Jobs at HealthEdge

Supports Project Managers and cross-functional teams by maintaining schedules, milestones, RAID logs, project documentation, status reports, meeting materials, action items, budgets, and project systems. Coordinates stakeholder communications, tracks risks, issues, tickets, defects, and team allocations, and helps ensure adherence to delivery methodologies and governance standards. The role also supports audits, operational checkpoints, and continuous improvement across software initiatives.

Coordinates and manages major Sev1 and Sev2 incidents for hosted customers, driving service restoration, stakeholder communications, incident documentation, technical action plans, and root-cause reviews. Supports Incident, Problem, and Change Management processes, reporting, SLAs, and escalations. Requires troubleshooting across cloud, virtualized, Unix, Windows, networking, and infrastructure environments, plus participation in an on-call rotation.

Lead healthcare payer business requirements and solution design for claims, enrollment, provider, authorization, and payment systems. Collaborate with customers, vendors, architects, product, development, QA, and offshore teams to translate business needs into functional and technical requirements. Create workflows, process documentation, user stories, and requirements plans; manage risks and dependencies; support Agile ceremonies, customer demos, testing, and go-live decisions. Apply EDI transaction knowledge and identify automation, performance, and reuse opportunities.

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.

Leads and develops a team of Principal Consultants supporting complex GuidingCare healthcare payer implementations. Oversees delivery quality, capacity, assignments, client engagement, escalations, practice standards, hiring, and career development. Partners with delivery and project leadership on high-risk workstreams, pre-sales, scoping, requirements workshops, and continuous improvement. Requires extensive GuidingCare implementation expertise across care management, utilization management, appeals and grievances, and data integration.

Leads the Service Management Office and establishes governance for incident, problem, change, release, knowledge, and service-management practices across 24x7 client IT operations. The role drives major-incident response, RCA quality, executive and customer communications, operational reporting, continuous improvement, ITSM tooling, standardization, and accountability across global technical teams, vendors, and delivery organizations.

Processes invoices, purchase orders, payments, vendor reconciliations, and AP-to-general-ledger reconciliations. Maintains vendor master data, supports month-end close, aging analysis, 1099 reporting, and internal controls. Resolves invoice discrepancies, responds to vendor inquiries, identifies workflow improvements, and supports system implementations. Requires strong AP knowledge, ERP experience, Excel proficiency, attention to detail, and effective communication.

Establishes and operates FinOps across AWS, Azure, GCP, and SaaS platforms. Responsibilities include cloud cost reporting, allocation, forecasting, chargeback/showback, tagging governance, anomaly investigation, optimization, savings-plan management, AI spend tracking, and executive reporting. Partners with Engineering, Finance, Procurement, Security, and vendors to improve cost transparency and governance during cloud migration and ongoing operations.

Leads HealthEdge’s Problem Management team and owns post-incident processes for critical platform events. Responsibilities include root cause analysis, post-mortem facilitation, known error management, corrective action governance, operational intelligence oversight, KPI development, executive reporting, and continuous service improvement. The role establishes and scales the Problem Management framework, partners with Engineering, Operations, Product, and SRE stakeholders, develops team members, and drives accountability for platform stability and customer experience.

Installs, upgrades, supports, and troubleshoots HealthEdge applications across private cloud, AWS, and customer-hosted environments. Uses deployment, automation, alerting, cloud, container, database, middleware, and scripting technologies to manage SaaS environments. Collaborates with teams, documents solutions, improves processes, supports production upgrades, and communicates with project teams and senior management. Occasional off-hours work may be required.

Lead enterprise SQL Server database administration across large-scale environments, focusing on performance tuning, high availability, replication, backup and disaster recovery, automation, monitoring, and cloud migration. Design and manage Always On Availability Groups, optimize 10TB+ databases, build PowerShell-based automation, and migrate on-premises systems to AWS. Collaborate with development, DevOps, and infrastructure teams while providing technical mentorship and leading resolution of complex production incidents.

Leads an offshore DevOps team of 8–12 engineers, overseeing people management, sprint planning, CI/CD modernization, Jenkins-to-GitHub Actions migration, AWS migration, infrastructure automation, security remediation, secrets management, compliance evidence, and cross-functional delivery. The role provides hands-on technical direction, removes blockers, mitigates operational single points of failure, and communicates delivery risks and capacity to senior leadership.

Manage cross-functional technical programs from planning through closure, coordinating Engineering, Product, QA, DevOps, and Operations. Maintain roadmaps, milestones, dependencies, risks, metrics, and governance processes while ensuring timely delivery. Communicate program status and decisions to stakeholders, drive accountability without direct authority, support release readiness, and improve delivery practices. Apply Agile, Scrum, SAFe, Kanban, or Waterfall methodologies as appropriate, using dashboards and planning tools to monitor program health.

Own and prioritize the product backlog for a healthcare claims administration platform. Translate stakeholder needs into epics, user stories, acceptance criteria, and functional requirements; facilitate Agile ceremonies; collaborate with engineering, UX, QA, and stakeholders; manage dependencies and delivery communications; and apply healthcare claims, billing, reimbursement, HIPAA, and HITECH knowledge to ensure compliant, customer-focused features.

No job description was provided, so responsibilities cannot be summarized.

Provides L2 production support for enterprise healthcare applications, including incident management, troubleshooting, root cause analysis, SQL-based data corrections, configuration management, and customer communication. Collaborates with development, infrastructure, DBA, and product teams to resolve complex issues, coordinate fixes, maintain SLAs, and improve support processes through automation, monitoring, and alerting.

Leads frontend and UI architecture across legacy .NET Framework applications and modern ReactJS web platforms. Establishes engineering standards, modernization strategies, accessibility practices, and long-term technical direction. Develops scalable, secure, performant healthcare interfaces, mentors engineers, leads initiatives through the full software development lifecycle, and collaborates with Product, UX, QA, and architecture teams. The role also includes technical prototyping, production support, root cause analysis, and ensuring reliability across cloud-based or on-premise applications using AWS, Docker, and Kubernetes.

Develop and extend automated testing frameworks for complex healthcare software applications. Create and execute UI, API, performance, white-box, and black-box tests; identify defects and testing gaps; improve quality processes; support DevOps and CI/CD initiatives; and collaborate with product managers and developers to deliver reliable releases.

Leads end-to-end healthcare payer data conversions between platforms, including profiling, transformation mapping, ETL design, mock and parallel runs, bulk loading, validation, testing, defect resolution, documentation, and client reporting. Develops Python and SQL conversion routines, manages risks and timelines, collaborates with onshore and offshore teams, and mentors junior staff. Requires expertise in claims, enrollment, or provider data and extensive technology integration leadership.

Build and lead CI/CD platforms, infrastructure automation, Kubernetes deployments, and containerized testing environments across on-premises and cloud platforms. Develop deployment templates, monitor system health, support critical incidents, document architectures, and improve operational processes. The role mentors engineers, coordinates with stakeholders, and serves as a hands-on technical DevOps expert.