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Tissue Connect Systems · 1 month ago

Principal Systems Engineer - Healthcare RCM Platform

New York, NY

Full-time

Hybrid

Lead/Staff

$200K/yr - $260K/yr

TissueConnect Systems is an emerging leader in AI-driven medical imaging solutions for orthopedic care. They are seeking a Principal Systems Engineer to architect and build their next-generation revenue cycle management system, MASIV, which integrates imaging technology into clinical and billing environments.

Medical Device

Responsibilities

You will architect, build, and deploy critical MASIV subsystems, including:

Ingest X12 claim files (837P/837I, 835, 276/277)

Support inbound provider uploads (SFTP, Azure Blob, Portal)

Implement Logic Apps workflows with Integration Accounts & X12 schemas

Convert between X12 and FHIR

Build infrastructure to exchange claims, remittances, and claim status

Integrate with technical clearinghouses (e.g. stedi.com or equivalent)

Implement a multi-tenant environment balancing isolation vs cost scalability

Enforce HIPAA-grade boundary control

Render EDI and clinical data into a medallion-style lakehouse

Manage ingestion pipelines for real-time and batch

Optimize for downstream ML workloads

Design and implement secure, scalable payment systems on Microsoft Azure leveraging payment card tokenization, ensuring full adherence to applicable PCI-DSS standards while managing compliance scope

Serve as the subject matter expert for operations at the nexus of PCI-DSS and HIPAA compliance within the Azure environment, developing and maintaining robust security protocols, including network segmentation, encryption, and secure access management for the Cardholder Data Environment (CDE)

Collaborate with cross-functional development and operations teams, providing architectural guidance and creating comprehensive documentation to support all compliance efforts, security policies, and operational procedures for internal governance and external auditors

Integrate real-time eligibility (270/271) to support accurate pre-service estimates and coverage validation

Implement patient responsibility and adjudication workflows aligned with payer rules, secondary billing, and remittance outcomes

Support claim attachment and supporting documentation flows, including payer-specific routing, barcoded cover sheets, and templated submission requirements

Qualification

Azure Solutions Architect ExpertHealthcare IT ExperienceDeep Azure experienceData ArchitectureCompliance & SecurityData Integration & ETLAPI DevelopmentCloud Security FrameworksInfrastructure as CodeSoft Skills

Required

Bachelor's, Master's, or PhD in Computer Science, Biomedical Engineering, Electrical Engineering, or related field

Azure Solutions Architect Expert certification

Prior experience in healthcare IT, including familiarity with EMR/EHR systems integration

Deep Azure experience across: Azure SQL / PostgreSQL / CosmosDB, Azure Data Factory, Power BI, Azure Storage + SFTP endpoints, Azure API Management, Logic Apps + Integration Accounts (X12, HL7v2), Power Platform, Azure DevOps, Azure App Service, Azure Functions, Azure Event Grid

Demonstrated experience with Azure Health Data Services, including designing, implementing, and optimizing solutions

Solid understanding of data architecture principles, including cloud computing and proficiency in Azure data services like Azure Data Lake Storage, Synapse Analytics or Databricks (Spark), and data modeling software

Expertise in navigating HIPAA/HITECH and implementing secure data solutions

Experience designing and implementing data pipelines, ETL processes, integrations with systems like EMRs (especially Epic) and HIEs, claim ingestion / clearinghouse APIs, and X12 message flows

Experience in designing and building secure APIs for data exchange and for line-of-business applications

Familiarity with cloud security frameworks and tools like Azure Security Center and Azure Sentinel

Experience with tools like Terraform, Bicep/ARM templates, and PowerShell for automating deployments

Strong communication and stakeholder management skills are crucial, particularly when collaborating with clinical, operational, and executive teams, as well as mentoring junior engineers