Job Title: Build Content Analyst Required: 6-8+ Years
Location: Hyderabad-Hybrid Job Type: Full time
Role Overview:
As a Build Content Analyst, you will design and develop net-new claims-editing logic that drives payment accuracy and transparency across Medicaid, Medicare, and Commercial lines of business. You’ll identify common error patterns, research policy intent, and translate those insights into scalable, automated logic within the platform.
This is a high-impact role for someone who enjoys building from first principles, collaborating across disciplines, and growing technical fluency while applying deep healthcare expertise.
What You’ll Do
- Research and interpret healthcare policy (CMS manuals, CPT/AMA guidance, Medicaid policies, OIG alerts, fee schedules).
- Identify common coding, billing, and reimbursement errors that can be prevented through automated logic.
- Design and develop new claims edits from concept through specification, testing, validation, and deployment.
- Partner with Product and Engineering to ensure edits are scalable, performant, and aligned with platform capabilities.
- Build and execute unit tests and data validation to confirm edits function as intended.
- Support edit decisions with documented policy references and analytical evidence.
- Provide subject matter expertise across professional and institutional claims, including multi-specialty coding scenarios.
- Meet productivity and quality goals while working independently in a remote environment.
What You Bring
- Bachelor’s degree preferred in Healthcare, Technology, or a related field (or equivalent experience).
- 6–8+ years of experience in healthcare coding, billing, auditing, or payment integrity.
- Experience working for a payer, editing vendor, or healthcare technology organization.
- Deep familiarity with Medicare and Medicaid policy, including CCI, OIG guidance, NCDs/LCDs, and fee schedules.
- Strong understanding of end-to-end claims workflows (CMS-1500, UB-04).
- Experience creating claims edits in pre-pay or post-pay contexts.
- Intermediate Excel skills (data manipulation, pivot tables, formulas).
- Strong written and verbal communication skills for cross-functional collaboration.
Nice to Have
- National coding or billing credentials (CPC, CCS-P, RHIA, CCS, CPB).
- SQL skills for claims data analysis or opportunity identification.
- Experience with EDI, CMS-1500, or FHIR mapping.
- Project management experience in healthcare or SaaS environments.