Why This Role Matters:
The complexity of healthcare benefits makes decision automation critical. As a Rules Engine Engineer, you’ll be at the heart of this challenge — designing and implementing rules that determine what members can buy with their benefits. Your work directly shapes member experience, prevents misuse, and ensures compliance with Medicare regulations. If you enjoy building high-performance, logic-driven systems that solve tough real-world problems, this role is for you.
What You’ll Do:
- Own the rules layer: Design, implement, and optimize decision logic using Sparkling Logic SMARTS.
- Build real-time adjudication flows for transactions at grocery and pharmacy point-of-sale systems.
- Translate complex requirements into executable rules by collaborating with US-based product and compliance teams.
- Debug, test, and tune rules to handle edge cases, scale to high transaction volumes, and minimize false rejections/approvals.
- Version, deploy, and maintain rules with best practices for governance, traceability, and rollback.
- Continuously improve accuracy, performance, and maintainability of the adjudication rules engine.
What We’re Looking For:
- 2+ years hands-on experience with Sparkling Logic SMARTS (preferred) or other business rules engines (Drools, ODM, Blaze, etc.).
- Strong grasp of decision modeling (DMN), rule authoring, and lifecycle management.
- Solid programming/scripting skills for integration (Java, Python, or similar).
- Ability to debug distributed systems and reason through complex rule interactions.
- Experience in fintech, healthcare, or other transaction-heavy, regulated domains is a big plus.
- Strong communication skills — comfortable working with US teams across time zones.
- A mindset that balances engineering precision with business pragmatism.
What You’ll Get:
- The chance to work on mission-critical systems where every rule you write has immediate impact.
- Exposure to both fintech scale challenges and healthcare compliance complexities.
- A collaborative global engineering culture that values technical ownership and problem-solving.
- Competitive pay, growth opportunities, and the ability to help redefine healthcare payments.
Top Skills
What We Do
NationsBenefits® is a leading supplemental benefits company providing managed care organizations with innovative healthcare solutions helping to promote independence, health, and well-being for more than 20 million members across the U.S.
When the company was founded in 2015 by Glenn Parker, M.D., we set out to disrupt the healthcare industry. In 2020, we rebranded to NationsBenefits to expand the company’s core offering and broaden the scope of our clinically focused services.
Today, we surpass traditional benefit management programs by helping our health plan partners drive growth, improve outcomes, reduce costs, and delight members. Our best-in-class service model engages members in meaningful and measurable ways with technology-based solutions tailored to the unique needs of each population.
