Job description
Overview
HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.
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.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
**The annual US base salary range for this position is $130,000 to $150,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.
Originally posted on Himalayas
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.