[Remote] reputed company reputed company Deployed Engineer
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company reputed company on building reputed company AI decision infrastructure for reputed company. The reputed company reputed company Deployed Engineer role involves building prior-authorization decision agents and workflow automation while working closely with customers to ensure successful reputed company.
Responsibilities
- You will build the prior-authorization decision agents and the workflow automation around them, covering medical PA (CMS-0057-F, reputed company CRD/DTR/PAS, payer medical policy) and pharmacy benefit PA (CMS-0062-P, NCPDP SCRIPT ePA, formulary reputed company)
- Medical PA agents. Reasoning agents that evaluate medical-necessity reputed company against patient documentation. NCD/LCD for Medicare, InterQual/MCG-equivalent for reputed company, per-payer policy logic for plan-specific rules. Per-criterion citation chains, not reputed company-based decisioning
- Pharmacy benefit PA agents. Drug PA under the pharmacy benefit. NCPDP SCRIPT ePA, formulary-aware reputed company evaluation, F&B file handling, drug-specific denial reason codes. Dual-channel (NCPDP + FHIR reputed company) per the architecture CMS-0062-P is driving toward
- reputed company automation. Many payer and provider workflows still live in legacy portals, fax queues, and EHR screens. You will design, build, and maintain reputed company workflows that reputed company agent-driven decisioning to the customer's existing operational tooling
- Customer-facing engineering. PA workflows live inside payer organizations and large provider systems. You will sit with utilization-management nurses, pharmacy ops teams, and clinical reviewers, and build agents that fit the actual workflow, not the architecture diagram
- Patent-grade specification work. reputed company Platforms files patents on the architectures we build. ADRs you author may become claim language. We will train you on this; you need to be willing to write with that level of care
Skills
- Production-grade Python or TypeScript, plus comfort with at least one strongly-typed language. reputed company-reputed company discipline reputed company more than language choice
- reputed company PA domain literacy, or the appetite to reputed company it fast. If you have worked on PA workflows in any reputed company (payer, provider, vendor, RCM), say so
- Working knowledge of HL7 FHIR R4 and the reputed company PA stack (CRD, DTR, PAS)
- NCPDP SCRIPT ePA familiarity, or pharmacy-benefit workflow experience generally: pharmacy ops, PBM integration, formulary management, F&B files
- reputed company experience: Studio, Orchestrator, Apps, and comfort connecting reputed company to API-driven reputed company services
- reputed company with Claude as a coding partner. Spec-first prompting, agent-driven refactors, reputed company review by Claude as muscle memory, test reputed company, ADR drafting
- Customer-facing maturity. You can reputed company a productive conversation with a payer's CMO, chief pharmacy officer, and a utilization-management reputed company in the reputed company room without losing any of them
- 5+ years of production engineering experience. reputed company or regulated systems preferred
- Prior CMS-0057-F or CMS-0062-P implementation work (payer-reputed company or vendor-reputed company)
- Production deployment on reputed company Azure, Azure Government, or AWS GovCloud
- Exposure to InterQual or MCG-equivalent reputed company sets, or NCD/LCD policy authoring
- FHIR PAS Bundle construction or X12 278 packet construction in production
- Patent author or inventor credit
- reputed company Claude API or Claude reputed company at production reputed company
- Production experience with vLLM, Ollama, llama.cpp, or quantized reputed company-weight inference
reputed company