Jobs at HealthEdge

Develop and maintain backend Java services for healthcare technology products. Responsibilities include implementing features, fixing bugs, designing application components, testing, troubleshooting deployments, optimizing performance, and contributing across the Agile software development lifecycle. The role requires collaboration with developers, product managers, and QA engineers, along with expertise in Java enterprise technologies, databases, application servers, CI/CD, DevOps, and Unix-based environments.

Designs, implements, operates, and optimizes enterprise network infrastructure across on-premises data centers, AWS, and other cloud environments. Responsibilities include routing, switching, firewalls, SD-WAN, VPNs, monitoring, network security, incident response, Tier 3 escalation, infrastructure as code, automation, documentation, disaster recovery support, and cross-functional collaboration. Participates in 24/7 on-call coverage and mentors junior engineers.

Lead QA automation strategy and framework architecture for the GuidingCare platform. Build and modernize Playwright and TypeScript automation frameworks, migrate legacy Katalon and Selenium suites, integrate testing into AWS and GitHub Actions CI/CD pipelines, improve regression reliability, and mentor QA engineers. Collaborate with development, product, and DevOps teams to embed quality throughout the SDLC. Establish coding standards, reporting, KPIs, and AI-assisted testing practices.

Owns customer outcomes, retention, referenceability, and expansion across enterprise healthcare accounts. The Senior Customer Success Executive develops success plans, manages account health and recovery programs, coordinates cross-functional delivery, identifies expansion opportunities, maintains accurate CRM and reporting data, and communicates with customer executives. The role requires deep health-plan operations knowledge, enterprise payer-platform experience, commercial fluency, and the ability to drive results through teams without direct authority.

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 DevOps engineering teams, infrastructure architecture, cloud migrations, continuous delivery, deployment, security, automation, and SRE adoption. Owns technology strategy, roadmaps, budgets, delivery standards, SDLC practices, and production operations for critical SaaS environments. Coaches and develops engineers, establishes agile engineering practices, collaborates with stakeholders, and drives reliable, scalable public-cloud solutions using AWS, Azure, or GCP.

Own and prioritize the product backlog for a healthcare claims administration platform. Translate stakeholder needs into epics, user stories, acceptance criteria, workflows, and functional requirements. Coordinate with engineering, UX/UI, QA, Scrum teams, and other Product Owners throughout Agile delivery. Apply healthcare claims and reimbursement knowledge while supporting HIPAA and HITECH compliance. Use Jira and AI-enabled tools for backlog management and requirements development, communicate delivery updates, and resolve blockers.

Manages capacity planning, staffing allocation, utilization tracking, and forecasting for more than 1,200 global professional services resources. Analyzes project demand, workforce availability, billable utilization, and bench-time risks to guide staffing and hiring decisions. Maintains PSA scheduling and forecasting data, supports system migrations, and partners with GPS leadership, project managers, Finance, HR, sales, and international delivery teams.

Own the AI product strategy and roadmap for HealthEdge’s HealthRules Payer platform. Identify and prioritize AI use cases across claims, member management, enrollment, benefits, and contracts; translate strategy into product requirements; and align product, engineering, data science, UX, marketing, and sales teams. Lead AI governance, regulatory compliance, customer presentations, go-to-market messaging, pilots, and feature commercialization while ensuring responsible AI use in healthcare payer workflows.

Develop and support Java and Spring Boot applications, investigate complex production support tickets, perform root-cause analysis, implement fixes, optimize scalability and performance, and maintain software quality. The role includes software lifecycle ownership, architecture, testing, deployment, code reviews, technical mentoring, knowledge-base contributions, and collaboration with cross-functional teams. Frontend, Kubernetes, containerization, AWS, HRP Claims, and production-support experience are relevant.

Design, develop, and maintain enterprise-scale healthcare software, including RESTful APIs, SQL Server solutions, responsive web interfaces, and message-based architectures. The role involves debugging complex systems, writing automated tests, addressing concurrency and performance issues, contributing to architecture decisions, and supporting the full software development lifecycle. Collaboration occurs across distributed teams during an AWS cloud migration and modernization from AngularJS to React.

Administer, configure, develop, and troubleshoot NetSuite and connected financial systems, including Zone Billing and SuiteProjects Pro. Support month-end close, reconciliations, data integrity, integrations, statutory reporting migration, user access controls, testing, and documentation. Partner with Accounting, FP&A, and IT teams on system enhancements and reporting needs while serving as backup to the Financial Systems Lead and developing toward systems architecture leadership.

Processes and adjudicates healthcare claims using client guidelines, policies, and procedures. Reviews claim data, coding, system edits, benefit coverage, and medical necessity to determine payment accuracy. Meets productivity and quality targets, communicates issues to management, mentors junior staff, and supports audits, documentation, training, provider data, authorization, enrollment, and other team projects.

Develop and maintain GuidingCare and Wellframe integration features using Microsoft technologies. Responsibilities include solution design, data modeling, full-stack development, technical documentation, testing, debugging, and code quality improvements. The role uses cloud platforms, APIs, databases, messaging systems, containers, and AI coding tools. The engineer collaborates with cross-functional teams, may mentor developers, and helps deliver innovative healthcare technology solutions.

Leads enterprise IAM strategy and operations across workforce, machine, cloud, and customer identities. Oversees identity providers, PAM, zero-trust architecture, SSO/MFA, RBAC, IaC, JIT access, automation, compliance, audits, and M&A integrations. Manages a globally distributed team of 5–7 direct reports, partners with technical and business stakeholders, and reports program health and risk to executives.

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.

Administer and support Jira Software, Jira Service Management, and Confluence in a cloud environment. Configure projects, workflows, permissions, service desks, spaces, users, automation, dashboards, and reports. Resolve support requests, maintain documentation, conduct platform hygiene and access reviews, assist with governance, testing, migrations, and rollout initiatives, and escalate complex issues to senior administrators.

Designs, implements, and operates enterprise network infrastructure across data centers, cloud environments, and remote access platforms. Responsibilities include AWS networking, routing and switching, firewalls, SD-WAN, monitoring, incident response, change management, automation, infrastructure as code, documentation, disaster recovery support, and cross-functional collaboration. Participates in 24/7 on-call rotations and serves as a Tier 3 escalation resource.

Design, develop, test, and support enterprise software applications using C#, .NET, RESTful APIs, SQL Server, JavaScript frameworks, and event-streaming technologies. Build scalable interfaces and database solutions, troubleshoot concurrency and production issues, contribute to architecture decisions, and participate throughout the software development lifecycle. Collaborate with distributed cross-functional teams while supporting AWS migration, modernization, technical debt reduction, and process improvements.

Develop and maintain automated UI, API, database, integration, regression, and end-to-end tests. Enhance testing frameworks, integrate automation into CI/CD pipelines, troubleshoot failures, track defects, analyze test trends, and improve quality practices. Collaborate with Agile engineering, QA, product, and architecture teams while promoting automation best practices and supporting software releases.