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Principal Software Engineer - Healthcare RCM Domain

Remote / Online - Candidates ideally in
Illinois, USA
Listing for: Streamline Healthcare Solutions, LLC
Remote/Work from Home position
Listed on 2025-11-08
Job specializations:
  • Software Development
    Software Engineer, Cloud Engineer - Software
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below
Principal Software Engineer - Healthcare RCM Domain page is loaded## Principal Software Engineer - Healthcare RCM Domain remote type:
Remote locations:
Illinois:
New Jersey:
New Hampshire:
Missouri:
Mississippi posted on:
Posted 22 Days Agojob requisition :
R-100230
*
* Job Description:

** We are seeking an experienced and highly skilled Senior Principal Software Engineer who is proficient in EHR based workflows pertaining to Revenue Cycle Management to join our team. This is a senior-level position focused on building innovative solutions for the healthcare industry, leveraging a wide array of technologies and frameworks. If you have a deep understanding of ETL processes, strong SQL Server expertise, and a passion for working on high-impact, complex healthcare data systems, we would love to hear from you.

This is a remote position based in the United States. Visa sponsorship is not available for this role.
** Responsibilities of the Principal Software Engineer**:
* Lead the design, development, and implementation of robust, scalable software solutions for the healthcare domain, ensuring alignment with business goals and technical requirements.
* Architect and develop ETL solutions using SSIS (SQL Server Integration Services) and Azure Data Factory to support data movement and transformation.
* Develop and maintain efficient, optimized SQL queries and scripts; collaborate with other team members to ensure seamless database interactions.
* Analyze and optimize SQL performance, leveraging advanced techniques such as SQL Profiler and SQL Execution Plans to identify bottlenecks and improve query performance.
* Develop and maintain healthcare reporting systems using SQL Server Reporting Services (SSRS) to provide accurate and actionable insights.
* Collaborate closely with cross-functional teams including data architects, business analysts, and stakeholders to ensure data flows and business logic are correctly implemented.
* Provide mentorship to junior and mid-level engineers, helping them to grow in their technical skills and develop best practices.
* Stay up to date with the latest trends and technologies in the software development and healthcare industries, ensuring the team is using the most effective tools and practices.
* Participate in code reviews, ensuring high code quality and adherence to software engineering best practices.
** Requirements for the Principal Software Engineer**:
* 12+ years of proven experience in software engineering, with a strong focus on the healthcare domain and healthcare data systems.
* Proficient in EHR based workflows pertaining to Revenue Cycle Management.
* Strong working knowledge of X12 EDI transaction sets, with a particular focus on 837P/837I (Claims), 835 (Electronic Remittance), and 276/277 (Claim Status).

Experience with healthcare billing formats such as UB-04 and CMS-1500.
* Familiarity with Medicaid and Medicare services, including regulatory requirements and payer-specific implementations. Ability to interpret and troubleshoot EDI files, ensuring compliance with HIPAA standards and payer-specific guidelines.
* Enterprise-class software architectural experience with a solid understanding of considerations of scale, support, and implementation.

Experience with Microsoft tech stack hosted on Azure desired
* Expertise in ETL processes, including hands-on experience with SSIS (SQL Server Integration Services) and Azure Data Factory.
* Deep working knowledge of SQL Server, including database design, optimization, and advanced SQL scripting.
* Strong understanding of SQL performance tuning, including experience with SQL Profiler and analyzing SQL Execution Plans.
* Experience in developing reports using SQL Server Reporting Services (SSRS) to deliver accurate business intelligence.
* Exposure to ASP.Net, C#.Net, and JQUERY with the ability to develop, enhance, and maintain web-based applications and services.
* Strong analytical and problem-solving skills, with the ability to quickly troubleshoot and resolve complex technical issues.
* Strong knowledge of software engineering best practices and methodologies, including agile development, continuous integration and deployment, and…
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