Develop new designs, architectures, best practices, templates, standards, guidelines, models in direct support of 1 and 5 year payer market strategy and business growth targets.
Create application and database architectures for optimal scaling, configurability, compliance and modular re-use in both cloud (Azure and AWS, Databricks, SqlServer) and on-prem (Windows, dotNET) platforms.
Incorporate the latest in AI LLM approaches to augment the productivity, quality and efficacy of transactional applications and blending of unstructured data with structured data.
Assess existing applications and databases for scalability. Develop solutions for performance bottlenecks and growth.
Evaluate new AppDev technologies.
Develop various POC’s for new applications, services and application components showcasing innovative approaches to scalable data architectures.
Evaluate business processes - manual and automated and recommend solutions for improved productivity, quality, flexibility, throughput.
Assist in business proposal development and presentation to management and customers.
Mentor, train and provide expert assistance to development teams.
Production Support - Level 3 as needed.
Assist in project planning and AGILE methodology implementation and daily planning and execution activities.
Act as the tech voice in executive meetings, cross-functional governance sessions, and client-facing solution presentations.

Requirements

12+ years of experience in software technology
5+ years in a senior product/platform leadership capacity
Prior experience launching 2 or more successful long running enterprise-scale platforms in a regulated, data-intensive industry
Bachelor’s in computer science
Master’s in computer science and/or business management (preferred)
Strong business and domain acumen in U.S. healthcare systems (preferred)
Strong command over U.S. healthcare payer domain—especially in claims processing, adjudication, and payment integrity (preferred)
Regulatory familiarity: HIPAA, CMS audit requirements, healthcare data interoperability (preferred)
Proven success building platforms that scale across large healthcare client portfolios (preferred)
Experience modernizing legacy systems into modular, API-first, scalable platforms (preferred)

Benefits

Health insurance
401(k) matching
Professional development opportunities
Mentoring program

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

application architecturedatabase architectureAI LLM approachesscalability assessmentperformance optimizationproof of concept (POC)AGILE methodologyAPI-first designmodular architecturecloud computing

Soft Skills

mentoringtrainingbusiness proposal developmentpresentation skillscross-functional collaborationexecutive communicationproblem-solvingstrategic planningflexibilityleadership

Certifications

Bachelor's in Computer ScienceMaster's in Computer ScienceMaster's in Business Management