Cayuse Holdings

Database Administrator

• Install, configure, upgrade, and maintain Oracle databases and supporting infrastructure to ensure optimal performance and availability
• Lead migration efforts from on-premises Oracle databases to Oracle Cloud, including integration with cloud-based storage
• Automate and enhance workflow efficiency by transitioning cron jobs to Oracle Database Jobs
• Monitor database health, tune performance, and manage storage capacity, addressing bottlenecks as needed
• Implement and manage strategies for backup, restoration, disaster recovery, and data security
• Administer Oracle GoldenGate for data replication and synchronization
• Direct database changes, review programs, and provide technical support to programmers, analysts, and users
• Ensure database interfaces and reporting comply with accessibility standards
• Perform logical and physical data modeling, and maintain standardized data definitions
• Assist with database software installation, testing, and selection

Senior Database Administrator

Platform Engineer

• Collaborate with stakeholders to gather and understand requirements.
• Create wireframes, mockups, and prototypes to visualize the user interface.
• Design intuitive and aesthetically pleasing interfaces that enhance user experience.
• Conduct user research and usability testing to gather feedback and make improvements.
• Develop custom applications using Power Apps.
• Automate workflows and business processes using Power Automate.
• Use Dataverse to create custom data models for applications requiring a relational data structure.
• Integrate Power Platform solutions with other Microsoft services and third-party applications.
• Develop dashboards and reports using Power BI to provide insights and data visualization.
• Other duties as assigned.

Power Platform Developer

System Administrator

• Serve as the administrator for Microsoft enterprise systems including, but not limited to, Windows Server environments, Active Directory domain services, Group Policy Objects (GPOs), Microsoft 365, and Microsoft Azure
• Design, implement, and maintain highly available, scalable, and secure Microsoft-based systems infrastructure, both on-premises and in cloud/hybrid deployments
• Manage Active Directory environments, including user and group provisioning, permissions management, organizational unit (OU) structuring, and AD-integrated DNS/DHCP
• Administer Microsoft Exchange and email services, Teams, SharePoint, OneDrive, and other Microsoft 365 collaboration tools
• Oversee deployments, patching, upgrades, and security hardening of Windows Server and desktop environments
• Develop, document, and enforce system administration standards, operation procedures, and configuration baselines, ensuring consistency and compliance across systems
• Monitor system performance, conduct troubleshooting and root-cause analysis, and remediate system outages and performance bottlenecks
• Implement and maintain backup, disaster recovery, and business continuity strategies for Microsoft systems
• Manage security and compliance by configuring and auditing access controls, security policies, and system logs; respond to audit requests and support cybersecurity initiatives
• Support incident response and problem management efforts in collaboration with security and operations teams
• Provide technical leadership, coaching, and mentorship to junior system administrators and helpdesk personnel
• Participate in IT project planning and execution, including requirements analysis, system integration, and migrations of Microsoft workloads
• Maintain up-to-date knowledge of the latest Microsoft technologies, patch releases, and security advisories
• Perform after-hours and on-call support for critical incidents, system maintenance, or project deployments as needed
• Other duties as assigned

Senior System Administrator

IT Support

• Lead, direct, and supervise helpdesk staff in daily operations involving user access requests, account creation, termination, modifications, and permissions management for enterprise systems and applications.
• Manage and oversee the implementation and enforcement of user access controls and identity management processes in accordance with corporate and governmental policies, standards, and regulations (e.g., NIST, FISMA, HIPAA, etc.).
• Perform regular audits of user account and permission records to identify irregularities, ensure compliance, and support incident response activities.
• Serve as subject matter expert and escalation point for complex access management issues and resolutions related to authentication, authorization, and user provisioning.
• Coordinate with IT security and compliance teams to evaluate and update access control policies, workflows, and procedures in line with current technologies and best practices.
• Oversee the timely and secure onboarding and offboarding processes for personnel and contractors, ensuring strict adherence to data protection and confidentiality requirements.
• Maintain thorough documentation of access protocols, user management procedures, and change control activities to support audits and operational transparency.
• Provide advanced technical support and mentorship to helpdesk staff on access issues, troubleshooting, and customer support improvement initiatives.
• Monitor service desk ticket queues prioritizing access-related issues, and ensure timely resolution and reporting in alignment with service level agreements (SLAs).

Senior Helpdesk Access Manager

SDET

• The QA Automation Engineer is responsible for designing, developing, implementing, and maintaining automated test frameworks and test scripts to ensure the quality, reliability, and performance of mission-critical software applications.
• Collaborate with software developers, analysts, system engineers, and other stakeholders to define testing strategies, identify defects, and drive continuous improvement throughout the software development lifecycle.
• Design, develop, and maintain automated test cases and scripts using Playwright or similar technologies to support the modernization of the System Contract Operating and Reporting application.
• Determine priorities for test scenarios and create execution plans to ensure comprehensive coverage of both business and technical requirements.
• Develop and maintain detailed documentation for automated testing processes, including test plans, execution procedures, and change management records.
• Author, maintain, and execute manual test scripts as required to supplement automated testing for functional and regression coverage.
• Track and monitor test case execution, identify anomalies, and document corrective actions while providing timely communication to stakeholders.
• Establish and manage regular automated schedules for test case execution, and generate required testing and defect reports for internal and external audiences.
• Log, track, and manage defects using Jira or equivalent issue tracking tools, collaborating with development and QA teams for prompt resolution.
• Develop and maintain requirements traceability matrices to validate all contractual, functional, and technical requirements throughout the software development lifecycle.
• Participate actively in Agile development ceremonies and workflows, collaborating with cross-functional teams in an iterative development environment.
• Support development, testing, user acceptance testing (UAT), and production environments, including troubleshooting test cases and addressing system issues as needed.
• Lead planning, coordination, and execution of UAT testing activities, ensuring solutions meet business and user requirements.
• Provide on-call support for testing and QA-related activities as required to ensure business continuity and rapid response.

QA Automation Engineer

Full-stack Engineer

• Backend for LLMs – Architect and implement scalable, low-latency APIs and services that wrap, orchestrate, and optimize LLMs for healthcare use cases.
• Data & Retrieval Pipelines – Build ingestion, preprocessing, and retrieval-augmented generation (RAG) pipelines to ground LLMs in clinical and revenue-cycle data.
• LLMOps & Observability – Design systems for model monitoring, evaluation, cost tracking, and guardrails, ensuring reliability and responsible use.
• Performance & Optimization – Engineer solutions for caching, batching, load balancing, and scaling LLM workloads across cloud and containerized environments.
• Security & Compliance – Implement HIPAA-ready infrastructure, data governance, and auditability for LLM-powered applications.
• Cross-Functional Collaboration – Partner with product, ML engineers, and healthcare experts to translate business workflows into robust backend systems.
• Technical Leadership – Drive end-to-end delivery of LLM backend projects, establish engineering best practices, and mentor peers in LLM system design.

Staff Software Engineer, Applied AI

Program Manager

• Lead and direct all phases of assigned programs to ensure successful execution and delivery.
• Develop, implement, and manage comprehensive program plans and strategies aligned with client objectives and contractual requirements.
• Serve as the primary liaison between the client, stakeholders, and internal teams, fostering effective communication and collaboration.
• Oversee contract compliance, ensuring all activities adhere to applicable regulations and company policies.
• Prepare and administer program budgets, monitor resource allocation, and maintain financial accountability throughout the program lifecycle.
• Identify, assess, and mitigate program risks; maintain risk management processes, documentation, and escalation procedures when necessary.
• Prepare, submit, and present required reports, technical documentation, and status updates to both the client and internal stakeholders.
• Facilitate regular program reviews, status briefings, and performance meetings to maintain alignment on progress, priorities, and next steps.
• Ensure overall client satisfaction, promote continuous improvement, and uphold organizational values throughout program execution.
• Other duties as assigned.

Account Executive

• Advise and consult with senior leaders on industry, government trends and/or strategic priorities by building trusted relationships.
• Nurture a detailed understanding of our key client(s), including their mission, near and long-term priorities, client budgeting strategies and constraints, and opportunities where Cayuse’s capabilities may align to client needs.
• Provide oversight and coaching to complex program business development and delivery teams balancing client interaction, delivery excellence, profitability, with advancing long range account growth.
• Shape/influence core solutions we have today, as well as solution priorities for the future, based on industry trends, client account discussions, and Cayuse’s overall strategic growth objectives.
• Responsible for profitable delivery and driving opportunities to improve overall margins, either via creative pricing structures, or seeking to advance more operational efficiency in how we deliver.

Client Account Director

Software Engineer

• Lead the design, development, customization, and deployment of ERP modules and applications.
• Collaborate with business analysts, project managers, and stakeholders to gather and refine requirements for ERP solutions.
• Develop and maintain integrations between ERP systems and other enterprise applications using APIs, middleware, and data transformation tools.
• Analyze and optimize existing ERP processes and workflows for efficiency, scalability, and compliance.
• Lead or participate in ERP data migration initiatives, including data mapping, validation, cleansing, and transfer.
• Provide advanced technical support and troubleshooting for ERP issues, ensuring minimal operational disruption.
• Manage ERP software updates, patches, and enhancements, coordinating testing and deployment activities.
• Ensure ERP system security, data integrity, and compliance with government, regulatory, and organizational standards.
• Participate in and support user acceptance testing (UAT), training sessions, and knowledge transfer activities.
• Continually evaluate emerging technologies and recommend enhancements to improve ERP systems and processes.
• Communicate project status, risks, and issues clearly to project managers and stakeholders.
• Other duties as assigned .

Senior ERP Developer

• Fielding end-user communication, creating and documenting tickets, troubleshooting and escalation.
• Provide initial support and analysis for classification, ticket ownership, monitoring, tracking and communication, resolution, and recovery of incidents not assigned to Tier 2.
• Enter datasets related to the contract, compile, perform analysis and reconciliation.
• Closure of incidents, monitoring the status and progress towards a resolution of the assigned ticket and communication to those involved in the incident as needed.
• Review calls and emails for accuracy.
• Submit monthly QA reports for each assigned analyst.
• Conduct monthly QA check-in meetings and other meetings as needed.
• Ensure new processes are adopted by all assigned analysts.
• Review documentation to ensure enforced process and documented process are the same.
• Update QA documentation as needed.
• Perform QA on any analysts that are undergoing QIP.
• Submit monthly self-service ticket QA report.
• Assist leads in coaching/training as needed.
• Other duties as assigned.

Help Desk Specialist

• Support the migration and modernization of end-of-life (EOL) systems, including the assessment, planning, and execution of migration strategies for legacy systems running outdated versions of Windows and Red Hat Enterprise Linux (RHEL).
• Analyze existing legacy system environments, identify upgrade requirements, and develop migration roadmaps to achieve full compliance with current organizational and security standards.
• Perform upgrades and transitions of legacy operating systems to supported versions, such as Windows Server 2016, 2019, or 2022, and RHEL 5, 6, 7, 8, or 9, ensuring minimal disruption to mission operations.
• Coordinate with stakeholders and technical teams to ensure seamless migration activities, including data integrity verification, application compatibility testing, and post-migration validation.
• Implement security enhancements and configuration updates as part of the modernization process to address vulnerabilities and improve overall system performance.
• Document migration procedures, system configurations, and lessons learned to inform ongoing modernization initiatives and support future sustainment activities.
• Provide technical support and troubleshooting expertise during and after the migration process to ensure operational continuity and end-user satisfaction.

Support System Administrator

• Develop software solutions by studying information needs, conferring with users, and studying systems flow, data usage, and work processes.
• Investigate problem areas.
• Prepares and installs solutions by determining and designing system specifications, standards, and programming.
• Other duties as assigned.

Senior Power Platform Developer

Translator

• Provide Translation services for individuals with a language barrier
• Accurately translate spoken work situations like lectures, conversations, and meetings
• Utilizing technology to transcribe spoken English in some settings
• Reading an original document and translating it into the language required
• Editing translated versions
• Sensitive to the culture of the original languages and the target languages during the translation process
• Perform other duties as assigned.

Translator – Salish

Administration

• Understands and articulates business objectives and operational challenges, proactively identifying alternative solutions to address organizational needs.
• Conducts studies and cost/benefit analyses of proposed alternatives to inform decision-making and ensure optimal resource utilization.
• Analyzes user requirements, procedural workflows, and operational issues to automate processing or enhance existing computer systems for improved efficiency and effectiveness.
• Collaborates with personnel from relevant organizational units to assess current operational procedures, identify process bottlenecks or challenges, and gather specific requirements regarding data input methods, data summarization needs, and reporting formats.
• Prepares detailed documentation outlining user requirements, desired program functions, and step-by-step processes required for the development or modification of computer programs, ensuring all stakeholder needs are addressed.
• Evaluates the capabilities, technical specifications, and scheduling limitations of current computer systems to determine feasibility of requested programs or system modifications within existing resources and constraints.
• Other duties as assigned .

GitHub Administrator

Attorney

• Provide written translation services for legal documents including letters, reports, website content, posters, brochures, general information documents, correspondence, etc.
• Preserve the original content, meaning and tone of the document.
• Translators must accurately depict cultural sensitivity and clarity.
• Edit and proofread translated documents to ensure accuracy, clarity, and adherence to legal terminology.
• Must be able to conduct a Quality edit proof process when assigned for review.
• Translators are required to follow style guides, glossaries, and our clients’ preferences.
• Ensure confidentiality and security of all translated materials.
• Stay up to date with legal terminology and industry’s best practices.
• Other duties as assigned.