with 4+ years of experience in software monitoring, system performance analysis, or a related role. Proficiency in monitoring tools like Datadog, New Relic, Prometheus, or equivalent, as well as hands-on experience with Java, SQL, Unix-like operating systems, and Windows operating systems is required. Strong troubleshooting skills, familiarity with agile development methodologies, and knowledge of relational databases are also key qualifications. Smart Data Solutions offers a dynamic work environment with top benefits and perks, including a supportive company culture, professional development opportunities, medical/accidental insurance, and a hybrid and remote work option. By joining Smart Data Solutions, you will be part of a technology vendor with 22 years of healthcare experience, focused on automation, data extraction, and AI engines to transform healthcare operations. With a commitment to innovation and growth, Smart Data Solutions is dedicated to providing value-added services and meaningful insights to clients in the healthcare industry. Smart Data Solutions is an equal opportunity employer, providing a diverse and inclusive workplace for individuals to thrive and contribute to the company's success. If you are passionate about technology, automation, and healthcare operations, this role as a Software Engineer I, Monitoring at Smart Data Solutions is an exciting opportunity to make a meaningful impact and drive continuous improvement within the organization.,
As a Software Engineer I, Machine Learning at Smart Data Solutions, you will be responsible for building, deploying, maintaining, troubleshooting, and enhancing machine learning models. Your role will involve designing and implementing new applications that utilize machine learning and related technologies, as well as developing and enhancing machine learning infrastructure. Additionally, you will analyze and automate existing processes using machine learning and investigate and resolve issues related to machine learning processes. Other duties may be assigned to you as necessary. To qualify for this position, you should possess a 4-year degree in computer science or an equivalent field. You must have at least 1 year of experience working with machine learning, natural language processing (NLP), or deep learning concepts. Proficiency in at least one modern object-oriented programming language such as Python, Java, C#, or C++ is required. Knowledge of common machine learning, NLP, computer vision, and data science libraries is essential, along with basic relational database knowledge (MySQL) and basic Unix-like operating system knowledge. Experience with Git/Version Control, strong organizational skills, and the ability to analyze processes for improvements are also necessary. Additionally, you should have excellent writing skills for process documentation and communication, the ability to understand and follow written policies and procedures, and prompt communication responsiveness. Smart Data Solutions offers a company culture that is authentic, innovative, and collaborative, with a focus on building impactful solutions for customers. The company values professional development and offers a growth-oriented workplace. Employees benefit from medical/accidental insurance, Social Security Fund contribution, and a competitive paid time off package. The environment at Smart Data Solutions is flexible, with various types of paid time off including vacation, holiday, give-back day, and a floating day. Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability, helping clients digitally transform their operations and deliver tangible value through cost reduction, streamlined workflows, and improved customer experience. With a focus on data, AI, and automation, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization, and Claim Operations. The company is trusted by over 500 clients, including Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners, to streamline complex front, middle, and back-office operations. Smart Data Solutions is an equal opportunity employer.,
As a Software Engineer I, Machine Learning at Smart Data Solutions, you will be responsible for building, deploying, maintaining, troubleshooting, and enhancing machine learning models. Your role will involve designing and implementing new applications that utilize machine learning and related technologies, as well as developing and enhancing machine learning infrastructure. Additionally, you will analyze and automate existing processes using machine learning and investigate and resolve issues related to machine learning processes. Other duties may be assigned to you as necessary. To qualify for this position, you should possess a 4-year degree in computer science or an equivalent field. You must have at least 1 year of experience working with machine learning, natural language processing (NLP), or deep learning concepts. Proficiency in at least one modern object-oriented programming language such as Python, Java, C#, or C++ is required. Knowledge of common machine learning, NLP, computer vision, and data science libraries is essential, along with basic relational database knowledge (MySQL) and basic Unix-like operating system knowledge. Experience with Git/Version Control, strong organizational skills, and the ability to analyze processes for improvements are also necessary. Additionally, you should have excellent writing skills for process documentation and communication, the ability to understand and follow written policies and procedures, and prompt communication responsiveness. Smart Data Solutions offers a company culture that is authentic, innovative, and collaborative, with a focus on building impactful solutions for customers. The company values professional development and offers a growth-oriented workplace. Employees benefit from medical/accidental insurance, Social Security Fund contribution, and a competitive paid time off package. The environment at Smart Data Solutions is flexible, with various types of paid time off including vacation, holiday, give-back day, and a floating day. Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability, helping clients digitally transform their operations and deliver tangible value through cost reduction, streamlined workflows, and improved customer experience. With a focus on data, AI, and automation, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization, and Claim Operations. The company is trusted by over 500 clients, including Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners, to streamline complex front, middle, and back-office operations. Smart Data Solutions is an equal opportunity employer.,
As a technology leader in healthcare process automation and interoperability, Smart Data Solutions (SDS) company is a strategic partner that utilizes data and intelligent automation to digitally transform operations and deliver outcomes for clients which reduces costs, streamline workflows, and improves overall customer experience. Looking to the future, Smart Data Solutions has ambitious growth plans for the next few years and is currently seeking a Technical Design Engineer to join our growing team. Lead the design of robust, scalable, and secure software architectures, ensuring compliance with industry standards such as HIPAA and HL7. Translate business requirements into technical specifications for developers. Evaluate and recommend appropriate technologies, frameworks, and tools to meet business and technical requirements. Architect seamless integrations with other systems, including APIs and third-party vendors, to ensure interoperability and efficient data exchange. Define and implement best practices for application performance and scalability. Ensure all solutions adhere to data security and privacy regulations, including encryption, authentication, and access control measures. Partner with product managers, developers, and stakeholders to align technical architecture with business goals and product roadmaps. Create and maintain comprehensive documentation for architectural design, decisions, and guidelines. Bachelors or Masters degree in Computer Science, Software Engineering, or related field. 5+ years in software development and 2+ years in technical architecture or lead role. Experience with integration frameworks like FHIR, or similar standards. Strong knowledge of programming languages: JAVA, SQL, HTML & JS. Deep understanding of database technologies (SQL, NoSQL). Excellent analytical and problem-solving skills. Proficiency in SQL, Visio, Excel, Word, PowerPoint, and other related business applications. Ability to work in a fast-paced environment with changing priorities and competing demands. Strong organizational and time management skills. Excellent oral and written communication skills are a must. Top Benefits & Perks: A company culture that is authentic and values teamwork, humility, and fairness! We work hard for our customers and have fun along the way! A professional development and growth-oriented workplace. Generous benefits including medical/accidental insurance and Social Security Fund contribution. Work-life balance with a 5-day work week and leaves as per the Labor Law of Nepal. Hybrid work opportunity. Smart Data Solutions is a technology vendor that brings 22 years of healthcare experience using intelligence and automation to extract data from front office mailroom operations. Today, the company is expanding out from its front office focus and targeting its open-source automation and AI engines toward the entire healthcare operations value chain. One of the key benefits of working with Smart Data Solutions is their specialized approach to data capture and automation. Smart Data Solutions takes a comprehensive approach to image and document processing, using multiple engines and hundreds of thousands of lines of code to ensure accuracy and make sense of data. Smart Data Solutions has also invested heavily in EDI interoperability, with clearinghouse capabilities that enable them to pivot towards providing value-added services. Using the data they have collected, they are able to offer population health insights to clients, helping them make informed decisions about their largest areas of spending and identifying potential opportunities for cost savings. Smart Data Solutions global headquarters are just outside of St. Paul, MN with 400+ employees and leverages dedicated onshore and offshore resources as part of its service delivery model. The company counts over 500 healthcare organizations as clients, including multiple Blue Cross Blue Shield state plans, regional health plans and TPAs, handling over 2 billion transactions of varying types annually with a 98%+ customer retention rate. SDS plans to continue investments into meaningfully in automation and machine learning capabilities across its tech-enabled processes to drive scalability and greater internal operating efficiency while also improving client results. SDS has partnered with a leading growth-oriented investment firm, Parthenon Capital Partners, and the Blue Venture Fund, a unique collaboration among Blue Cross Blue Shield (BCBS) companies, to further accelerate expansion and product innovation. Smart Data Solutions acquired JMS and Associates in Q3 of 2022. The combination of both SDS and JMS tech-enabled solutions will bring greater operational efficiency through automation to various markets across the healthcare industry. We are able to provide a greater product suite, allowing us to broaden the scope of our solutions to solve more business challenges for our clients and across the industry. Smart Data Solutions is an equal opportunity employer.,
Software Engineer I, Implementation Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for a Software Engineer I, Implementation to join our team! The Software Engineer of Implementation will be a dynamic and highly skilled Software Engineer specializing in Java-based software implementation. In this role, the engineer will be responsible for configuring, customizing, and deploying our Java-based solutions for clients. The engineer will work closely with cross-functional teams to ensure successful implementation, seamless integration, and high-quality deliverables that meet customer requirements. What you’ll be doing? Development Implement projects assigned to the clearinghouse development staff. Ensure assigned projects are executed within established timeframes, and according to SOS coding standards and best practices. Submit code for review of clearinghouse management and ensure all proper testing has been carried out. Participate in clearinghouse training on the concepts of the clearinghouse business and technical environment. Proactively work to optimize the performance and reliability of clearinghouse systems and customer processes Other duties as assigned. Support work through clearinghouse assignments: Troubleshoot processes when defects or malfunctions arise. Identify, implement, test, and deploy fixes for defects and malfunctions. Communicate professionally with internal and external customers to understand issues and provide timely support and resolution. Work with clearinghouse threat management teams and error logs, working with support engineer staff to: Ensure all threats are investigated and cleared in a timely manner. Implement permanent corrective updates for threats and errors. Monitor clearinghouse production, identify delayed or incorrectly processed transactions, and apply corrective actions. Use "automation first" approach to minimize manual intervention related to clearinghouse production. Other duties as assigned Business Analysis Create and maintain accurate business rules and technical process documentation related to customer workflows and SOS systems. Management Hold clearinghouse developers and support engineers accountable for delivering assignments on-time and compliant to SOS coding standards and best practices. Identify underperforming staff members and work with Clearinghouse Implementation Manager to execute appropriate corrective action. Skills and Qualifications Skills Proficiency with the following: Java programming, Intellij Windows and Linux operating systems Fundamentals of IP networking Relational databases and SQL Server SOS clearinghouse job and database structures Clearinghouse industry concepts and workflows EDI Oral Communication Written Communication Math Aptitude Organization Professionalism Reading Time Management Qualifications At least a bachelor's degree in Computer Science or equivalent Experience with technologies listed in previous section Location: This is a role based in our Nepal office. Work Shift: 7:45 PM - 3:45 AM Why this is the company for you? Top Benefits & Perks: A company culture that is authentic and values teamwork, humility, and fairness! We work hard for our customers and have fun along the way! A professional development and growth-oriented workplace. Generous benefits including medical/accidental insurance and Social Security Fund contribution. Work-life balance with a 5-day work week and leaves as per the Labor Law of Nepal. Hybrid and Remote work opportunity. Who is Smart Data Solutions? Smart Data Solutions (SDS) is a technology leader in healthcare process automation and interoperability. As a strategic partner, SDS helps clients digitally transform their operations, delivering tangible value through reduced costs, streamlined workflows, and an improved customer experience. With data, AI, and automation at its core, SDS provides solutions in Digital Mailroom and Data Capture, Clearinghouse, Intelligent Medical Records, Prior Authorization and Claim Operations. Trusted by over 500 clients—including multiple Blue Cross Blue Shield plans, regional health plans, TPAs, providers, and healthcare partners—SDS streamlines complex front, middle, and back-office operations. Smart Data Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status.
As a Capture Automation Engineer at Smart Data Solutions (SDS), you will play a crucial role in enhancing the performance, efficiency, and scalability of the SDS capture automation platform. Your responsibilities will include working closely with the Capture Automation Manager to implement augmentation and refactoring plans, monitoring and responding to quality tickets, analyzing automation and quality issues, and executing development and configuration projects. Your contributions will directly impact the fast response and correction of quality and automation issues, leading to improved capture automation systems and consistently meeting or exceeding automation, accuracy, and TAT metrics. **Key Responsibilities:** - Work with Capture Automation Manager to devise and implement augmentation and refactoring plans for SDS capture automation platform components - Monitor and respond to quality tickets, engaging in issue research/correction and trend analysis - Monitor and report on automation and quality metrics and trends - Analyze automation and quality issues to identify appropriate remediations - Execute assigned development and configuration projects with on-time completion - Assist with other duties as assigned **Qualifications Required:** - Deep and broad experience and understanding of foundational systems composing the SDS capture automation platform - Ability to creatively conceive and execute automation and accuracy methods - Proficiency in Java Programming, best practices, memory efficiency, CPU efficiency, networking efficiency, and MySQL query and index optimization - At least a 2-year technical degree (or equivalent) - 1+ years of similar experience - Experience with technologies listed in the previous section Smart Data Solutions (SDS) is a technology vendor with 22 years of healthcare experience, specializing in healthcare process automation and interoperability. The company is known for utilizing data and intelligent automation to digitally transform operations, reduce costs, streamline workflows, and improve customer experience. SDS has an ambitious growth plan and is currently expanding its automation and AI engines across the entire healthcare operations value chain. With a focus on data capture and automation, SDS offers population health insights to clients, leveraging automation and machine learning capabilities to drive scalability and operational efficiency. SDS global headquarters are located just outside of St. Paul, MN, with over 400 employees and a client base of 500+ healthcare organizations. The company has a customer retention rate of over 98% and is committed to continuous investments in automation and machine learning to enhance client results. SDS has recently acquired JMS and Associates, further expanding its tech-enabled solutions and product suite to solve more business challenges in the healthcare industry. Join Smart Data Solutions to be part of a company culture that values teamwork, humility, and fairness. Enjoy professional development opportunities, generous benefits, and a supportive work-life balance with hybrid and remote work options. As an equal opportunity employer, Smart Data Solutions is dedicated to fostering a diverse and inclusive workplace where employees can thrive.,