• 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

• 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

Be an Early Applicant Remote Hiring Remotely in US 130K-150K Annually Expert/Leader Remote Hiring Remotely in US 130K-150K Annually Expert/Leader Leads technical architecture and customer delivery integrations across claims, enrollment, provider, authorization, and payment systems. Governs solution architecture, collaborates with customers and partners, and drives automation, performance improvements, and emerging technology adoption. Requires extensive healthcare insurance integration experience, technical leadership, people management, AWS expertise, EDI transactions, and knowledge of enterprise integration technologies. The role is fully remote in the United States and may involve travel., 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.

LI-Remote

**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.

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.