The Opportunity

• Solution technical architecture for customer delivery programs
• Integrate Claims, Enrollment, Provider, Authorization, Payment systems
• Ensure architecture governance compliance
• Collaborate with customer, partners, and internal product teams
• Identify opportunities for automation, performance improvements and emerging technologies

What You Need

• Bachelor’s degree or higher in business or technical field
• Minimum 12 years of relevant work experience in technology integrations
• Minimum 7 years of work experience in technical leadership roles Knowledgeable in Healthcare insurance domain (Medicare Advantage / Medicaid or Commercial)
• Experience with people management, mentorship, and creating inclusive and diverse teams
• Integrated EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278) with healthcare core administration platforms (Claims adjudication/enrollment)
• Working in AWS cloud environment and experience with AWS cloud services
• Experience working in an onshore/offshore model is a must
• Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus

Skills & Competencies:

• Awareness to Agile tools and methodologies
• Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, SQL, Middleware, and CI/CD pipeline philosophy
• Commitment to Customer and quality
• Communication skills with peers, customers, and partners including the ability to convey technical information effectively
• Thrives in a dynamic, sometimes ambiguous environment and has a knack for quickly prioritizing needs and creating scalable processes and structure
• Affinity for leading and navigating change management
• Comfortable in a fully remote environment that relies heavily on asynchronous written collaboration and communication

Geographic Responsibility:  Remote, US

Type of Employment: Full-time, permanent 

FLSA Classification (USA Only): Exempt 

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:  

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.  

• Work across multiple time zones in a hybrid or remote work environment. 

• Long periods of time sitting and/or standing in front of a computer using video technology. 

• May require travel dependent on company needs.