Jobs at Trend Health Partners

Develop and deliver production-grade full-stack software across .NET/C# backend services and React front-end applications. Build reliable, scalable AWS cloud solutions, work with relational and document databases, implement CQRS, and use AI-assisted coding tools and agent-driven workflows. Validate AI-generated code for security, quality, and maintainability; collaborate with Product and QA; participate in code reviews; embed compliance and security; and mentor engineers.

Designs, develops, and maintains data pipelines, workflows, integrations, transformations, and data warehouses. Provides architecture guidance, troubleshoots more than 100 pipelines, supports stakeholders, creates reports, documents processes, participates in code reviews, mentors junior engineers, and translates business requirements into technical solutions while maintaining healthcare data privacy and security compliance.

Researches and analyzes healthcare claims to identify, validate, and recover overpayments for commercial insurers and state healthcare programs. Reviews contracts, payment policies, claims systems, algorithms, and regulatory guidance; resolves disputed overpayments; develops and documents new recovery opportunities; and collaborates with management, clients, providers, and team members to ensure accurate, timely claim analysis and continuous process improvement.

Reviews hospital claims, remittances, EOBs, and payer correspondence to identify underpayments and incorrect adjudications. Interprets contracts and reimbursement methodologies, initiates corrected claims, prepares appeals, follows up with payers, and tracks recoveries. Identifies systemic payment trends, documents cases, collaborates with clients and internal teams, and meets accuracy, recovery, and turnaround KPIs.

Analyzes and recovers healthcare claim overpayments by validating claims, reviewing disputes, researching payer policies, and coordinating adjustments, refunds, and offsets with providers. The role interprets medical, pharmacy, provider, and enrollment data to identify recovery trends and opportunities, supports algorithm development and production documentation, monitors performance, and collaborates with payers, providers, management, and team members.