Caresource

Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)

Caresource$94K — $164K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s degree in Computer Science, Engineering, or related field (Master’s preferred)
  • 8+ years of experience in software engineering, integration, or platform development
  • 3–5+ years of experience in IT leadership or management roles
  • Hands-on experience with cloud platforms (Azure preferred), microservices, APIs, and distributed systems
  • Strong experience in healthcare encounters, claims, or data exchange ecosystems

Responsibilities

  • Define and execute a multi-year technology roadmap for Encounters IT
  • Lead cloud adoption initiatives across encounter platforms
  • Drive legacy modernization and platform transformation
  • Identify and implement innovative solutions for scalability and performance
  • Own end-to-end encounter processing lifecycle
  • Ensure compliance with state and federal regulatory requirements
  • Lead delivery across Agile teams with internal and vendor resources

Benefits

  • Comprehensive total rewards package
  • Flexible working conditions with a hybrid model
  • Up to 30% travel allowance for business needs
  • Opportunities for professional training and development
  • Performance bonuses based on company and individual achievement
Full Job Description

Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)

Job Summary

The Manager, Information Technology – Encounters IT is a technology leader and visionary responsible for driving modernization, scalability, and innovation across the Encounter Management ecosystem. This role leads a cross-functional engineering team delivering encounter processing capabilities while advancing cloud adoption, modern architecture patterns, and enterprise transformation initiatives.

This position owns the end-to-end technology strategy for encounter processing platforms, ensuring reliability, compliance, and performance, while partnering closely with EDI, integration, and business teams for seamless data exchange and regulatory submission. The role focuses on transforming legacy encounter processes into scalable, cloud-enabled, and automation-driven platforms.

Key Responsibilities

Technology Strategy & Transformation

  • Define and execute a multi-year technology roadmap for Encounters IT aligned with enterprise digital and modernization strategy
  • Lead cloud adoption (Azure/AWS), microservices, API-first, and event-driven architecture initiatives across encounter platforms
  • Drive legacy modernization and platform transformation, including re-platforming and workflow automation
  • Identify and implement innovative solutions to improve scalability, performance, and operational efficiency

Architecture & Engineering Leadership

  • Provide architectural oversight for encounter ingestion, validation, processing, and downstream consumption
  • Establish and enforce modern engineering practices including DevSecOps, CI/CD, automated testing, and infrastructure-as-code
  • Develop scalable, resilient, and secure design patterns for high-volume transaction processing
  • Ensure alignment with enterprise architecture standards and data/integration strategies

Encounter Domain Leadership

  • Own end-to-end encounter processing lifecycle from intake through validation and readiness for submission
  • Partner and collaborate closely with EDI teams to ensure accurate, compliant transmission and submission of encounters
  • Ensure adherence to state and federal regulatory requirements across all markets
  • Drive improvements in data quality, processing timeliness, and audit readiness

Platform Reliability & Operations

  • Ensure high availability, resiliency, and performance of encounter platforms
  • Accountable for production support, incident management, and operational SLAs
  • Implement Site Reliability Engineering (SRE) practices including monitoring, observability, and automation

Delivery & Execution

  • Lead delivery across Agile teams with a mix of internal and vendor resources
  • Drive predictable, high-quality execution across projects, enhancements, and releases
  • Manage vendor relationships and optimize delivery through effective governance and cost management

Stakeholder Engagement & Collaboration

  • Act as a trusted technology partner to business, compliance, EDI, and integration teams
  • Translate business needs into scalable technology solutions and transformation initiatives
  • Drive cross-functional collaboration across data, integration, infrastructure, and security teams

Talent & Leadership

  • Build and lead a high-performing engineering team focused on innovation and delivery excellence
  • Mentor team members on modern technologies, cloud engineering, and encounter domain knowledge
  • Foster a culture of continuous improvement, accountability, and technical excellence

Education & Experience

  • Bachelor’s degree in Computer Science, Engineering, or related field (Master’s preferred)
  • 8+ years of experience in software engineering, integration, or platform development
  • 3–5+ years of experience in IT leadership or management roles
  • Hands-on experience with cloud platforms (Azure preferred), microservices, APIs, and distributed systems
  • Strong experience in healthcare encounters, claims, or data exchange ecosystems
  • Experience with modern DevOps practices (CI/CD, automation, containerization)
  • Experience working with or alongside EDI/encounter submission platforms preferred
  • Hands-on or working knowledge of Edifecs (Encounter Management platform) strongly preferred

Core Competencies & Skills

  • Visionary Technology Leadership – Ability to drive enterprise modernization and transformation
  • Cloud & Modern Architecture Expertise – Microservices, APIs, event-driven systems
  • Encounter Domain Expertise – Strong understanding of encounter workflows and compliance requirements
  • Cross-Team Collaboration – Effective partnership with EDI, integration, and business teams
  • Process Transformation – Re-engineering workflows for automation and scalability
  • Engineering Excellence – SDLC, DevSecOps, and design patterns
  • Data & Integration Expertise – High-volume data processing and interoperability
  • Operational Excellence – Reliability, SLA ownership, incident response
  • Strategic Thinking – Aligning technology with business and regulatory objectives
  • Communication & Influence – Executive-level communication and stakeholder management

Preferred Differentiators

  • Experience with cloud-native data platforms (ADF, Databricks, streaming tools)
  • Exposure to advanced analytics or AI/ML for encounter quality and anomaly detection
  • Experience in large-scale modernization or cloud transformation programs
  • Understanding of payer/provider ecosystems and delegated encounter processing models

Working Conditions

  • General office environment; hybrid model
  • Up to 30% travel

Compensation Range:

$94,100.00 - $164,800.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.#LI-GM1

 

 

Brand=CareSource

About Caresource

CareSource is a nonprofit health plan that provides managed care services to individuals and families in Ohio, Kentucky, Indiana, and West Virginia. The company was founded in 1989 and is headquartered in Dayton, Ohio. CareSource offers a variety of health insurance plans, including Medicaid, Medicare Advantage, and Marketplace plans. The company is committed to improving the health and well-being of its members and invests in programs and services that promote healthy living. CareSource is one of the largest Medicaid managed care plans in the United States.
Learn more about Caresource
Size
4,000 employees
Industry

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