Healthcare + Heroes

**No outside agencies please**

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Summary 

We are looking for an enthusiastic Web / UI / WordPress Developer to join our passionate team of high-impact problem solvers. You will build various WordPress and custom websites for public-facing lead generation sites. You will work closely with our Marketing team and other engineers to implement solutions that will drive traffic to our sales team. 

Key Responsibilities

• Evaluation, implementation, and customization of various WordPress plugins

• Maintaining and modifying various WordPress sites

• You'll build entire, hand-crafted responsive sites from scratch

• Website performance and search optimization experience

• Expertise working with APIs (creating & consuming endpoints) to create integrated features in WordPress

• Proven solid understanding of web application development processes, from the layout/user interface to relational database structures

• Work quickly and carefully to complete small edits requested by customers, develop plans for completing larger projects, collaborate with colleagues and suggest new solutions to improve existing websites

• Experience managing WordPress databases and handling data securely

PM20

**No outside agencies please**

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Summary

We are looking for a talented Front-End engineer to join our team. The ideal engineer has a mastery of modern front-end frameworks, years of experience with React, Angular, and the ability to work with architects to convert designs into perfect, usable applications. You will work on a mix of customer facing and internal tools.

Key Responsibilities

• Articulate how users perceive performance and how to optimize their needs
• Own and led the delivery of major features and components
• Basic understanding of how to design RESTful APIs that are optimized for responsive, interactive mobile experiences
• Assist back-end developers with coding and troubleshooting
• Identify and communicate best-practices to the team
• Think creatively about solutions and are able to test your many hypotheses

Ideal Candidate Will Have:

• You are awesome with web technologies. Live and breathe JavaScript
• Believes the best code is something that is highly extensible and modular
• Is relentless. You'll spend the time to make sure that the whole experience is perfect
• Has a great positive can-do attitude. Every challenge is an opportunity for you to shine.
• You have a ‘get things done’ attitude and thrive in a high-energy, fast-paced environment
• You are eager to develop something large and scalable and be part of an organization that is solving real problems

PM20

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Summary

Reporting to Solutions Architect/Lead Engineer, the primary objective of this position is to design and develop automated testing for software quality assurance efforts contributing to the quality release of all the company’s products. This position requires a talented Software Developer who demonstrates an advanced level of technical abilities and depth of technical and testing knowledge. The candidate should be someone who takes complete ownership of the test suite and continually looks for ways to improve test coverage. This position requires the person to be familiar with the complete SDLC and have knowledge of test processes, planning, and reporting. Excellent written and oral communication skills are required to create supporting documentation, including test plans, use cases, bugs, and status reports. This position requires having a proven track record of delivering quality projects within very tight deadlines.

Key Responsibilities

• Lead, coordinate, track, and report on test automation activities.
• Develop automated tests for APIs, web and mobile applications, and performance.
• Develop automated tests that can be used to rigorously test systems and applications.
• Implement an automated testing approach that is maintainable, is not brittle, and can be supportive of code re-use.
• Devise, develop, and implement automated testing for CI/CD.
• Plan, design, develop, and execute automated tests ensuring thorough coverage and exhaustive testing of all software system components to ensure compliance with functional/system specifications.
• Identify software quality risks and anticipate potential software problems at the earliest possible instance.
• Communicate automated test progress, test results, and other relevant information to project stakeholders.
• Educate and train QA team members in test automation.
• Self-motivated, ability to work in a team environment or independently with minimal supervision.
• Cultivate and disseminate knowledge of quality assurance test automation best practices.
• Participate in defect triage meetings with Client's UAT and Business teams.
• Provide feedback on functional and technical designs and specifications.
• Performs other related duties as assigned.

PM20

**No outside agencies please**

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Summary

We are looking for a core team member to join the SureCo family. This position is tailor made for a highly motivated, go-getter who has the desire to develop products that solve real-world problems. Ideal candidate is someone who is a creative problem solver, resourceful in getting things done, and productive working independently or collaboratively.

We are still a small team and the opportunity to take on a big role and have huge impact is very real. Our culture is collaborative, focused, and fast-paced. If you're the best at what you do and our mission resonates with you, we'd love to have you join us.

Key Responsibilities

• 5 - 7 years of hands on experience with C# ASP.NET MVC?Core?2.2+?or Full framework?4.5+?
• Experience with data delivery to/from Angular / React front ends
• Experience building application back-ends with REST based APIs via JSON
• Work closely with marketing and other stakeholders to define and prioritize upcoming features
• Work closely with UX/Design to ensure innovative and easy to use product
• Work closely with test engineering and executive stakeholders to ensure product quality.
• Advanced knowledge?with?database design?(RDBMS?& NoSQL)?
• Strong working knowledge of building web applications
• Identify technical risk at the solution and project level; provide input to project scope and design strategies to mitigate risk
• Support the project management team in producing software and resolving technical issues throughout the project lifecycle. Explain technical concepts and interface with external technical counterparts
• Scrum / Agile environment?
• Implement SOLID and design pattern principals?
• Experience with Git and?GitFlow?
• Experience?with CI/CD, preferably Azure DevOps?
• Implement secure code and code security best-practices

PM20

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team-driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Key Responsibilities

• Screens and prioritizes incoming Prior Authorization requests.
• Supports clinical staff (nurses, physicians, etc) involved in the Prior Authorization process.
• Process incoming requests, including completing the authorization for specific and limited services, based on established guidelines.
• Forwards authorization requests that require clinical judgment to Prior Authorization nurse, Manager, or Medical Director.
• Maintains a full caseload while meeting or exceeding designated metrics and turn-around time-frames.
• Answers inbound calls from providers and other departments, verifies member eligibility and enters the information necessary to complete the caller’s request into the designated database.
• Identifies and informs callers of network providers, services, and any other available member benefits.
• Informs providers of the decision on their requests, per department procedure.
• Assists with the resolution of escalated member or provider inquiries related to Prior Authorization.
• Serves as subject matter expert for members, providers, and internal departments to promote an understanding of Prior Authorization requirements and processes.

PM20

*No outside agencies please*

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team-driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

This position is Full-Time, Monday-Friday, 1-Hr Lunch + Overtime (when necessary)

Responsibilities:

• Electronic submission of client applications (great attention to detail)
• Data entry
• Customer service/client relations - managing incoming calls & customer service inquiries
• Follow communication procedures, guidelines, and policies
• Making sure pending requirements for policies are fulfilled accurately and in a timely manner

PM20

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members!

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.

Summary

The Concierge Team serves providers to facilitate the delivery of healthcare acting as an ambassador on behalf of the member. In a contact center work-environment, the Concierge Team deploys empathy, problem-solving skills, and perseverance to exceed the expectations of its members and providers. The Concierge Team will respond to all member and provider inquiries delivering top caliber service through multiple communication channels. With the assistance of data and technology, we guide providers through scheduling, benefits, medical bills, Pre Auth status, and care services to ensure a high value experience.

Key Responsibilities

• Respond to the inbound provider communications (call, text, email, chat, fax, etc.) while adhering to designated protocols and service responses while providing exceptional customer service
• Assist in cases requiring additional non-clinical follow-up and care coordination, including, but not limited to eligibility, scheduling appointments, program benefits, medical bills, provider network inquiries, Pre authorizations, and care management program assistance, etc.
• Communicate and collaborate with interdisciplinary teams, when needed ensure effective soft transfers with utilization management and clinical teams
• Accurately collects and documents the appropriate level of information to facilitate resolution and identify trends
• Function as a detective to find creative solutions to difficult problems
• Ensure problem resolution or smoothly transition to a higher-level advocate or manager when appropriate
• Participate in process improvement activities by openly sharing thoughts, ideas, and constructive feedback to technical, and management
• Recognizes the presence of provider issues that may require immediate clinical assessment or action, notifies clinical staff, and follow up/updates provider weekly until resolved
• Closely monitors all open cases, updating provider and/or member on a weekly basis until issue is revolved
• Proactively making outbound calls to providers educating who we are, how we work, and why they should work with us -persuade participation-
• May send reimbursement and appeal forms and walk them thru that process
• Responds appropriately to inquiries and complaints. Can troubleshoot and problem solve independently as situations occur
• Ensures adherence to daily operating metrics systems
• Other duties and projects as assigned

PM20

* Only local candidates will be considered *

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members! 

If you are looking for a company focused on making real change, high energy, and team driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for. 

Summary

The EDI Specialist is responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits, and rejection reports. This position is responsible for handling all correspondence related to the Share Plan patient account, contacts within multiple departments, agents, and other facilities as needed to get maximum payment on claims. Will also identify issues or changes to achieve client profitability.

PM20

*No outside agencies please*

* Only local candidates will be considered *

SureCo is a PURPOSE driven company that’s dedicated to disrupting our broken healthcare system. We’re 100% focused on driving down the cost of healthcare and improving the quality of care for all of us. SureCo and its subsidiaries and partners are at the forefront of health care change in the U.S. Serving patients, consumers, and enterprises. We focus on innovative technologies, new care paradigms, all focused on aligning our incentives with our customers. Established in 2016 we’ve grown from 10 to over 100 (and counting) Sureconians – what we call our awesome team members! 

If you are looking for a company focused on making real change, high energy, and team-driven performance then you’ve found it here at SureCo. Our people are inspiring and are inspired by what we do, who we get to do it with, and who we do it for.  

Summary

The Claims Auditor is responsible for working with the Senior Claims Manager to ensure compliance with applicable rules and regulations set forth. Responsible for maintaining routine auditing functions and providing feedback on departmental activities to ensure ongoing compliance with claim inventory.

Key Responsibilities

• Evaluates claims adjudication using standard principles and state-specific policies and regulations in order to ensure accurate and timely claims adjudication
• Performs moderately sophisticated claim audits on a routine basis for payment accuracy by following regulatory standards, and business policies
• Conducts quality assurance audits for claim adjustments, refunds, and provider disputes
• Performs focused reviews and provides reports to the Compliance team
• Tracks and monitors all audit scores in a database
• Assists in preparing audit reports as requested
• Verifying and adjudicating provider claims in moderate to high-level complexity categories.
• Adjudicate all professional (HCFA) and/or institutional (UB) and outpatient facility claims. Responsible for meeting or exceeding production and quality standards for all specific types of claim
• Route claims that cannot be finalized.
• Research, resolve and respond to inquiries and problems of a moderately complex nature.
• Follow claims policies and procedures.
• Interface with other departments, when necessary, regarding claims issues.
• Assist the Senior Claim Manager when asked to research and audit claims for health plan compliance.
• Participate in Claims Department staff meetings and other activities as needed.
• Ensure the privacy and security of PHI (Protected Health Information) as outlined in health plans policies and procedures relating to HIPAA compliance.
• Responsible for mentoring newer analysts/examiners.
• Perform other duties as assigned including claims auditing and data analysis 

PM20

**No outside agencies please**

SureCo and its subsidiaries (Healthrive, SureCo Health, DocDay) and partners (UHSM.com) are at the forefront of health care change in the U.S. Serving both consumers and businesses, we’re leading the healthcare industry in new care options, technology, and administration opportunities. Our solutions encourage the proactive pursuit of great health in order to drive down healthcare costs while improving the quality of care. Established in 2015, we’ve grown from 10 to 100 employees and are experiencing dynamic growth. If you enjoy a fast-paced yet family-friendly working environment and you have a passion for healthcare and technology, we’re the company that’s making a difference.

Key Responsibilities

Under guidance from the Sales Director and Team Leads, you will:

• Get deals to the finish line. Close marketing-generated opportunities via phone, text and email.Take live inbound transfers and work inbound leads
• Answer phone calls promptly in a polite and professional manner
• Utilize a consultative sales approach to best explain various health care and insurance programs and services
• Actively listen during conversations with sales opportunities for customer needs, then provide a solution to help address those needs
• Provide world-class customer service and maintain positive relations with new and existing clientele
• Make follow-up calls/e-mails daily on pipeline opportunities
• Manage your leads, calendar and time to efficiently meet monthly sales goals
• Build a residual book of business by growing and maintaining an ongoing client base
• Stay current on the industry, product knowledge and competitive marketplace

PM20