Posted today
Job id: a1Wcv00000089pJEAQ
Senior ODM Developer
Louisville, Kentucky
Remote
Enterprise Applications
Contract
Brooksource
-$0/hr
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Job Description:
Senior ODM Developer
Brooksource
Fortune 50 Health Insurance Client
Remote
Overview
Our client is seeking a Senior IBM ODM Developer to support their Clinical Utilization Management organization. This role will focus on implementing and maintaining business and clinical rules within IBM Operational Decision Manager (ODM)—enabling automation of authorization decisions and compliance with Medicaid/Medicare requirements for the upcoming 1/1 delivery cycle.
You’ll collaborate with both onshore and offshore teams to design, test, and deploy decision logic that helps clinicians and operations teams make consistent, compliant, and efficient determinations.
Key Responsibilities
- Develop, configure, and maintain IBM ODM rules to automate clinical and business decision-making processes.
- Translate business requirements into executable ODM rules, decision tables, and event flows.
- Perform end-to-end ODM development: authoring, testing, and implementing decision services.
- Collaborate with business analysts, nurses, and clinical SMEs to ensure rules reflect CMS and internal policy requirements.
- Work closely with Java developers and database engineers to integrate decision services with existing systems.
- Participate in Agile ceremonies and contribute to sprint planning, refinement, and retrospectives.
- Support rule deployment, versioning, and troubleshooting in development and production environments.
- Serve as a technical SME for ODM development and mentor other developers as needed.
Required Skills & Experience
- 5+ years of hands-on experience with IBM ODM/ILOG JRules development and deployment.
- Strong understanding of business rules management systems (BRMS) concepts — XOM/BOM modeling, decision tables, and virtual Java functions.
- Proficiency in Java (C# experience also acceptable).
- Working knowledge of databases and data integration concepts (SQL preferred).
- Familiarity with Agile development frameworks.
- Strong collaboration and communication skills — able to coordinate effectively across onshore and offshore teams.
- Proven ability to work independently and take ownership of deliverables in a fast-paced environment.
Preferred Qualifications
- Experience in healthcare or managed care, particularly within clinical or utilization management domains.
- Familiarity with Medicaid/Medicare or CMS compliance requirements.
- Experience with Azure DevOps, Git, and CI/CD pipelines.
- Exposure to performance testing, rule tuning, or DevOps practices.
Why This Role Matters
The ODM developer will be central to ensuring automated and auditable decision-making in clinical workflows — supporting nurses, optimizing turnaround times for authorizations, and maintaining compliance with CMS regulations.
You’ll help bridge the gap between business logic and technology, building solutions that directly impact patient and provider experiences.
Disclaimer: Brooksource, Medasource, and Calculated Hire are part of the Eight Eleven Group family of companies and operate under Eight Eleven Group, LLC. All employees receive the same benefits, policies, and terms of employment.
EEO:
We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, military or veteran status, citizenship, pregnancy (including childbirth, lactation, and related conditions), or any other protected status in accordance with applicable federal, state, and local laws.
Benefits & Perks:
Eight Eleven Group offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.
Pay Disclaimer:
The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
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Your need for talent is our reason for being. This driving mission has been at our core from the onset. When we started in 2000 at 811 Broad Ripple Avenue, we were a team of forward-thinking entrepreneurs determined to find a better way to connect the best and brightest talent with companies looking for future leaders. We still believe in this philosophy. Throughout the years, our passion, credibility, and grit have been the foundation and prowess of what is now Eight Eleven. Though our focus areas have continued to mindfully evolve, our unyielding commitment to relationships and our customers’ needs remain consistent and firmly rooted in our core values.