Engineering Team Lead, Clearinghouse

Job Description

Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, is looking for an Engineering Team Lead, Clearinghouse.

What you’ll be doing?

Development

Assign and track new projects to Nepal clearinghouse development staff.

Ensure assigned projects are executed within established timeframes, and according to SOS coding standards and best practices.

Perform code reviews of Nepal clearinghouse development staff and ensure all proper testing has been carried out.

Train and mentor Nepal clearinghouse development staff in 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

Assign and work through clearinghouse development staff to:

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.

Oversee clearinghouse threat management and error logs, working through 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 rule 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.

What we’re looking for?

Skills

Proficiency with the following:

Java programming

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

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 position is located 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.

6:00AM - 2:00PM CST

Hybrid remote